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NUR 2513 Final Exam Maternal Child Health

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1. Expected findings for bacterial pneumonia a. Ronchi (crackles), SOB, fever 2. What reflects safe practice in administration of blood products a. Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off) 3. Kawasaki Disease a. S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate 4. Bronchiolitis home treatment a. Humidifier 5. Pharyngitis causes increased risk for developing a. Rheumatic fever 6. Post tonsillectomy, clear fluids are best a. Avoid carbonated beverages, acidic or red dyes 7. Signs and Symptoms of pneumonia a. SOB, crackles, using accessory muscles, diminished sounds 8. Epiglottitis position a. Upright 9. A new heart noninvasive diagnostic testing: a. First echocardiogram 10. Legg-Calve-Perthes disease a child may have: a. A non-weight bearing period 11. Symptoms associated with patent ductus arteriosus a. Machine like murmur head at the left sub clavicular margin 12. Contraction of aorta a. Be sure to assess femoral and radial pulses simultaneously 13. What to do when a tetralogy of Fallot patient becomes cyanotic and dyspneic a. Place in knee chest position 14. Initial nursing interventions for sickle cell anemia a. Hydration and pain management 15. What to do for severe dehydration a. IV fluids 16. Mild to moderate a. try oral hydration first 17. Adolescents are at greater risk for developing a STI because they are: a. Engaging in risky behaviors 18. A nurse would do what with a voiding cystourethrogram a. Insert foley catheter for instillation of contrast 19. Kidney transplant post op care would include: a. Reduce socialization, infection control precautions 20. Treatment for croup: a. Corticosteroids 21. S/S of dehydration in an infant a. Elevated HR, sunken fontanels 22. Acute glomerulonephritis is most frequently caused by: a. Group a beta-hemolytic streptococcus 23. How do you treat growth hormone deficiency? a. Growth hormone replacement 24. Most important for a newborn with a salt-losing form of congenital adrenal hyperplasia a. Dehydration 25. What causes Cushing syndrome and what does it look like a. Long term therapy with oral prednisone b. Will have purple striae on the abdomen form rapid weight gain 26. Type 2 diabetes mellitus disorder is associated with metabolic disturbances that results in: a. Insulin resistance 27. S/S of

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1. Expected findings for bacterial pneumonia
a. Ronchi (crackles), SOB, fever
2. What reflects safe practice in administration of blood products
a. Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off)
3. Kawasaki Disease
a. S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate
4. Bronchiolitis home treatment
a. Humidifier
5. Pharyngitis causes increased risk for developing
a. Rheumatic fever
6. Post tonsillectomy, clear fluids are best
a. Avoid carbonated beverages, acidic or red dyes
7. Signs and Symptoms of pneumonia
a. SOB, crackles, using accessory muscles, diminished sounds
8. Epiglottitis position
a. Upright
9. A new heart noninvasive diagnostic testing:
a. First echocardiogram
10. Legg-Calve-Perthes disease a child may have:
a. A non-weight bearing period
11. Symptoms associated with patent ductus arteriosus
a. Machine like murmur head at the left sub clavicular margin
12. Contraction of aorta
a. Be sure to assess femoral and radial pulses simultaneously
13. What to do when a tetralogy of Fallot patient becomes cyanotic and dyspneic
a. Place in knee chest position
14. Initial nursing interventions for sickle cell anemia
a. Hydration and pain management
15. What to do for severe dehydration
a. IV fluids
16. Mild to moderate
a. try oral hydration first
17. Adolescents are at greater risk for developing a STI because they are:
a. Engaging in risky behaviors
18. A nurse would do what with a voiding cystourethrogram
a. Insert foley catheter for instillation of contrast
19. Kidney transplant post op care would include:
a. Reduce socialization, infection control precautions
20. Treatment for croup:
a. Corticosteroids
21. S/S of dehydration in an infant
a. Elevated HR, sunken fontanels
22. Acute glomerulonephritis is most frequently caused by:
a. Group a beta-hemolytic streptococcus

, 23. How do you treat growth hormone deficiency?
a. Growth hormone replacement
24. Most important for a newborn with a salt-losing form of congenital adrenal hyperplasia
a. Dehydration
25. What causes Cushing syndrome and what does it look like
a. Long term therapy with oral prednisone
b. Will have purple striae on the abdomen form rapid weight gain
26. Type 2 diabetes mellitus disorder is associated with metabolic disturbances that
results in:
a. Insulin resistance
27. S/S of intracranial pressure
a. Decreased LOC and decreased RR
28. Symptoms of hypocalcemia
a. Jitteriness
29. Draw up short acting insulin into the syringe:
a. First
30. Why does the nurse take axillary temp over rectal for someone with acute
lymphocytic leukemia?
a. Increase risk of bleeding if rectal
31. Iron deficiency anemia
a. Iron supplement, IM Z track method, Vitamin C
32. Osteomyelitis treatment:
a. Long term antibiotic therapy
33. Below 5th percentile means:
a. Failure to thrive
34. Early signs of a worsening head injury
a. Level of consciousness
35. S/S of asthma:
a. Difficulty breathing, wheezing, anxiety, use of accessory muscles
36. A child is speaking, then suddenly stops and stares for about 5 seconds, what type
of seizure is it
a. Absent seizure
37. Babies with spastic cerebral palsy have:
a. Strong Moro reflex when startled
38. When a child is in skeletal traction, it is important to:
a. Engage the child in therapeutic play while confined to this position
39. Cast care includes:
a. Cover the cast with a plastic bag to bathe
b. do not put anything inside the cast
c. Use the cool setting on the hair dryer to ease itchy skin
d. Remain as active as possible with appropriate modifications
40. With Legg-Calve-Perthese disease a child may have:
a. A non-weight bearing period

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