Lifespan II: Child and Family (NURB 352) Exam 2 Study
Guide DRAFT Questions With Complete Solutions
-50% of children toilet train during the preschool period
-Daytime toilet training typically expected prior to enrollment in
kindergarten
-Nighttime bladder control typically takes months or yrs after
daytime training Correct Answers What is normal preschooler
elimination?
-Abdominal cramping and distention --> r//t decreased GI
motility due to villi atrophy and fluid accumulation in the bowel
due to inflammation
-Chronic diarrhea and steatorrhea --> frothy, foul-smelling stool
due to increased fat in stool r/t decreased absorption of fat
-Malnutrition and failure to thrive (FTT) --> muscle wasting,
brittle bones, anemia, sores in mouth, fatigue, apathy, and
irritability Correct Answers What are s/s of celiac disease?
-Adenoidectomy --> facilitates drainage from nasal sinus and
decreases pressure on eustachian tube
-Tympanostomy tubes via myringotomy Correct Answers How
can otitis media be managed surgically?
-Antacids
-Diuretics
-Antiepileptics
-Antihistamines
-Opioids
-Iron supplements Correct Answers What are medications that
can cause constipation?
,-Antibiotic ear drops will not be helpful with an intact tympanic
membrane
-Uncorrected hearing difficulty can lead to speech delay, so
children with frequent ear infections should have a hearing test
and consider surgical intervention Correct Answers What are
important nursing considerations with otitis media?
-Appendectomy ASAP
-While waiting for surgery --> NPO, hydrate, and manage pain
-Post-op --> standard incisional/post-op care and discharge
home within 1-3 days Correct Answers How is appendicitis
managed when identified before rupture?
-Arm braces for 7-10 days to protect sutures from child's hands
-NPO for 7-10 days (no straws, pacifiers, spoons, fingers,
thermometers, or suction)
-Feed by an open cup or syringe (pureed diet for older children)
by tipping into mouth; do not place the whole spoon/straw in the
mouth Correct Answers What are aspects of post-op for a cleft
lip/palate patient?
-Assess for complications of anesthesia
-Assess for s/s of bleeding (ie. bright red blood, frequent
swallowing, tachycardia, pallor)
-Assess for pain
-Assess for s/s of airway obstruction Correct Answers What are
assessments to perform for a tonsillectomy?
-At home --> beta-agonists, rest, and hydration
-If needed, use secondary rescue meds and O2
,-Evaluate following the treatment; there should be immediate
improvement Correct Answers How is an acute exacerbation of
asthma treated?
-Avoid triggers
-Corticosteroids (inhaled for chronic or oral for acute
exacerbations)
-Consider hyposensitization (allergy shots)
-Bronchodilators (preventative prior to trigger exposure or as
rescue at the onset of s/s)
-Anticholinergics to dry secretions
-Adequate hydration
-Maintain good chronic control
-Exercise such as swimming to help build stronger lung
structures
-Breathing exercises to help build lung function Correct
Answers How is asthma managed?
-Barking cough
-Stridor
-Hoarseness
-Dyspnea
-No symptoms during daytime
-No fever or URI symptoms Correct Answers What are s/s of
acute spasmodic laryngitis?
-Barking cough, often at night
-Inspiratory stridor
-Mild fever
-Suprasternal retractions
, -Respiratory distress (may progress to failure) Correct Answers
What are s/s of LTB?
-Beta-adrenergic agonists (short-acting) --> albuterol*** and
levabutrol
-Can be in the form of MDI (w/ spacer), nebulizer
-Side effects --> tachycardia Correct Answers What are
primary asthma rescue meds (taken to regain control when s/s
occur)?
-Bladder dysfunction --> UTI, constipation
-Increased urine --> diuretics, DM/diabetes insipidus, or kidney
disease
-Decreased control --> neurologic impairment (ie. spinal cord
injury), seizure disorder, or sleep disorder (OSA)
-Psychogenic factors --> psychological, physical, or sexual
abuse/trauma
-Predisposing factors --> age, gender (males more likely), and
family history of enuresis Correct Answers What are causes of
enuresis?
-Causes of nutritional or growth problems --> genetic defects,
lead toxicity, anemia, parasites
-Hydration level
-Fatigue or exhaustion
-Brittle hair/nails Correct Answers What are aspects of a
physical assessment performed with failure to thrive?
