Final exam nr328 PEDS Questions Answers Rated 96 Best Update 2024
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Course
NURSING 706
Institution
NURSING 706
Final exam nr328 PEDS - Questions & Answers (Rated 96%) Best Update 2024
cretinism (congenital hypothyroidism)
what can cause a infant to have cretinism (congenital hypothyroidism )?
what sign will the child show at birth associated with cretinism/congenital hypothyroidism ?
Juvenile Hypothyroi...
Final exam nr328 PEDS - Questions & Answers
(Rated 96%) Best Update 2024
1). Cretinism (congenital hypothyroidism)
Ans: A word from the past to classify infants who were not exposed to sufficient
quantities of thyroid hormone in utero
2). What can cause a infant to have cretinism (congenital hypothyroidism )?
Ans: 1. insufficiency of iodine in mothers diet
2. Untreated maternal hypothyroidism
3). What sign will the child show at birth associated with cretinism/congenital hypothyroidism
?
Ans: 1. Distinguished facial characteristics
2. Diminished growth
3. Mental retardation
4). Juvenile hypothyroidism
Ans: known as the "good babies" because always quiet and sleepy they have decrease
growth ,constipation,
in myxedematous changes
dry skin and sparse hair
periorbital edema
5). Iodine deficiency
Ans: is the most preventable form of brain damage
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, 6). Reye's syndrome
Ans: is a rare but serious condition that causes swelling in the liver and brain which
causes liver dysfunction and cerebral edema
7). Reyes syndrome is most common in ?
Ans: Children and teenager (4-12) who have or are recovering from chicken pox or flu
like symptoms receiving ASPIRIN!!!
8). Patients who have reyes syndrome should not use?
Ans: Aspirin
9). Reyes syndrome is ?
Ans: idiopathic
10). Since the liver is dysfunctional in reyes syndrome -
Ans: Ammonia build up because your liver is not filtering out the toxins so it can pass
the blood barrier in the brain causing encephalopathy
11). Reye's syndrome symptoms
Ans: -Vomiting,
-Alter mental status
-absence fever
-Rash on palms of hands and feet, seizures
-weak or diminished reflexes, cerebral edema
-increase LIVER ENZYMES
-increased AMMONIA LEVELS
-increased ptt because the liver plays a role in clotting
-glycogen problem ( glycogen to convert to glucose problem and vice versa )
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, 12). Reye's syndrome treatment
Ans: -Ondansetron may be given to decrease vomiting.
-Seizure: phenytoin
-Decrease ICP give Mannitol
**but iv fluids for the most part careful monitoring and supportive care
13). Reye's syndrome (rs) diagnosis
Ans: LIVER biopsy and CSF analysis ( because it deals with the brain being enlarged )
14). Cerebral palsy (cp)
Ans: condition characterized by lack of muscle control and partial paralysis, caused
by a brain defect or lesion present at birth or shortly after
**Although PT might have this 40-60% have normal IQ's
15). Cerebral palsy can cause what other problem/complication-
Ans: can cause abnormal perception and sensation: such as Visual ,hearing ,and
speech impairment :seizure and cognitive disabilities depending on what part of the
brain is damaged
**use manual jaw control because lower jaw is weak during feeding
16). Cerebral palsy (cp) usually happens when ?
Ans: usually happens before birth from prenatal care and things such as radiation
,infection and hypoxia ( placental insufficiency )
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, 17). If cerebral palsy does happen at birth when does it happen?
Ans: Doesn't progressive overtime **meaning it doesn't get worse*
non progressive
19). Cerebral palsy (cp) is classified by movements
Ans: {Spastic} - most common 70% of cases
- tightness and stiff muscle
-jerky movement because Gaba isn't inhibited which causes over excited leading to
hypertonia and "scissor gait"(knees rubbing)
{Dyskinetic} or Athemoid:
involuntarily movement
-Dystonia : Random slow movement which are uncontrolled movements and limb/trunk,
-Chorea : Random "dance-like" movement
-Ataxic :
without order
- uncoordinated shaky
-poor ability to do repetitive movements
20). Cerebral palsy symptoms
Ans: Chronic, static impairment of muscles
from birth
-Limb spasticity, weakness, paralysis (MC)
-Ataxia (loss of control of movements)
-Dystonia
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