NURS 4434- Theory & Nursing Practice For Child
Health (Final Exam) With Complete Solutions
What is Reye Syndrome? - ANSWER A rare disorder that causes brain and liver
damage d/t ingestion of Asprin
Signs and symptoms of Reye Syndrome - ANSWER vomiting, irritability/
aggressiveness that escalated to AMS and seizures
Rules for car seats - ANSWER -Forward facing @ 40lbs
-Back seat only! NEVER the front seat
-Car seats are NOT age dependent, but WEIGHT dependent
Reasons for receiving the Human Papillomavirus (HPV) - ANSWER Early
prevention of cancer-causing infections
What vaccine can be used for prevention of Bacterial Meningitis? - ANSWER Hib
(Haemophilus influenzae type B vaccine)
Contraindication of immunizations? - ANSWER There are not many, but if
someone is immunocompromised or has a sever allergic reaction
What is the best way to set your child up with a strong immune system? -
ANSWER Breast feeding
Tips for preforming a pediatric assessment - ANSWER when they are sleeping,
least to most invasive, sit w/ parent if possible
What is a goal for chronically ill children in regards to their milestones? -
ANSWER Identify their strengths and try to keep them as best you can on track
with their milestones
How can you best find out how to communicate with an adolescent patient? -
ANSWER Ask the parents what works at home and provide nonjudgmental
communication
What are the 4 infant reflexes? - ANSWER tonic neck reflex, palmar grasp, step
reflex, crawl reflex
, At what age would you see: seperation anxiety, fear of doctors/providers,
parallel play, play w/ blocks, kick balls, pincher grasp, begin to understand
limits - ANSWER Toddler
child care + care giver + ______________= increased risk of child abuse -
ANSWER stress
What age group of children are most at risk for child abuse? - ANSWER
newborn- year 1
Treatment for Candidiasis - ANSWER Nistatin (oral- mix with formula, diaper- use
powder)
Caused of diaper rash - ANSWER irritation caused by urine and feces, can also
be caused by detergent
*THE FOLDS ARE UNAFFECTED*
A-B-C-D-E of Diaper Rash and Candidiasis treatment - ANSWER A- air out the
skin
B- use a barrier past
C- clean the skin
D- disposable diapers
E- educate
What is Wilms Tumor? - ANSWER Renal cancer w/ tumors on the kidneys
True or False: Baseline labs should be drawn after antibiotics are started -
ANSWER False
Key assessment to avoid when assessing Wilms Tuor - ANSWER Do not palpate
the abdomen
What is cohorting in regards to infection? - ANSWER Keep infected people with
infected people. Keep non-exposed people with non-exposed people. Especially
do not put surgical patient in rooms with infected people.
1st line of antibiotics given - ANSWER Broad spectrum, until labs come back
Supportive goals for cancer patients - ANSWER *Stay ahead of symptoms!
-watch fluid levels
-increase calories and fiber
-Watch inflammation in oral cavity (Heme-Onc mouthwash)
-nausea (use Zofran)
Tumor Lysis Syndrome - ANSWER Medical Emergency- tumor begins to break
down, releasing enzymes into the blood
Health (Final Exam) With Complete Solutions
What is Reye Syndrome? - ANSWER A rare disorder that causes brain and liver
damage d/t ingestion of Asprin
Signs and symptoms of Reye Syndrome - ANSWER vomiting, irritability/
aggressiveness that escalated to AMS and seizures
Rules for car seats - ANSWER -Forward facing @ 40lbs
-Back seat only! NEVER the front seat
-Car seats are NOT age dependent, but WEIGHT dependent
Reasons for receiving the Human Papillomavirus (HPV) - ANSWER Early
prevention of cancer-causing infections
What vaccine can be used for prevention of Bacterial Meningitis? - ANSWER Hib
(Haemophilus influenzae type B vaccine)
Contraindication of immunizations? - ANSWER There are not many, but if
someone is immunocompromised or has a sever allergic reaction
What is the best way to set your child up with a strong immune system? -
ANSWER Breast feeding
Tips for preforming a pediatric assessment - ANSWER when they are sleeping,
least to most invasive, sit w/ parent if possible
What is a goal for chronically ill children in regards to their milestones? -
ANSWER Identify their strengths and try to keep them as best you can on track
with their milestones
How can you best find out how to communicate with an adolescent patient? -
ANSWER Ask the parents what works at home and provide nonjudgmental
communication
What are the 4 infant reflexes? - ANSWER tonic neck reflex, palmar grasp, step
reflex, crawl reflex
, At what age would you see: seperation anxiety, fear of doctors/providers,
parallel play, play w/ blocks, kick balls, pincher grasp, begin to understand
limits - ANSWER Toddler
child care + care giver + ______________= increased risk of child abuse -
ANSWER stress
What age group of children are most at risk for child abuse? - ANSWER
newborn- year 1
Treatment for Candidiasis - ANSWER Nistatin (oral- mix with formula, diaper- use
powder)
Caused of diaper rash - ANSWER irritation caused by urine and feces, can also
be caused by detergent
*THE FOLDS ARE UNAFFECTED*
A-B-C-D-E of Diaper Rash and Candidiasis treatment - ANSWER A- air out the
skin
B- use a barrier past
C- clean the skin
D- disposable diapers
E- educate
What is Wilms Tumor? - ANSWER Renal cancer w/ tumors on the kidneys
True or False: Baseline labs should be drawn after antibiotics are started -
ANSWER False
Key assessment to avoid when assessing Wilms Tuor - ANSWER Do not palpate
the abdomen
What is cohorting in regards to infection? - ANSWER Keep infected people with
infected people. Keep non-exposed people with non-exposed people. Especially
do not put surgical patient in rooms with infected people.
1st line of antibiotics given - ANSWER Broad spectrum, until labs come back
Supportive goals for cancer patients - ANSWER *Stay ahead of symptoms!
-watch fluid levels
-increase calories and fiber
-Watch inflammation in oral cavity (Heme-Onc mouthwash)
-nausea (use Zofran)
Tumor Lysis Syndrome - ANSWER Medical Emergency- tumor begins to break
down, releasing enzymes into the blood