-Cellular remodeling --> permanent cellular changes/scarring
-Recurrent infections
-Frequent hospitalizations
Guide DRAFT Questions With Complete Solutions
-50% of children toilet train during the preschool period
-Daytime toilet training typically expected prior to enrollment in
kindergarten
-Nighttime bladder control typically takes months or yrs after
daytime training Correct Answers What is normal preschooler
elimination?
-Abdominal cramping and distention --> r//t decreased GI
motility due to villi atrophy and fluid accumulation in the bowel
due to inflammation
-Chronic diarrhea and steatorrhea --> frothy, foul-smelling stool
due to increased fat in stool r/t decreased absorption of fat
-Malnutrition and failure to thrive (FTT) --> muscle wasting,
brittle bones, anemia, sores in mouth, fatigue, apathy, and
irritability Correct Answers What are s/s of celiac disease?
-Adenoidectomy --> facilitates drainage from nasal sinus and
decreases pressure on eustachian tube
-Tympanostomy tubes via myringotomy Correct Answers How
can otitis media be managed surgically?
-Antacids
-Diuretics
-Antiepileptics
-Antihistamines
-Opioids
-Iron supplements Correct Answers What are medications that
can cause constipation?
,-Antibiotic ear drops will not be helpful with an intact tympanic
membrane
-Uncorrected hearing difficulty can lead to speech delay, so
children with frequent ear infections should have a hearing test
and consider surgical intervention Correct Answers What are
important nursing considerations with otitis media?
-Appendectomy ASAP
-While waiting for surgery --> NPO, hydrate, and manage pain
-Post-op --> standard incisional/post-op care and discharge
home within 1-3 days Correct Answers How is appendicitis
managed when identified before rupture?
-Arm braces for 7-10 days to protect sutures from child's hands
-NPO for 7-10 days (no straws, pacifiers, spoons, fingers,
thermometers, or suction)
-Feed by an open cup or syringe (pureed diet for older children)
by tipping into mouth; do not place the whole spoon/straw in the
mouth Correct Answers What are aspects of post-op for a cleft
lip/palate patient?
-Assess for complications of anesthesia
-Assess for s/s of bleeding (ie. bright red blood, frequent
swallowing, tachycardia, pallor)
-Assess for pain
-Assess for s/s of airway obstruction Correct Answers What are
assessments to perform for a tonsillectomy?
-At home --> beta-agonists, rest, and hydration
-If needed, use secondary rescue meds and O2
,-Evaluate following the treatment; there should be immediate
improvement Correct Answers How is an acute exacerbation of
asthma treated?
-Avoid triggers
-Corticosteroids (inhaled for chronic or oral for acute
exacerbations)
-Consider hyposensitization (allergy shots)
-Bronchodilators (preventative prior to trigger exposure or as
rescue at the onset of s/s)
-Anticholinergics to dry secretions
-Adequate hydration
-Maintain good chronic control
-Exercise such as swimming to help build stronger lung
structures
-Breathing exercises to help build lung function Correct
Answers How is asthma managed?
-Barking cough
-Stridor
-Hoarseness
-Dyspnea
-No symptoms during daytime
-No fever or URI symptoms Correct Answers What are s/s of
acute spasmodic laryngitis?
-Barking cough, often at night
-Inspiratory stridor
-Mild fever
-Suprasternal retractions
, -Respiratory distress (may progress to failure) Correct Answers
What are s/s of LTB?
-Beta-adrenergic agonists (short-acting) --> albuterol*** and
levabutrol
-Can be in the form of MDI (w/ spacer), nebulizer
-Side effects --> tachycardia Correct Answers What are
primary asthma rescue meds (taken to regain control when s/s
occur)?
-Bladder dysfunction --> UTI, constipation
-Increased urine --> diuretics, DM/diabetes insipidus, or kidney
disease
-Decreased control --> neurologic impairment (ie. spinal cord
injury), seizure disorder, or sleep disorder (OSA)
-Psychogenic factors --> psychological, physical, or sexual
abuse/trauma
-Predisposing factors --> age, gender (males more likely), and
family history of enuresis Correct Answers What are causes of
enuresis?
-Causes of nutritional or growth problems --> genetic defects,
lead toxicity, anemia, parasites
-Hydration level
-Fatigue or exhaustion
-Brittle hair/nails Correct Answers What are aspects of a
physical assessment performed with failure to thrive?
-Cellular remodeling --> permanent cellular changes/scarring
-Recurrent infections
-Frequent hospitalizations
