MVU NURS 629 EXAM4

MVU NURS 629 EXAM4 manifestation of physiological jaundice ANSWER- *Usually within first 2-4 days of life *Not lasting longer than first 2 weeks of onset *Due to fast breakdown of RSCs *Liver immature and poor dietary intake. Clinical manifestation of breast fed jaundice ANSWER- *Usually within first few weeks to month of life *Secondary to poor intake what to assess for Determining hydration status ANSWER- *skin turgor *mucous membranes *peripheral pulses *tears *capillary filling Clinical s/s of dehydration ANSWER- *sunken ant fontanel *tachycardia *decreased urinary output *decreased B/P What is the most common cause of acute stomach pain ANSWER- gastroenteritis What is the most common complication in children with gastroenteritis? ANSWER- dehydration What is the initial treatment in Osgood Schlatter disease ANSWER- stretching Recommended treatment for a Sprained ankel ANSWER- Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48 hrs) What type of X-ray is best for diagnosing Legg-Calve-Perth? ANSWER- Frog leg How to perform Rovsing sign? ANSWER- apply pressure to left lower abdomen What is considered a positive sign with Rovsing exam ANSWER- pain in right side when pressure is released from left side What assessment would indicate an injury to the ACL or PCL? ANSWER- a positive Ant/Post drawer sign Ideal glucose level for 4 yr old? ANSWER- 90-130 What should be the initial evaluation of suspected growth hormone deficiency? ANSWER- *Thyroid function *screen for hypoglycemia *possible GI illnesses Initial evaluation in cases of isolated menarche? ANSWER- Sexual abuse should be ruled out first essentials for child's mental health? ANSWER- *predictable home, childcare, school routine What is the most common type of seizure in a child? ANSWER- Febrile seizure Unilateral, pulsating headache with occasional photophobia ANSWER- migraine microcytic hypochromic anemia ANSWER- iron deficiency anemia Most common causes of iron def anemia in child and infant ANSWER- poor dietary intake and breast feeding risk factor for depression in child? ANSWER- separation anxiety Comorbidities of depression? ANSWER- anxiety, learning, conduct, and eating disorders Depression DX must have 1 of what 3 characteristics? ANSWER- depressed mood, diminished interest, significant wt loss/gain, insomnia, fatigue, worthlessness, thoughts of death Most common somatic complaints of depression? ANSWER- HA & stomachache What depression screening tool is used in ages 11 and up? ANSWER- Pt Health Questionnaire Depression Screening (PHQ-9) Signs of PTSD in pre-school age children ANSWER- extreme temper tantrums Clinical Manifestations of Slipped Capital femoral epiphysis ANSWER- *Limping *knee or hip pain *pain worse with activity *loss of internal rotation, abduction, extension What should a child be instructed to do if Slipped capital femoral epiphysis is suspected ANSWER- Keep Non-Wt bearing until surgical consult What is the most common type of scoliosis? ANSWER- Idiopathic (multi-gene dominant no clear cause) First drug of choice in children with UTI ANSWER- Bactrim then Augmentin •number 1 cause of acute abdominal pain ANSWER- gastroenteritis