Nurs 362 Exam 3 Review Questions
with Complete solutions.
The major ways immobility impacts the body systems - Answer Decrease respiratory
expansion, GI motility decrease,
How does immobility impact a child's development - Answer It can result in delaying
milestone achievement, focus on alternate methods of achieving developmental milestones
What are the priority assessments for fractures in general - Answer CMSS, any circulation or
nerve impairment 'downstream' from the site of injury, awareness of compartment syndrome
Most common fractures in kids - Answer distal radius
clavical
physeal fracture
Cast care - Answer Keep casted extremity elevated-especially immediately after the cast is
applied.
Observe for neurovascular complications (permanent muscle and tissue damage can occur
within 6-8 hours)
Swelling of fingers/toes
Discoloration (cyanosis/pallor) of fingers/toes
Decreased pulses
Decreased temperature
Inability to move distal exposed parts
Should be able to fit the width of a finger between the cast and the body part
Observe for skin breakdown at cast edges
No strenuous activity for a few days
Itching may occur: do not put anything inside the cast (blow air from blow dryer)
Pediatric fractures are not very often - Answer clean breaks, because the bones are still soft
Warning signs of abuse - Answer Delay in seeking treatment
, If a baby is born with a clavical fracture they need... - Answer Nothing, it will generally heal
on its own
Site care with the pins in external fixation - Answer clean with normal saline and q-tips
Complications of CHD's - Answer CHF and Hypoxemia
S/s of HF - Answer Edema, inability to gain weight, crackles in the lungs, HTN, weak
peripheral pulses, activity intolerance, murmur (gallop), low urine output
S/s of HF (respiratory and peripheral) - Answer Poor feeding, grunting, retractions,
tachypnea, dyspnea
Puffy eyelids, swollen hands, and feet, enlarged liver, enlarged liver
s/s of hypoxemia - Answer cyanosis, clubbing, polycthemia (RBC increase risk for clots and
strokes), TET spells
CCHD screening - Answer -*o2 saturation *Right hand, either foot
-passing is greater than 95% with less then 3% difference
-performed at 24-48 hours birth
- if failed another one done then an echo
Managing TET spells - Answer Stay calm
Knee to chest or squat
oxygen
morphine
Classes of CHD's - Answer Increased pulmonary blood flow
Obstructive defects
Decreased pulmonary blood flow
Mixed Defects
Increased pulmonary blood flow CHD's present as - Answer Symptoms of Heart Failure (R
sided)
with Complete solutions.
The major ways immobility impacts the body systems - Answer Decrease respiratory
expansion, GI motility decrease,
How does immobility impact a child's development - Answer It can result in delaying
milestone achievement, focus on alternate methods of achieving developmental milestones
What are the priority assessments for fractures in general - Answer CMSS, any circulation or
nerve impairment 'downstream' from the site of injury, awareness of compartment syndrome
Most common fractures in kids - Answer distal radius
clavical
physeal fracture
Cast care - Answer Keep casted extremity elevated-especially immediately after the cast is
applied.
Observe for neurovascular complications (permanent muscle and tissue damage can occur
within 6-8 hours)
Swelling of fingers/toes
Discoloration (cyanosis/pallor) of fingers/toes
Decreased pulses
Decreased temperature
Inability to move distal exposed parts
Should be able to fit the width of a finger between the cast and the body part
Observe for skin breakdown at cast edges
No strenuous activity for a few days
Itching may occur: do not put anything inside the cast (blow air from blow dryer)
Pediatric fractures are not very often - Answer clean breaks, because the bones are still soft
Warning signs of abuse - Answer Delay in seeking treatment
, If a baby is born with a clavical fracture they need... - Answer Nothing, it will generally heal
on its own
Site care with the pins in external fixation - Answer clean with normal saline and q-tips
Complications of CHD's - Answer CHF and Hypoxemia
S/s of HF - Answer Edema, inability to gain weight, crackles in the lungs, HTN, weak
peripheral pulses, activity intolerance, murmur (gallop), low urine output
S/s of HF (respiratory and peripheral) - Answer Poor feeding, grunting, retractions,
tachypnea, dyspnea
Puffy eyelids, swollen hands, and feet, enlarged liver, enlarged liver
s/s of hypoxemia - Answer cyanosis, clubbing, polycthemia (RBC increase risk for clots and
strokes), TET spells
CCHD screening - Answer -*o2 saturation *Right hand, either foot
-passing is greater than 95% with less then 3% difference
-performed at 24-48 hours birth
- if failed another one done then an echo
Managing TET spells - Answer Stay calm
Knee to chest or squat
oxygen
morphine
Classes of CHD's - Answer Increased pulmonary blood flow
Obstructive defects
Decreased pulmonary blood flow
Mixed Defects
Increased pulmonary blood flow CHD's present as - Answer Symptoms of Heart Failure (R
sided)
