NSG 6435 MIDTERM EXAM STUDY GUIDE-with 100% verified solutions-2024-2025.docx, Exams of Nursing

Download NSG 6435 MIDTERM EXAM STUDY GUIDE-with 100% verified solutions-2024-2025.docx and more Exams Nursing in PDF only on Docsity! NSG 6435 MIDTERM EXAM STUDY GUIDE-with 100% verified solutions- 2024-2025   • Stacks 5 blocks 2 year old • until when is the female body reproductively immature? why? 8-10 yr old; GnRH is released from hypothalamus • which will decrease risk of acute otitis media in 6 month old? breastfeeding • able to stand on one foot 3 yr old • testing cranial nerve II in infant squinting to bright light • which is true of infants with developmental dysplasia of the hip? palpable clunk is considered diagnostic • Head circumference should be measured until a child has attained 36 months of age • 6 wk old is suspected of having developmental dysplasia of the hip (DDH). What test would best assess for this? Barlow and Ortolani • sexual maturity rating in girls: characteristics of stage 3 include dark course curly hair sparsely over the symphysis pubis • when examining abdomen of infant, simultaneous percussion and auscultation is one technique for assessing the size of the LIVER • The 4 classic structural defects of tetralogy of fallot include: ventricular septal defect, overriding aorta, pulmonary stenosis, and right ventricular hypertrophy • When is breastfeeding contraindicated Galactosemia (infant lacks enzyme that breaks down galactose into glucose) • physiologic vs pathologic jaundice- based on what? timing of onset • infant must learn to sit before standing cephalocaudal development progression • hip dysplasia 0-3 months ortolani & barlow, >4 months Galezzi & klisic • CAP in 6 yr old still febrile after 72 hrs on zithromax change Abx to PCN, zithromax doesn't cover strep origin • A-typical pneumonia Azithromycin • child with mod persistent asthma with dx of pneumonia Amoxicillin • scarlet fever with sandpaper rash -causative organism Strep A • able to stand on one foot 3 yr old • first sign of sexual maturation in males increased size of testicles • pneumococcal vaccine shifted pathogenesis, fewer cases of s. pneumonia • 18 month old with bronchiolitis and RR 28, treatment antipyretics • tachycardia in school aged child • >100 considered tachycardia after age 10 • A patient with CF should Require higher calorie intake than other adolescents • A chronic medical problem is one that is present for 3 months or more • The GOLD STANDARD test for diagnosing CF sweat chloride test • Findings of a peritonsillar abscess include all of the following except exudate on tonsils • Precocious puberty Males <9 yrs Females <8 yrs • (15 mo old) After treatment with Amoxicillin for OM, 2 wk rechk = still red TM and distorted landmarks with nasal discharge yellowish, treatment? Augmentin 10 days 130 • common symptom of Leukemia fever • breast milk can be stored safely in the freezer for 1 yr • Most common esophageal disroder in children GERD • infants weighing less than 1700g(4 lb) at birth are more likely to have GERD • gold standard for diagnosing reflux esophageal pH monitoring • infantile colic in infants younger than 3 months is characterized by persistent crying • Hirschsprung disease do not pass meconium stool in first 48 hrs of life • symptoms of Hirschsprung disease in older child foul smelling stool, ribbon like stool, distended abd with prominent veins and visible abd peristalsis and palpable fecal mass • encopresis bowel mvmt not in toilet after age 4. in pants or inappropriate places, most commonly caused by constipation Female only Short stature Affects ovaries, preventing normal sexual development • ADHD meds are schedule II • Top causes of death in teens Suicide, homicide, accidents -immediate postnatal - soft systolic murmur -Blue baby, cyanosis is evident within 1 hr of birth Causes cardiac probs - HTN, aortic valve bi instead of tri webbed neck, low hairline, small ears after 1 week, sounds like machine s/s > CHF -more common in boys - maternal diabetes increases risk Turner's Syndrome Patent ductus Arteriosis Transposition of the Great Arteries -most often after a viral illness • Only po diabetic agent approved for use in children Biguinide (Metformin) -most common age <9 yrs -10-19 - nonhispanic -first signs - polydypsia, polyuria following an illness, fatigue and lethargy • Juvenile RA 85% achieve complete remission with puberty • 23. You are obtaining the history and physical information for a child with juvenile RA whose symptoms have been controlled with aspirin therapy. Which information about this patient will concern you most? 1. The child is complaining of increased right knee pain. 2. The child's symptoms have persisted for over 6 months. 3. The child says, “Other kids laugh at me on the playground.” 4. The child's parents have refused to have their children immunized. 4.23. Ans: 4 Children who receive aspirin therapy are at risk for development of Reye syndrome if they contract viral illnesses such as varicella or influenza, so the lack of immunization is the greatest concern for this child. The other information also indicates a need for further investigation or intervention but does not place the child at risk for life-threatening complications. Focus: Prioritization • Hgb A1c goals 0-5 yrs - <8.5 ITP -80% resolve in 6 mo -if longer than 6 mo >chronic ITP DM type I amenorrhea r/t increcased athleticism - low body fat Klinefelter's syndrome - testes do not develop • Scoliosis lateral curviture of spine, rotation involving vertebrae in lumbar or thoracic spine • The most accurate pain assessment in pediatric population behavioral pain assessments are useful in infants and children with impaired communication • clinical features of Kawasaki disease fever at least 5 days with acute erythema and/or edema to hands • purpose of obtaining a developmental history review of milestones such as language, gross and fine motor skills, and cognitive function • Diabetes Insipidus Manifested as polyuria, polydipsia Confirmed DX by serum hyperosmolality and urine hypo-osmolarity - CGD chronic granulomatous disease - hypothyroidism - absence or decrease in Gonadotropic releasing hormone (Kallman syndrome) both male and female causes of delayed puberty increased muscle tone in first weeks of life • pt with Cystic Fibrosis requires higher caloric intake than other adolescents • trismus Inability to open the mouth - muffled voice - unilateral swelling of tonsil • precocious puberty before age 9 • OM recheck after treatment with Amoxicillin, remains distorted with drainage, best course of action start 10 day course of augmentin - airway hyper-responsiveness trismus NO exudate on tonsils reversible airway obstruction inflammation peritonsillar abscess will have asthma a chronic lung disease characterized by • socialization • Allergic symptoms: nasal congestion, sneezing, watery eyes, difficulty sleeping and difficulty concentrating • typical x-ray finding associated with dx of asthma hyperinflation • supportive in diagnosing constitutional delay in puberty? Family history of constitutional delay of puberty • average adolescent female experiences biggest growth spurt at 11.5 yrs • Pubarche in adolescent girls growth of terminal sexual hair • 14 yr old with fatigue, endocarditis, pulm HTN, arrhythmias, CHF ventricular septal defect (VSD) • adolescents should be screened for STD sexually active to be brought up or raised in a specific culture