Page 1 of 43
NUR 307 Peds Exam 2 QUESTIONS AND CORRECT
WELL ELABORATED ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
Most common inherited bleeding disorder affecting platelet adhesion and factor VIII function
Signs: Mucosal bleeding, menorrhagia, easy bruising
Von Willebrand disease
DDAVP, antifibrinolytics, factor replacement,bleeding precautions and careful monitoring
Von Willebrand disease Management
Autoimmune disorder causing platelet destruction
Signs: Petechiae, purpura, mucosal bleeding
Idiopathic thrombocytopenic purpura (ITP)
Corticosteroids, IVIG, splenectomy if chronic,bleeding precautions and careful monitoring
Management of Idiopathic thrombocytopenic purpura (ITP)
Most common nutritional deficiency in children worldwide.
Prevention focuses on adequate iron intake and dietary education.
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Iron deficiency anemia
Excessive milk intake, Poor iron intake,Prematurity,Blood loss
Risk Factors Iron deficiency anemia
Pallor,Fatigue, Irritability,Poor growth
Signs & Symptoms Iron deficiency anemia
blocking the incorporation of iron into the protoporphyrin compound that makes up the
heme portion of hemoglobin in red blood cells and leads to a hypochromic, microcytic anemia
removal of the source of lead from the child's environment
can cause seizures
Lead poisoning
Autosomal recessive disorder causing abnormal hemoglobin S that distorts RBCs into sickle
shape under stress, leading to vaso-occlusion and hemolysis.
sickle cell anemia
Vaso-occlusive crisis,Splenic sequestration,Aplastic crisis,Hyperhemolytic crisis
Types of Crisis
Hydration,Oxygen therapy,Pain control,Hydroxyurea,Blood transfusions
Management for sickle cell
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(Cooley's Anemia)
Genetic disorder causing decreased or absent beta-globin chain production, leading to
ineffective erythropoiesis and hemolysis
Thalassemia
Severe anemia,Poor growth,Skeletal changes,Hepatosplenomegaly
Thalassemia Signs & Symptoms
Regular transfusions,Iron chelation therapy,Splenectomy (if indicated),Hematopoietic stem
cell transplant
Thalassemia Nursing Management
X-linked recessive disorder affecting males, with three main types:
Hemophilia A (Factor VIII deficiency) - most common
Hemophilia B (Factor IX deficiency)
Hemophilia C (Factor XI deficiency) - rare
Hemophilia
Prolonged bleeding,Hemarthrosis (bleeding into joints),Easy bruising,Internal hemorrhage
Hemophilia Manifestations
Factor replacement therapy,DDAVP for mild cases,Safety teaching,Avoid IM injections
Hemophilia Management
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Epistaxis, or nosebleeds, are common in children due to fragile nasal vessels, trauma, or dry
air.
While usually benign, proper nursing care is essential for effective management and
prevention
Epistaxis
Vascular fragility, nose picking, trauma, dry environment, or allergies often contribute to
nosebleeds
Epistaxis Common Causes
Apply direct pressure to the soft part of the nose for 10-15 minutes. Lean the child slightly
forward. May apply ice/cool compress to the bridge of the nose
Immediate Management of Nosebleeds
If bleeding is prolonged, heavy, recurrent, or after head trauma, seek immediate medical
attention.
Seek Medical Help for nosebleeds
Humidifiers, saline sprays, and discouraging nose picking can reduce frequency
Prevention Strategies for nosebleeds
Iron deficiency: pallor, fatigue, milk intake risk
Sickle cell crisis priorities: hydration, oxygen, pain management
NUR 307 Peds Exam 2 QUESTIONS AND CORRECT
WELL ELABORATED ANSWERS LATEST UPDATE JUST
RELEASED THIS YEAR
Most common inherited bleeding disorder affecting platelet adhesion and factor VIII function
Signs: Mucosal bleeding, menorrhagia, easy bruising
Von Willebrand disease
DDAVP, antifibrinolytics, factor replacement,bleeding precautions and careful monitoring
Von Willebrand disease Management
Autoimmune disorder causing platelet destruction
Signs: Petechiae, purpura, mucosal bleeding
Idiopathic thrombocytopenic purpura (ITP)
Corticosteroids, IVIG, splenectomy if chronic,bleeding precautions and careful monitoring
Management of Idiopathic thrombocytopenic purpura (ITP)
Most common nutritional deficiency in children worldwide.
Prevention focuses on adequate iron intake and dietary education.
, Page 2 of 43
Iron deficiency anemia
Excessive milk intake, Poor iron intake,Prematurity,Blood loss
Risk Factors Iron deficiency anemia
Pallor,Fatigue, Irritability,Poor growth
Signs & Symptoms Iron deficiency anemia
blocking the incorporation of iron into the protoporphyrin compound that makes up the
heme portion of hemoglobin in red blood cells and leads to a hypochromic, microcytic anemia
removal of the source of lead from the child's environment
can cause seizures
Lead poisoning
Autosomal recessive disorder causing abnormal hemoglobin S that distorts RBCs into sickle
shape under stress, leading to vaso-occlusion and hemolysis.
sickle cell anemia
Vaso-occlusive crisis,Splenic sequestration,Aplastic crisis,Hyperhemolytic crisis
Types of Crisis
Hydration,Oxygen therapy,Pain control,Hydroxyurea,Blood transfusions
Management for sickle cell
, Page 3 of 43
(Cooley's Anemia)
Genetic disorder causing decreased or absent beta-globin chain production, leading to
ineffective erythropoiesis and hemolysis
Thalassemia
Severe anemia,Poor growth,Skeletal changes,Hepatosplenomegaly
Thalassemia Signs & Symptoms
Regular transfusions,Iron chelation therapy,Splenectomy (if indicated),Hematopoietic stem
cell transplant
Thalassemia Nursing Management
X-linked recessive disorder affecting males, with three main types:
Hemophilia A (Factor VIII deficiency) - most common
Hemophilia B (Factor IX deficiency)
Hemophilia C (Factor XI deficiency) - rare
Hemophilia
Prolonged bleeding,Hemarthrosis (bleeding into joints),Easy bruising,Internal hemorrhage
Hemophilia Manifestations
Factor replacement therapy,DDAVP for mild cases,Safety teaching,Avoid IM injections
Hemophilia Management
, Page 4 of 43
Epistaxis, or nosebleeds, are common in children due to fragile nasal vessels, trauma, or dry
air.
While usually benign, proper nursing care is essential for effective management and
prevention
Epistaxis
Vascular fragility, nose picking, trauma, dry environment, or allergies often contribute to
nosebleeds
Epistaxis Common Causes
Apply direct pressure to the soft part of the nose for 10-15 minutes. Lean the child slightly
forward. May apply ice/cool compress to the bridge of the nose
Immediate Management of Nosebleeds
If bleeding is prolonged, heavy, recurrent, or after head trauma, seek immediate medical
attention.
Seek Medical Help for nosebleeds
Humidifiers, saline sprays, and discouraging nose picking can reduce frequency
Prevention Strategies for nosebleeds
Iron deficiency: pallor, fatigue, milk intake risk
Sickle cell crisis priorities: hydration, oxygen, pain management
