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Maternal Child Final Exam Rasmussen

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Maternal Child Final Exam- Rasmussen What type of lung sounds are common with bacterial pneumonia? What tasks are completed during a preschool health-screening? When discussing an ailment with a patient, what data do you collect FIRST? How do parents develop the developmental task during infancy in Erikson's theory? Know the states of Kubler-Ross's stages of grief. Treatment for pain associated with dysmenorrhea. What are important teaching points when a provider prescribes an antibiotic? What illnesses do providers NOT prescribe antibiotics for? Know how to administer ear and eye drops. What is the single most important task of a nurse during any abuse case? Know the complications of strep pharyngitis: Post- tonsillectomy nursing care, what is the main focus besides pain? Know the signs of pneumonia. What are the nursing considerations of the medication pancrelipase? Know how to use a metered-dose inhaler. What are common treatments for croup? (Think medications) What is the mechanism of action of digoxin. Know nursing care and interventions for chest tubes. What does a patent ductus arteriosus (PDA) sound like? What is the single most important way to prevent disease? Nursing care/assessment of a patient with coarctation of the aorta. Teaching/considerations for a child with tetralogy of Fallot (what would you do if you noticed the child was blue?) Know the signs/symptoms of placental abruption Nursing interventions of sickle cell anemia. Common signs/symptoms and treatment for severe dehydration. Know where/how to install a car seat. Which age group is most likely to contract STI's? Know the nursing responsibilities for a cystourethrogram What must immunocompromised individuals avoid social gatherings? Common cause of glomerulonephritis Complications of congenital adrenal hyperplasia:

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Maternal Child Final Exam- Rasmussen

1). What type of lung sounds are common with bacterial pneumonia?

 Ans: *Crackles* when inhaling


2). What tasks are completed during a preschool health-screening?

 Ans: vision
hearing
vaccine record


3). When discussing an ailment with a patient, what data do you collect first?

 Ans: Background information


4). How do parents develop the developmental task during infancy in erikson's theory?

 Ans: *Trust vs Mistrust*
Primary caregiver(s), regular interactions, positive experiences, security, calm/reassuring
attitude, feeding regular schedule/availability.


5). Know the states of kubler-ross's stages of grief.

 Ans: Stages of grief- Denial, Anger, Bargaining, Depression, and Acceptance


6). Treatment for pain associated with dysmenorrhea.

 Ans: *NSAID's (Advil, Motrin)*, *Hormone treatments* (combined estrogen/progestin
oral contraceptives).


7). What are important teaching points when a provider prescribes an antibiotic? what
illnesses do providers not prescribe antibiotics for?

 Ans: Allergies
completion of Rx
*viral infections*




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, 8). Know how to administer ear and eye drops.

 Ans: EYE-Pull down lower lid, drop carefully into the conjunctival sac, instruct patient
to close eye and roll eyeball around, do not touch with dropper, gently hold gauze to soak
up excess when eye closed.

EAR-Child pull ear down and back, tilt head to opposite side. *Older pull ear up and
back.*


9). What is the single most important task of a nurse during any abuse case?

 Ans: Ensure safety and report.


10). Know the complications of strep pharyngitis:

 Ans: *Rheumatic Fever*
get adequate antibiotic treatment asap


11). Post- tonsillectomy nursing care, what is the main focus besides pain?

 Ans: Hemorrhage/swallowing blood.

*Hydration!* people don't want to drink anything when they've had a tonsillectomy.


12). Know the signs of pneumonia.

 Ans: Fluid builds in lungs: *Cough* (productive with greenish or yellow sputum)
*Fever*
*crackles*


13). What are the nursing considerations of the medication pancrelipase?

 Ans: May interfere with Iron Absorption, risk of anemia.

*Take it before or with a snack or meal*


14). Know how to use a metered-dose inhaler.

 Ans: Inhaler use: *Shake*, Exhale, *Activate as placing in mouth and begin to inhale*,
long slow inhalation, hold breath for *5-10 seconds, exhale normally*. One puff at a time,
one minute between puffs.




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, 15). What are common treatments for croup? (think medications)

 Ans: Cool moist air combined with a corticosteroid, such as dexamethasone, or
*racemic epinephrine administered with nebulizer, Bronchodilation!*


Dexamethasone.

Maintain airway and monitor fluid balance,

Humidification, Tylenol, or Ibuprofen for FEVER


16). What is the mechanism of action of digoxin.

 Ans: Digoxin increases cardiac output and slows the heart rate.
HF, A.Fib, Improves myocardial contract ability,
Monitor pulse withhold medication as ordered, *DECREASED HR, INCREASE FORCE.*


17). Know nursing care and interventions for chest tubes.

 Ans: · Child's respiratory rate remains within age-appropriate parameters; there are no
rales, crackles, or other adventitious breath sounds; chest tubes function effectively.

· Keeping the system closed and below chest level

· Monitor for bubbles in water seal chamber

· *CLAMP IF TUBES BECOME DISCONNECTED*


18). What does a patent ductus arteriosus (pda) sound like?

 Ans: *Machine sounding murmur!*


Distinct murmur


19). What is the single most important way to prevent disease?

 Ans: Handwashing


20). Nursing care/assessment of a patient with coarctation of the aorta.

 Ans: Assess femoral and radial pulse at the same time




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