Comprehensive Nursing Exam Preparation: MVU NURS 629 Exam 4, Exams of Pediatrics

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MVU NURS 629 Exam 4 | 100% Correct

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how do you preform rovsing sign? - ✔✔· Apply pressure to the lower left abdomen. · Pain is felt in right side of abdomen when pressure is released what does rovsing sign indicate? - ✔✔appendicitis how do you assess for injury to anterior or posterior cruciate ligament? - ✔✔positive anterior / posterior drawer sign what is the initial treatment for osgood-Schlatter disease? - ✔✔stretching what are the common sings/ symptoms of osgood-schlatter disease? - ✔✔painful swelling and tenderness of tibial tuberosity when and who is osgood-schlotter disease most common in? - ✔✔most common in later childhood and adolescence; especially in those that play sports what are the treatments for sprained ankle? - ✔✔apply cold for 20 min then off 30-45 min and repeat for the first 24-48 hrs RICE what is the best way to diagnose Legg-Calve-Perthes? - ✔✔Frog leg xray what is an idiopathic osteonecrosis of the femoral head? - ✔✔Legg-Calve-Perthes what are the common complaints associated with Legg-Calve-Perthes - ✔✔hip pain, knee pain, painless limp that is worse at the end of day

what is the most common complication of gastroenteritis? - ✔✔dehydration; how do you treat dehydration in gastroenteritis? - ✔✔small, frequent amounts of oral rehydration solution what is the ideal glucose level of a 4 yr old? - ✔✔ 90 - 130 what does the initial evaluation for growth hormone deficiency include? - ✔✔thryoid function, screen hypoglycemia, GI illness labs: CBC, sed rate, UA, growth factor (IGF-1 and IGFBP-3) what are signs of growth hormone deficiency? - ✔✔short and slow growth; childlike face with prominent forehead what should be included in the initial evaluation of an isolated menarche? - ✔✔sexual abuse ruled out first predictable home, childcare and school routines help establish what for a child? - ✔✔they are essentials for childs mental health what are the characteristics of a migraine? - ✔✔unilateral, pulsating, occasional photophobia what type of anemia is microcytic , hypochromic? - ✔✔iron deficiency anemia what are risk factors for iron deficiency for children? - ✔✔poor dietary intake and breast-feeding infants 25% of children between ages of 10-1 5months what are children with separation anxiety at risk for? - ✔✔depression

what are common comorbidities of depression? - ✔✔anxiety disorders; ADHD; conduct/ learning disorders; SAD; eating disorders; stress at what age can PHQ9 be used? - ✔✔at age 11 what are signs of PTSD in children? - ✔✔extreme temper tantrums in preschool age children increased arousal such as difficulty sleeping and concentrating, feeling jumpy, and being easily irritated and angered are associated with what? - ✔✔PTSD in children what are key findings in slipped capital femoral epiphysis? - ✔✔limping; knee and or hip pain pain is worse with activity localized pain to anterior thigh or knee

• maybe unable ot bear weight
• exam findings:= loss of internal rotation of teh hip with flexion -
• affected extremity is shorter
• loss of abduction and extension what is loss of internal rotation of hip with flexion associated with? - ✔✔slipped capital femoral epiphysis how do you diagnose SCFE? - ✔✔xray how do you treat SCFE? - ✔✔referral for pedi ortho keep non-weight bearing until surgical what is the most common type of scoliosis? - ✔✔idopathic

how do you confirm scoliosis? - ✔✔AP and lateral standing view of spine what is first line treatment for UTIs in children? - ✔✔Bactrim how do you treat gastroenteritis? - ✔✔small, frequent amounts of oral rehydration solution what are the common symptoms of appendicitis? - ✔✔-constant periumbilical pain shifting to right lower quadrant

• pain worsens with movement, deep respiration and coughing
• vomiting elevated WBCs what is the most common form of fainting and a frequent ER visit? - ✔✔neural-mediated syncope
• also called; reflex, neurocardiogenic and vasovagal what is the cause of neural-mediated syncope - ✔✔part of nervous system that regulates BP:
• response to trigger such as emotional stress or pain
• typically while standing and is often preceded by sensation of warmth, nausea, lightheadedness, tunnel vision or visual 'grayout'. what is the immediate treatment for neural-mediated syncope? - ✔✔placing in reclining position to restore blood flow and consciousness what are the causes of cardiac syncope? - ✔✔bradycardia; tachycardia
• certain hypotensions;
• may be exercise triggered what are residual findings associated to cardiac syncope? - ✔✔incontinence,

disorientation, more likely to have injury associated what goiter associated with? - ✔✔hyperthyrodism what are the treatment goals for DM1 - ✔✔achieve normal growth

• achieve optimal glycemic control
• positive psychosocial adjustment to diabetes
• HbA1c less than 7. do children start with oral diabetic medicaitons/ - ✔✔no INSULIN:
• All youths with T1DM should monitor their glucose levels 6 to 10 times a day, including pre-meals, pre- bedtime, and to assess safety in situations such as during exercise, driving, illness, or when experiencing symptoms of hypoglycemia.
• In prolonged or severe hyperglycemia, blood or urine ketone levels should be monitored to determine whether a treatment adjustment or referral to urgent care is needed. what are the exercise goals for children with T1DM - ✔✔goal of moderate- to vigorous-intensity daily aerobic activity and vigorous muscle- and bone-strengthening exercise 3 days/week. how do children prevent hypoglycemia during and after exercise? - ✔✔including ensuring a blood glucose level of 90 to 250 mg/dL (5 to 13 mmol/L), and having carbohydrates available to eat during exercise. what is the most common organism in UTI? - ✔✔E Coli what are the red flags for sensory processing disorder in adolescents? - ✔✔· Overly sensitive to touch, noise, smell, or other people · Poor self-esteem · Afraid of failing at new tasks · Lethargic and slow

· Always on the go · Impulsive · Distractible, leaves tasks uncompleted · Clumsy, slow, poor motor skills or handwriting · Difficulty staying focused at work or in meeting wha tare the signs of normal cognitve development in toddlers? - ✔✔· Emerging empathy · Understanding social rules · Constructing narratives · Reciprocity in play what are the executive functions requried for self-regulation? - ✔✔inhibition; flexibility reciprocity in play what is the best prevention for rebrile seizures? - ✔✔alternate Tylenol and ibuprofen every 4 hours to keep fever down How do you prevent febrile seizures? - ✔✔· Not an actual seizure disorder · Help child stay hydrated and rested during illness · Watch for signs of seizure activity and seek emergency treatment especially for any seizure lasting longer than 5 minutes what is the best mgmt of infant reflux/? - ✔✔continue to breast feed

• if formula fed:
• 2 week trail of extensively hydrolyzed formula or amnio-acid based formula to exclude CMA
• thicken formula