NSG 434 Childhood disease Management Exam Questions and Must have marking scheme 2024/2025
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Course
NSG
Institution
NSG
NSG 434 Childhood disease Management Exam Questions and Must have marking scheme 2024/2025
If a child has cleft lip and palate, which surgery should be done 1st - correct answer the lip 1st (2-3 months)
How to stop children from touching the cleft lip/palate after surgery - correct answer ...
NSG 434 Childhood disease Management Exam
Questions and Must have marking scheme
2024/2025
If a child has cleft lip and palate, which surgery should be done 1st - correct
answer the lip 1st (2-3 months)
How to stop children from touching the cleft lip/palate after surgery - correct
answer bar with a dome shape with pads attached to their cheeks so they
touch that and not their lip
Cleft lip and palate pre-op care - correct answer -help parents
-maintain nutritional intake (special feeding equipment, sit upright, baby's
feeding cues- flowing too fast/too slow, rest periods, don't feed over 30 mins)
-monitor resp status
Cleft lip and palate post-op care - correct answer -position on back to
prevent rubbing the face
-don't allow use of anything that creates suction in mouth (pacifiers)
-nothing hard in the mouth (toys, candy)
-clean suture line with ns
-position to allow secretions to drain
-pain meds regularly
-advance diet from clear liquids to soft foods when tolerated
-rinse mouth after feeding palate repair, clean lip repair site with wet sterile
cotton swab after feed
What bottle can be used for cleft lip and palate - correct answer haberman
bottle (can squeeze the bottle to put milk in their mouth instead of sucking it)
,-the bigger the number, the bigger the hole, the faster the feed
-don't feed for longer than 30mins
-use "no-nos"- keeps baby's hands away; considered restraints, take off q2hr
Esophageal atresia/tef clinical manifestations - correct answer -excessive
salivation and drooling
-apnea
-inc resp distress during feeding
-abdominal distention (gas has nowhere to go)
If a child with esophageal atresia doesn't get rid of the fluid, the mom gets
____ - correct answer polyhydramnios
Esophageal atresia type c - correct answer
-most common
-no way to swallow (nothing goes down)
-at birth: 3 c's
Esophageal atresia/tef tx - correct answer -maintain patent airway
(intermittent/cont suction)
-prevent pneumonia
-surgery:
- don't bag and mask if child extubates after surgery
,-with a g tube, give a pacifier (will see it as a full belly)
Pyloric stenosis - correct answer -stomach contents unable to empty
-projectile vomiting
-olive like mass in ruq
Pyloric stenosis post-op care - correct answer -incision is high risk for
infection; fold diaper down to avoid contamination
-begin small feedings 4-24hrs post-op
What is the tx for celiac disease - correct answer gluten-free diet (gluten
found in grains)
-don't start this before an endoscopy is done
Clinical manifestations of celiac disease - correct answer -steatorrhea
-diarrhea/constipation
-vomiting
-ftt
-anemia (stool may be bloody)
-low vitamin d level
People with celiac disease should always - correct answer read the labels
(in dressings, candies, breads, and wheats)
, Definitive dx test for celiac disease - correct answer endoscopy and tissue
biopsy
Intussusception clinical manifestations - correct answer -currant jelly stool
-sudden crampy abdominal pain
-child draws up knees and screams
-sausage shaped abdominal mass
Intussusception tx - correct answer barium enema: pressure created by
barium enema may force bowel to resume normal configuration
Volvulus - correct answer twisting of the intestine on itself
Necrotizing enterocolitis clinical manifestations - correct answer -tense,
distended abdomen
-inc in abdominal circumference (measure)
-large residuals over 2ml
-stool pos for occult blood
-inc periods of apnea
-dec bp
-temp instability
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