NR 328 SIMPLIFIED AND WELL
WRITTEN SUMMARY FOR EXAM 1
REVISION
Coining and Cupping
- ancient cultural practices that can look like physical
abuse
- tell parents it's a good idea for them to alert medical
personnel about these practices so they don't think the
child is being abused
Diaper Dermatitis
caused by prolonged and repetitive contact with an irritant
- urine, feces, soaps, detergents, ointments and friction
- waking them up at night, it's probably infected
Candida Albicans infection
- produces bright red lesions with raised borders and often
with satellite lesions
- the infected area usually includes the folds and is painful
- topical antifungals are used to treat this
Candida Albicans Infection: Risk Factors
altered immune system and antibiotic therapy
Candida Albicans Infection: Nursing Interventions
eliminating the three factors considered to produce
dermatitis
- wetness (hydration)
- pH
- fecal irritants
,Zinc Oxide
- prevents skin injury and allows the skin to heal, apply
when changing
- avoid rubbing/washing the skin frequently
- in the case of fungal dermatitis, a layer of antifungal
powder (nystatin) or cream under this can be used but
don't mix them together
Children as Interpreters
- it is important to stress literal interpretation of parent's
responses
- have children translate a few sentences at a time
- ask questions directed at specific answers
Sleep Position for Infants
supine using a pacifier
Epiglottitis: Signs and Symptoms
- mimics cold symptoms
- sore throat
- can rapidly progress to severe respiratory distress
- pain with swallowing
- fever
- sits in a tripod position
- drooling, irritability and extreme restlessness
- voice is thick and muffled with a froglike croaking sound
on inspiration
Epiglottitis: Assessment
examination of the throat is contraindicated, DO NOT
STICK ANYTHING IN THE CHILD'S MOUTH
Epiglottitis: Prevention
H. Influenza type b vaccination beginning at 2 months of
age
Epiglottitis: Nursing Interventions
, - making the child comfortable
- giving oxygen
- fluids
- antibiotics
- airway maintenance!
Protocol for Munchausen's By Proxy
- medical child abuse from caregivers (usually mothers)
- exaggerate or fabricate histories and symptoms or
induce symptoms for sympathy and attention
- resolution of symptoms after being separated from the
parents is usually the confirmation of the diagnosis
Respiratory Syncytial Virus Strains
- A (more virulent, can cause bronchiolitis and pneumonia)
-B
Respiratory Syncytial Virus and Bronchiolitis:
Transmission
mostly through direct contact with infected respiratory
secretions
RSV and Bronchiolitis: S/S
- low grade fever
- otitis media
- conjunctivitis
- cough
- lethargy
- poor feeding
- irritability
RSV: lower airway involvement
- wheezing
- retractions
- crackles
- dyspnea
WRITTEN SUMMARY FOR EXAM 1
REVISION
Coining and Cupping
- ancient cultural practices that can look like physical
abuse
- tell parents it's a good idea for them to alert medical
personnel about these practices so they don't think the
child is being abused
Diaper Dermatitis
caused by prolonged and repetitive contact with an irritant
- urine, feces, soaps, detergents, ointments and friction
- waking them up at night, it's probably infected
Candida Albicans infection
- produces bright red lesions with raised borders and often
with satellite lesions
- the infected area usually includes the folds and is painful
- topical antifungals are used to treat this
Candida Albicans Infection: Risk Factors
altered immune system and antibiotic therapy
Candida Albicans Infection: Nursing Interventions
eliminating the three factors considered to produce
dermatitis
- wetness (hydration)
- pH
- fecal irritants
,Zinc Oxide
- prevents skin injury and allows the skin to heal, apply
when changing
- avoid rubbing/washing the skin frequently
- in the case of fungal dermatitis, a layer of antifungal
powder (nystatin) or cream under this can be used but
don't mix them together
Children as Interpreters
- it is important to stress literal interpretation of parent's
responses
- have children translate a few sentences at a time
- ask questions directed at specific answers
Sleep Position for Infants
supine using a pacifier
Epiglottitis: Signs and Symptoms
- mimics cold symptoms
- sore throat
- can rapidly progress to severe respiratory distress
- pain with swallowing
- fever
- sits in a tripod position
- drooling, irritability and extreme restlessness
- voice is thick and muffled with a froglike croaking sound
on inspiration
Epiglottitis: Assessment
examination of the throat is contraindicated, DO NOT
STICK ANYTHING IN THE CHILD'S MOUTH
Epiglottitis: Prevention
H. Influenza type b vaccination beginning at 2 months of
age
Epiglottitis: Nursing Interventions
, - making the child comfortable
- giving oxygen
- fluids
- antibiotics
- airway maintenance!
Protocol for Munchausen's By Proxy
- medical child abuse from caregivers (usually mothers)
- exaggerate or fabricate histories and symptoms or
induce symptoms for sympathy and attention
- resolution of symptoms after being separated from the
parents is usually the confirmation of the diagnosis
Respiratory Syncytial Virus Strains
- A (more virulent, can cause bronchiolitis and pneumonia)
-B
Respiratory Syncytial Virus and Bronchiolitis:
Transmission
mostly through direct contact with infected respiratory
secretions
RSV and Bronchiolitis: S/S
- low grade fever
- otitis media
- conjunctivitis
- cough
- lethargy
- poor feeding
- irritability
RSV: lower airway involvement
- wheezing
- retractions
- crackles
- dyspnea
