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Peds Grow&Dev Ch 9
Wongs Chapter 9, 11, 14,17
| Question | Answer |
|---|---|
| Newborn screenings: congenital hypothyroidism | causes mental retardation if not TX early |
| Phenylketonuria (PKU) do newborn screening b/c | serious mental retardation if not caught early |
| PKU is a problem of metabolism caused by a | missing enzyme which converts phenylalanine to tyrosine |
| Phenylketonuria (inherited disorder) builds to | toxic levels without the enzyme |
| PKU symptoms are | seizures and skin rash |
| Restrict phenylalanine in diet; Eliminate: | beans,meat,high protein foods, dairy foods, & nutrasweet or equal, |
| Galactosemia is a rare | liver problem from deficiency of hepatic enzyme |
| The problem is with converting | galactose into glucose |
| FTT-failure to thrive may be: 3 | organic, nonorganic or idiopathic |
| Organic FTT is | a physical reason |
| Non-organic FTT is a | social issue, lack of nutrition |
| Idiapathic FTT is an | unknown cause |
| Child with FTT may have | growth failure below 5%, developmental delays, apathy, poor hygeine-neglect, withdrawn behavior, feeding disorders (rumination), lack of fear of strangers, avoid eye contact, wide-eyed gaze, still or flaccid, minimal smilling |
| rumination is when | they make themselves throwup |
| Factors associated w/FTT are: | poverty, health and childbearing beliefs, lack of knowledge, stress, feeding resistance and low breast milk supply |
| Parents as risk for FTT are those with: | isolation or social criticism, not good support system, poor education, retarded, depressed, immature or lack of commitment to chile |
| Nursing care of FTT | Correct Nutrition: try to feed in quiet place, face to face with persistence; |
| More feeding guidelines | routines SB structured, no grazing, regular times, 3 meals & snacks; Use hi calorie foods, monitor weight, |
| Colic looks like | belly hurts |
| Cause of colic | unknown but may be mom stressed, gas, lactose problem, diet-formula not working, smoking in home, etc... |
| SIDS-Sudden Infant Death Syndrome | die in sleep, cause unknown, more in boys,more in winter, putting to sleep on back helps |
| ALTE isApparent Life Threatening Event | kid stops breathing but survives; may go home with apnea monitor; Monitor-must teach CPR to family |
| SIDS higher risk if | smoking in home or premie |
| Parasite-Giardiasis is a | protozia causes diarrhea |
| Parasite-Enterobiasis is/see itching | pin worms/if itching put scotch tape on hiney and may see them |
| Nursing care parasites | wash bedding, Tx w/meds as ordered; Teach handwashing |
| Poisons - 1st to do is check | ABC's call 911 |
| Poisons - if LOC (loss of consciousness) call | 911-may stop breathing |
| Type poisons | try to figure out what it is |
| Poisons-Nur interventions | gastric decontamination, syrup of ipecac, gastric levage (in ER), activated charcoal (binds with), antidotes |
| Lead Poisoning causes | renal, hematologic-anemia, & neurological-seizure problems |
| Lead is able to cross the | blood brain barrrier which is not well formed in kids |
| Sources of lead are | old paint on old houses, soil of those houses being contaminated, plumbing, pottery and polluted environment |
| Lead SS -acute are | N/V, constipation, anorexia, pain |
| Lead poisoning actions | get rid of source, |
| Lead testing | there is a finger prik available |
| Enuresis is | bedwetting, incontinence of urine, |
| Enuresis - ____ & ___ do not work | rewards and punishment |
| Enuresis causes - may be | familial |
| Enuresis NUR care: | bladder training, limiting nitetime fluids, waking child to go, set alarms, Medicationsk |
| Medications for enuresis: 3 are | Trofanil, Ditropan, DDAVP |
| Encopresis | poop in pants |
| Encopresis is not | common, may be a play for attention |
| Nur care for encopresis | diet-if constipated; family therapy if for attention, |
| Sports injuries | use protective eqpt,do for fun not just WinWin |
| Obesity assessment: get | weight, BMI, ? diet and activity level |
Created by:
RN
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