ATI PEDIATRICS PROCTORED FORM C Questions and
Answers Solved 100%
Preschool-Aged Children
Body-Integrity -ANS-- Preschool-aged children are very concerned about their body integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) -ANS-- IMITATION of adults: providing a stethoscope allows child an opportunity
for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy -ANS-- Release of hypertrophied muscle around the pyloric sphincter that causes
narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis
Nutritional Care -ANS-- ↑ Protein, Carbs and minerals, to promote weight gain
- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick mucus
secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can metabolize nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients so they
can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due to thick
mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular bowel
movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely require
additional salt in their diet, especially during activities.
,- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory compromise
worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy -ANS-- Low WBC count places the child at risk for infection and isolation with monitoring
of fever is priority.
↓RBC -ANS-- Quiet play and best rest, administer O2
↓ Platelet -ANS-- Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration -ANS-- Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of hydration
status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and
insensible fluid loss (skin and respiratory)
Koplik spots -ANS-- Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular spots with a
blue/white center are seen on the Buccal mucosa, which is opposite the molars, in the prodromal stage
of measles.
- Koplik spots appear about 2 days before maculopapular rash appears and are accompanied
manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is conferred by the
MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months.
Rubeola -ANS-Measles; Maculopapular starts on the face and spreads downward. It desquamates after
about 3-4 days. The rash does not progress to vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas of the
body.
Varicella -ANS-Chicken Pox; Vesicles and crusts are present
, - Commences with a maculopapular rash that progressess to vesicles on erythematous bases which
eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) -ANS-- Strawberry tongue; sloughed off its normal coating, exposing
swollen prominent papillae.
Pertussis (whooping Cough) -ANS-Paroxysmal Cough
A1C -ANS-AKA glycosylated hemoglobin assay; is the most sensitive indication of client compliance with
the treatment regimen. The life span of RBC is about 120 days, and glucose molecules adhere to about
4-6% of hemoglobin. Because of the longevity of the RBC's recent changes in diet, activity or medication
will not affect the results of this test.
Skeletal Traction -ANS-The most effective means of traction, applying to a bone with wire pins or tongs
Compartment Syndrome -ANS-Involves the compression of nerves and blood vessels due to swelling
within the enclosed space created by the fascia that separates groups of muscles
Ventricular Septal Defect -ANS-- Murmur best heard at the lower left sternal border; Ventricular septal
wall defect between ventricles is an Acyanotic heart defect.
- Sound is transmitted in the direction of blood flow, so any back flow of blood from the left to the right
ventricle through the septal defect would be best heard in this area.
Acute Glomerulonephritis -ANS-- ASO titer will indicate if the child has had a recent strep infection. In
determining a definitive diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
HIV
Preschooler -ANS-- Immunizations contraindicated for this patient is the oral polio
- the child is susceptible to infection and must be immunized to the common preventable childhood
diseases.
Answers Solved 100%
Preschool-Aged Children
Body-Integrity -ANS-- Preschool-aged children are very concerned about their body integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) -ANS-- IMITATION of adults: providing a stethoscope allows child an opportunity
for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy -ANS-- Release of hypertrophied muscle around the pyloric sphincter that causes
narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis
Nutritional Care -ANS-- ↑ Protein, Carbs and minerals, to promote weight gain
- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick mucus
secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can metabolize nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients so they
can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due to thick
mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular bowel
movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely require
additional salt in their diet, especially during activities.
,- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory compromise
worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy -ANS-- Low WBC count places the child at risk for infection and isolation with monitoring
of fever is priority.
↓RBC -ANS-- Quiet play and best rest, administer O2
↓ Platelet -ANS-- Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration -ANS-- Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of hydration
status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and
insensible fluid loss (skin and respiratory)
Koplik spots -ANS-- Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular spots with a
blue/white center are seen on the Buccal mucosa, which is opposite the molars, in the prodromal stage
of measles.
- Koplik spots appear about 2 days before maculopapular rash appears and are accompanied
manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is conferred by the
MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months.
Rubeola -ANS-Measles; Maculopapular starts on the face and spreads downward. It desquamates after
about 3-4 days. The rash does not progress to vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas of the
body.
Varicella -ANS-Chicken Pox; Vesicles and crusts are present
, - Commences with a maculopapular rash that progressess to vesicles on erythematous bases which
eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) -ANS-- Strawberry tongue; sloughed off its normal coating, exposing
swollen prominent papillae.
Pertussis (whooping Cough) -ANS-Paroxysmal Cough
A1C -ANS-AKA glycosylated hemoglobin assay; is the most sensitive indication of client compliance with
the treatment regimen. The life span of RBC is about 120 days, and glucose molecules adhere to about
4-6% of hemoglobin. Because of the longevity of the RBC's recent changes in diet, activity or medication
will not affect the results of this test.
Skeletal Traction -ANS-The most effective means of traction, applying to a bone with wire pins or tongs
Compartment Syndrome -ANS-Involves the compression of nerves and blood vessels due to swelling
within the enclosed space created by the fascia that separates groups of muscles
Ventricular Septal Defect -ANS-- Murmur best heard at the lower left sternal border; Ventricular septal
wall defect between ventricles is an Acyanotic heart defect.
- Sound is transmitted in the direction of blood flow, so any back flow of blood from the left to the right
ventricle through the septal defect would be best heard in this area.
Acute Glomerulonephritis -ANS-- ASO titer will indicate if the child has had a recent strep infection. In
determining a definitive diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
HIV
Preschooler -ANS-- Immunizations contraindicated for this patient is the oral polio
- the child is susceptible to infection and must be immunized to the common preventable childhood
diseases.
