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MvCtC PEDS SEC 1
| Question | Answer |
|---|---|
| Abraham Jacobi | Father of Pediatrics |
| These thorist helped change society's view on childhood | Erickson and Piaget |
| SCHIP State Children's Health Insurance Program | Branch of Social Security Medicaid (iunsurance for uninsured children ineligible for medicaid) |
| Mortality | # of deaths per 1000 live Births CAUSE: low birth weight main contributor |
| > 1 year old leading cause of Infant mortality rate | Congentital anomalies |
| Leading cause of death in children >1 | injury resulting in from accidents |
| Childhood Morbidity cause | Illness, Chronic disease, disability, Socioeconomic status |
| Founder of Public Health | Lilian Wad |
| Hospitalization in children causes (toddler and infant) | seperation anxiety (6 months and >), and regression |
| Three stages of Seperation Anxiety {Step one} | 1.) Protest- loud, long cry and continuous crying, freqently fall asleep from exhustion. |
| Three stages of Seperation Anxiety {Step two} | 2.)Despair- look sad and depressed, move about less and withdraw from strangers, do not play actively. |
| Three stages of seperation anxiety {step three} | 3.)Denial- deny need for the parent become detached or uninterested in visits. Increase interest in surrounding, toys and playmates |
| Preschooler Reaction to Hospitalization | need to understand it is not a punishment May feel guilty if in the hopsital is r/t an accident----- I got sick because I was mad at my brother. |
| Adolescent in the hospital | Body Image. Watch privacy. They are all about there friends visiting |
| The parents reaction to Hospitilization | The whole family is affected |
| Interventions for siblings for hosp. | Allow them to assist with care if comfortable |
| how would you give ear drops? | >3 up and back <3 down and back warm the solution |
| When would you give a injection IM on a 18 month old? | Vastus Lateralis |
| When giving oral med's for a infant how should it be given? | with a oral syringe and place in side of infant's mouth |
| Thrombosis, hyperglycemia, and Infection are complications of? | TPN |
| Normal output for a child? | 1 ML/KG/HR |
| Reaction of a spinal tap | Fever, CSF, leakage, HA |
| Treatment for AIDS | AZT, give a high protein diet high cal |
| S/S of AIDS | Chronic Diarrhea and Failure to thrive |
| Transmission of AIDS | Placenta breast milk and through secretions at birth |
| Thrush- Oral Candidiasis transmitted | direct contact during delivery or by contact with the nurse or mothers contaminated hands |
| Treatment of thrush | Nystatin |
| With thrush what would you worry about? | Anorexia d/t discomfort |
| Infectious Diarrhea what do you watch for? | dehydration and changes in electrolyte |
| S/S of infectious diarrhea | Increased temp, lethargic, |
| Treatment for infectious diarrhea | Keep them isolated give them oral glucose- electrolyte for rehydration |
| S/S OF TB | night sweats, difficult to feed, fever, failure to thrive |
| treatment for TB | INH rifampin |
| sign of positive TB | + tb skin test, + CXR |
| S/S OF Congenital Heart Disease | small for age, poor weight gain, increase pulse and resp, upper resp infection and cyanosis |
| The most common birth defect? | Congenital Heart disease |
| risk factor with congenital heart disease | Rubella, poorly nurished mom, alcohol and drug use, DM, cocaine, accutane, materinal, lithium salt, Down's |
| define Congenital heart disease | defects in structure and or in one or more of large blood vessels that lead to and from the heart |
| Patent Ductus Ateriosus treatment | Indomethacin to facilitate closure |
| 4 defects in Tetrology of Fallot | 1. Stenosis of pulomonary artery 2. Hypertrophy of the right ventricle 3. Dextroposition of aorta 4. ventral septal defect |
| s/s of coarctation of the aorta | upper extremities: HTN, Bounding pulseslower extremities: weak pulses, cool, lower BP |
| S/S of tetrology of fallot | frequent resp. infection |
| how can you place a child with tetrology of fallot when they have trouble breathing? | place child in a knee chest position eases breathing with increase blood flow to the lungs. |
| Hypoplastic Left Heart syndrome define | left side of the heart underdeveloped |
| treatment for hypoplastic left heart syndrome treatment | digoxin give to slow heart rate, giving for rate and rhythm. Take apical pulse for 1 min <90-100 monitor levels |
| Cleft Lip is a | Fissure or opening in the upper lip |
| how would you feed a cleft lip child? | with a asepto syringe |
| when feeding a cleft lip pateint what should you prevent | prevent sucking motions as much as possible |
| Nursing goals for a child post-op with cleft lip | Prevent the baby from sucking and crying r/t tensionon the suture line |
Created by:
sarahe
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