NUR 4130/OBG 7108 Peds Exam 2 Review graded A
Content Review for Exam
4 Summer 2021
NUR 4130
Infectious Disease:
Varicella:
-transmission: airborne spread of secretions and occasionally lesion contact *may be fatal in
immunocompromised children*
-communicability (contagious): 5 days prior to onset through 6 days after appearance of the first
group of vesicles or when all lesions have crusted over
-S/S: acute onset, mild fever, malaise, anorexia, headache, mild abdominal pain & irritability.
Rash becomes papule “teardrop on rose petal”/ begins on trunk, scalp, face and then to the rest of
the body
TX:
-Give varicella zoster immune globulin after exposure if on chemo, steroids, or transplant
therapy or to newborns whose mothers are infected & to exposed immunocompromised children
-acyclovir: po/IV if immunocompromised. If started within 24 hours of the 1st lesions, it will
decrease new lesion formation & prevent life threatening illness *may give vaccine within 72
HOURS after exposure*
Measles: 2 types-> Rubella (German measles) and Rubeola (Standard measles)
Rubella/German Measles:
-transmission: can be transmitted from mother to fetus
-prodromal phase: high fever, cough, anorexia, malaise, and a red blotchy maculopapular rash
(rash starts to disappear or become pinpoint by the second day) & lymphadenopathy (lymph
nodes in the neck swell)
Rubeola/Measles:
-S/S: koplik spots on buccal mucosa (white dots with a red ring), conjunctivitis
-rash appears 3-4 days after prodromal phase which begins on the face & spreads to the trunk &
extremities
-TX: antibiotics for secondary bacterial infections
Mumps: *viral*
-transmission: direct contact with respiratory secretions (airborne/droplet)
, NUR 4130/OBG 7108 Peds Exam 2 Review graded A
-S/S: swelling of salivary/parotid glands (right behind jawline)
-TX: bedrest, NSAIDS
Roseola: common viral infection in children ages 6-24mo caused by a strain of the herpes virus
-transmission: respiratory secretions (airborne)
-S/S: high fever, sudden onset 3-8 days, child appears well with a pale pimk maculopapular rash
that starts on the trunk and spreads to the face, neck and extremities lasting 1-2 days, swelling of
occipital nodes
-TX: bed rest, NSAIDS
Pertussis: AKA whooping cough
-S/S: upper respiratory infection symptoms for 2 weeks-> severe cough that gets worse at night,
spasms trying to expel mucoid plugs followed by whoops, severe stridor (high pitch whistling
sound)
-TX: antibiotics (bscterial)
GU:
Wilm’s tumor: most common renal tumor in children 75% under the age of 5-> usually affects 1
kidney but can be bilateral-> cause is unknown but can be inherited genetically
-S/S: rapid enlargement of the kidney (upper quadrants)-> metastasis occurs via direct extension
or bloodstream to the: perirenal tissues, liver, diaphragm, lungs, abdominal muscles, and lymph
nodes
-complications: liver or renal damage, sterility-females, bowel obstruction, pneumonia, scoliosis
-manifestations: abdominal mass, abdominal pain, constipation, vomiting, anorexia, weight loss,
difficulty breathing, hemihypertrophy of spine, GU problems, family hx of cancer
-physical assessment: monitor BP, assess abdomen for symmetry and mass, auscultate BBS,
palpate for lymphadenopathy
-labs: CBC, BUN, Creatinine, urinalysis, 24hr urine collection, renal or abdominal ultrasound,
CT scan or MRI
-TX: nephrectomy, radiation or chemo -> nurses tx post op care, assess kidney function & tx
adverse effects from chemo and radiation
Acute glomerulonephritis: immune complex disease usually caused by infection such as strep
throat-> more frequent in bots 6-7yo, usually resolves in 14 days
Nephrotic syndrome: disorder where the kidneys are damaged causing loss of protein in the
urine in large quantities which reduces the amount in the blood
Content Review for Exam
4 Summer 2021
NUR 4130
Infectious Disease:
Varicella:
-transmission: airborne spread of secretions and occasionally lesion contact *may be fatal in
immunocompromised children*
-communicability (contagious): 5 days prior to onset through 6 days after appearance of the first
group of vesicles or when all lesions have crusted over
-S/S: acute onset, mild fever, malaise, anorexia, headache, mild abdominal pain & irritability.
