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Peds 3
Physical Development Disorders
| Question | Answer |
|---|---|
| Fusion of maxilla and nasal processes occurs in utero when? | 5-8 weeks |
| Defined as an opening in the palate | Cleft Palate |
| Closure of palate usually occurs in utero when? | 9-12 weeks |
| Frequent otitis media due to improper function of eustacian tubes occurs with this | Cleft Palate |
| Surgical repair of ______ should be done ASAP. Revision may be needed at what age? | cleft lip; 4-6 yo |
| Can be detected and repaired in utero by sonogram | cleft lip |
| Sx repair postponed until 6-18 mo to allow anatomical changes to occur | cleft palate |
| Position for feeding with cleft palate? | Upright and burp frequently |
| Breastfeeding may resume at what time after sx repair of cleft palate? | 7-10 days |
| Post-op cleft lip and palate: Position | On side. Later placed in infant chair |
| TEA needs to be R/O in any baby born to a woman with what? | polyhydramnios |
| Cardiac, Renal, CNS, and GI anomalies are often comorbidities occuring with what? | TEA |
| The 3 Cs are watched for in infants with what? | TEA |
| What are the 3 Cs? | Coughing, Choking, Cyanosis |
| What do you do if 3 Cs present? | make NPO and call doc |
| Sx repair and preventing aspiration PN and e-lyte imbalance is the goal for management of what? | TEA |
| What position do we put baby with TEA in? | Prevent aspiration. HOB 30, Car or infant seat |
| Why are ATB used with TEA? | Probably already aspirated |
| How to run feeding r/t TEA | By gravity NEVER pressure |
| What are some sign of TEA anastamosis leak? When would we see this? | prurulent drainage, Increased WBC, temp instability....7-10 days post-op when sutures dissolve |
| What two things are included in teaching after herniorphy? | Sponge baths, turn diaper down |
| What is the greatest concern with umbilical hernia? | Strangulation of bowel |
| What are hallmark signs of ICP? | Bulging fontanelles, sunset eyes |
| What are the early signs of ICP in infants? Late? | Early= Bulging fontanelle, increased head circ Late=High pitch cry |
| What are sign of ICP in children? Why the difference? | V, HA, Seizures. Closed cranial sutures |
| Acetamazolamide (Diamox) is used to treat ICP, because it does what? | Promotes secretion of fluid |
| Post-op position for shunt | Supine, NOT on operative side. |
| IV corticosteroids and anticonvulsants (Tegretol, Dilatin, Valium, and Phenobarb) are given what? | Recover from ICP |
| How much folic acid to prevent neural tube defects? | 0.4 mg/day prior to preg, then 4 mg/day |
| When is AFP assessed? What does increase indicate? | 15 weeks preg; increase indicates open spinal lesion |
| What is done for definitive Dx open spinal lesion? | Amniocentesis |
| Intrauterine infection, malnutrition, and anoxia can contribute to what? | Microcephaly |
| Meninocele has/does not have neuro deficits | Does not |
| Myelomeningocele has/does not have neuro deficits | Has |
| No motor or sensory function below level of problem. Lack bowel/bladder control. Frequently have talipes, hip dysplasia, hydrocephalus | Myelomeningocele |
| Pre-op care for mening. issues includes sterile what? What position? | gloves and linens, prone with towel under abd or on side with folded diaper between legs |
| Cast for talipes may need changes how often d/t rapid growth | 1-2 weeks |
| Cast for talipes removed at ____ wks, then may need Denis-Brown splint or _______ shoes | 6, high top |
| Splint for talipes may be worn how long? | Up to one year |
Created by:
mreedy
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