Marybelle

A 6 day old baby was born prematurely at 33 weeks. He has been suffering from respiratory distress syndrome and has been receiving ventilatory support on NICU. He has developed abdominal distension and is increasingly septic. Ultrasound of the abdomen shows free fluid and evidence of small bowel dilatation. His blood pressure has remained labile despite inotropic support - Answers-Laparotomy He has necrotising enterocolitis and whilst this is often initially managed medically a laparotomy is...

Traction reflex - Answers-- Birth to 6 months - when in supine pull up and place stretch on shoulder and arm flexors and reflex is to flex and elevate arms/shoulders/wrists - enable child to hold onto the mother when being pulled Moro - Answers-- Birth to 6 months - response to a sudden loss of support, when the infant feels as if it is falling - Response is: 1) spreading out the arms (abduction) 2) unspreading the arms (adduction)

A child's reaction to hospitalization depends on which factors? - Answers-1. Age 2. Amount of preparation given 3. Security of home life 4. Previous hospitalizations 5. Support of staff and medical personell 6. Child's emotional health During hospitalization, a caring and compassionate nurse can take the place of a primary caregiver? - Answers-False. Hospital can be a positive experience for a child. - Answers-True

they can demonstrate regression to an earlier developmental period - Answers-Which of the following statements about siblings of a child with a chronic illness is true? giving the patient and their family a tour of the hospital unit and/or surgical area - Answers-Which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family? give an older child a choice of what to drink with the medicati...

A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family? a. Nuclear b. Blended c. Alternate d. Extended - Answers-blended The mother of a 7-month-old infant reports that the first lower central incisor has erupted. She asks the nurse, "How many teeth will he have by his first birthday?" The nurse explains that the infant will have how many ...

What is the fourth level of classification of asthma in children? (x x) - Answers-severe persistent How many nights per week for ages 0-4 with severe persistent asthma are night time symptoms present? (<>#) - Answers->1 How many nights per week, for ages 5 and older, with severe persistent asthma, are night time symptoms present? (#) - Answers-7 (nightly) For children with intermittent asthma, what percentage of a non-asthmatic PEFR is their PEFR less than or equal to? (xx%) - ...

Name some examples of abstract communication. - Answers-Involves communication through: -Play- can reveal internal feelings of child. -Artistic expression -Symbols -Photographs -Choice of clothing What are some key factors when establishing setting for effective communication (or starting the conversation)? - Answers-1.) Introduce yourself and title. 2.) State reason for interview. 3.) Assure privacy and confidentiality. What are some key factors when communicating with parents?...

Lorazepam/midazolam dosing - Answers-Lorazepam/midazolam 0.1-0.2mg/kg IV/IO/IM (wait 5 min for effect) OR 0.3mg/kg buccally (wait 10 min for effect) Adrenaline dosing (cardiac arrest situation) - Answers-0.1mL/kg or 1:10,000 adrenaline Glucose dosing (hypoglycaemia) - Answers-2-2.5mL/kg of 10% glucose (vs. 50% glucose) Normal RR for children - Answers-Age (yrs): RR <1 : 30-40 1-2 : 25-35 2-5: 25-30 5-12: 20-25 >12: 15-20

What is catch-down growth? What is expected? How to manage? - AnswersStarting out high in growth percentiles, then coming down between 6-18 months until they match their genetic programming. Usually don't decrease more than 2 major percentiles and are completely normal otherwise. Should be followed closely though no further evaluation warranted An infant is born SGA or prematurely, will they stay small? Will it affect their feeding? Will it affect their weight in the future? - AnswersInfan...

What are the components of the 3 minute toolkit? - Answers-ABCDENTTT (airway, breathing, circulation, disability (glucose), ENT, temperature, tummy) Cyanosis occurs when oxygen sats are less than what? - Answers-85% Mottling represents what? - Answers-Poor perfusion CRT must be measured centrally and periperally. How long (seconds) suggests urgent resus needed? - Answers-5+ What is the normal range of blood glucose in children? (mmol/L) - Answers-3-5 When is the new-born routinely...