Rash becomes papule “teardrop on rose petal”/ begins on trunk, scalp, face and then to the rest of
the body
TX:
-Give varicella zoster immune globulin after exposure if on chemo, steroids, or transplant
therapy or to newborns whose mothers are infected & to exposed immunocompromised children
-acyclovir: po/IV if immunocompromised. If started within 24 hours of the 1st lesions, it will
decrease new lesion formation & prevent life threatening illness *may give vaccine within 72
HOURS after exposure*
Measles: 2 types-> Rubella (German measles) and Rubeola (Standard measles)
Rubella/German Measles:
-transmission: can be transmitted from mother to fetus
-prodromal phase: high fever, cough, anorexia, malaise, and a red blotchy maculopapular rash
(rash starts to disappear or become pinpoint by the second day) & lymphadenopathy (lymph
nodes in the neck swell)
Rubeola/Measles:
-S/S: koplik spots on buccal mucosa (white dots with a red ring), conjunctivitis
-rash appears 3-4 days after prodromal phase which begins on the face & spreads to the trunk &
extremities
-TX: antibiotics for secondary bacterial infections
Mumps: *viral*
-transmission: direct contact with respiratory secretions (airborne/droplet)
, NUR 4130/OBG 7108 Peds Exam 2 Review graded A
-S/S: swelling of salivary/parotid glands (right behind jawline)
-TX: bedrest, NSAIDS
Roseola: common viral infection in children ages 6-24mo caused by a strain of the herpes virus
-transmission: respiratory secretions (airborne)
-S/S: high fever, sudden onset 3-8 days, child appears well with a pale pimk maculopapular rash
that starts on the trunk and spreads to the face, neck and extremities lasting 1-2 days, swelling of
occipital nodes
-TX: bed rest, NSAIDS
Pertussis: AKA whooping cough
-S/S: upper respiratory infection symptoms for 2 weeks-> severe cough that gets worse at night,
spasms trying to expel mucoid plugs followed by whoops, severe stridor (high pitch whistling
sound)
-TX: antibiotics (bscterial)
GU:
Wilm’s tumor: most common renal tumor in children 75% under the age of 5-> usually affects 1
kidney but can be bilateral-> cause is unknown but can be inherited genetically
-S/S: rapid enlargement of the kidney (upper quadrants)-> metastasis occurs via direct extension
or bloodstream to the: perirenal tissues, liver, diaphragm, lungs, abdominal muscles, and lymph
nodes
-complications: liver or renal damage, sterility-females, bowel obstruction, pneumonia, scoliosis
-manifestations: abdominal mass, abdominal pain, constipation, vomiting, anorexia, weight loss,
difficulty breathing, hemihypertrophy of spine, GU problems, family hx of cancer
-physical assessment: monitor BP, assess abdomen for symmetry and mass, auscultate BBS,
palpate for lymphadenopathy
-labs: CBC, BUN, Creatinine, urinalysis, 24hr urine collection, renal or abdominal ultrasound,
CT scan or MRI
-TX: nephrectomy, radiation or chemo -> nurses tx post op care, assess kidney function & tx
adverse effects from chemo and radiation
Acute glomerulonephritis: immune complex disease usually caused by infection such as strep
throat-> more frequent in bots 6-7yo, usually resolves in 14 days
Nephrotic syndrome: disorder where the kidneys are damaged causing loss of protein in the
urine in large quantities which reduces the amount in the blood
