Pediatric Nursing- A Case-Based Approach, 2nd Edition by (Tagher, 2024), Verified Chapters 1 - 34, Complete Newest Version
Pediatric Nursing- A Case-Based Approach, 2nd Edition by (Tagher, 2024), Verified Chapters 1 - 34, Complete Newest Version
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Edition by (Tagher, 2024), Verified Chapters 1 - 34, Complete
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______ is a staphyloccocal, streptococcal, or combined infxn characterized by
discrete, thin-walled vesicles that rapdily become pustular and then rupture, leaving
a honey/straw-colored crust. - ANSWER: Impetigo contagiosa
The most common infectious cause of Stevens-Johnson syndrome is... - ANSWER:
mycoplasma pneumoniae
The diagnosis of stevens-johnson syndrome is made when lesions occur in 2+
mucosal surfaces covering less than __% of the body surface area - ANSWER: 10%
Toxic epidermal necrosis is the dx when there is > __% of the body affected -
ANSWER: 30%
_____ are necessary to establish a diagnosis of asthma if the patient has a classic
clinical presentation and history compatible with asthma - ANSWER: No additional
studies
Asthma is a _____ diagnosis - ANSWER: clinical
Dermacentor andersoni aka... - ANSWER: the wood tick
Dermacentor andersoni is the principal vector of... - ANSWER: Rocky Mountain
Spotted Fever
Pediculus humanous capitis aka... - ANSWER: head louse
Which bone disease is associated with uveitis?
(a) Slipped capital femoral epiphysis
(b) Juvenile idiopathic arthritis
(c) Henoch-schonlein purpura
(d) Legg-calve-perthes disease - ANSWER: (b) Juvenile idiopathic arthritis
____ is defined as the passage of feces in inappropriate locations after bowel control
would be expected - ANSWER: Encopresis
What is the tx for retentive encopresis? - ANSWER: - Clearing of fecal mass
- Mineral oil or stool softners
- Behavioral modification
,When does chlamydial pneumonia present? - ANSWER: At several weeks of life
In a patient that is 8 hours old, with low WBC count and left shift, and infiltrates
bilaterally on CXR, what is the most likely culprit? - ANSWER: GBS pneumonia
What is a true contraindication to administration of the 4th DTaP vaccine?
(a) Positive Fam hx of adverse rxns to DTaP vax
(b) Past hx of infantile spasms
(c) Child is currently febrile to 39 degrees (102.2F)
(d) Prolonged seizures 6 days after the last DTaP vax - ANSWER: (d) Prolonged
seizures 6 days after the last DTaP vax
How long does TB meningitis linger on for? - ANSWER: 3 weeks
What is the age range for seeing TB meningitis - ANSWER: 6 mos to 4 yrs
What kind of mass can grow in the tympanic membrane as a result of recurrent otitis
media? - ANSWER: Cholesteatoma
What do you do next when you discover a cholesteatoma in the tympanic
membrane? - ANSWER: - ENT referral
- CT scan of temporal bones
____ is a chronic dermatitis that occurs in a population with a strong personal or
family hx of atopy - ANSWER: Eczema
What is the first line tx for eczema?
(a) Coal-tar soaps and shampoo
(b) Topical antifungal cream
(c) U/V light therapy
(d) Moisturizers and topical steroids
(e) Topical abx - ANSWER: (d) Moisturizers and topical steroids
What should you use to replenish fluids for severe dehydration? - ANSWER: Normal
Saline
Ringer's Lactate
_____ is a common organism in infected cat and dog bites - ANSWER: Pasteurella
multocida
How do you tx dysfunctional uterine bleeding? - ANSWER: Progestin only
contraceptive or combined oral contraceptives
Sign and sx of ______ include disturbance in mood or sleep, decline in school
performance, truancy, alterations in family relationships and peer groups, and
diminished appetite. - ANSWER: Substance abuse
,How do you remember what things you need to measure for the APGAR score? -
ANSWER: ~ Her Royal Majesty Requests Crumpets
- Heart rate
- Respirations
- Muscle tone
- Reflex irritability
- Color
Antibiotic ppx during animal bites are recommended for what groups of people? -
ANSWER: - Infants
- Diabetics
- Immunocompromised
What's the most common way for an infant to get a seizure? - ANSWER: Diluting
formula and getting hyponatremia
Found in about 50% of term newborns. Lesions are 2-3 cm erythematous macules;
some have a central yellow-white pustule. Examination of fluid from these lesions
demonstrates eosinophils. - ANSWER: Erythema toxicum
More common in blacks. 1-2 mm pustules that result in hyperpigmented lesion
encircled by a collarette of scale upon rupture of the pustule. Last for wks to months.
- ANSWER: Pustular melanosis
______ are small, sharply edged lesions that occur most commonly on the head and
neck of infants. These lesions are yellow-orange in color, slightly elevated, and
hairless. - ANSWER: Sebaceous nevi
___ are fine, yellowish white, 1-2 mm firm raised lesions scattered over the face of
the neonate. They are cysts that contain keratinized material. Usually resolves on its
own. - ANSWER: Milia
Night terrors are ____ phenomena
(a) REM
(b) Non-REM - ANSWER: (b) Non-REM
Somniloquy aka... - ANSWER: sleeptalking
Somnambulism aka... - ANSWER: sleepwalking
____ are small, ulcerated lesions on exposed areas such as ears and fingers from
cold. Lesions can last 1-2 wks. - ANSWER: Chillblains
_____ is destruction of fat cells caused by exposure to cold weather or a cold object,
which is usually a benign condition that self-resolves - ANSWER: Cold panniculitis
, ____ is manifest by small, firm, white, cold patches of skin in exposed areas;
treatment is rewarming the areas before they become numb. - ANSWER: Frostnip
Which deficiency has cheilosis, glossitis, keratitis, conjunctivitis, corneal
vascularization, and seborrheic dermatitis? - ANSWER: Riboflavin deficiency
Which deficiency has seizures, peripheral neuritis, dermatitis, and microcytic
anemia? - ANSWER: Vitamin B6 (pyridoxine) deficiency
What does VACTERL syndrome stand for? - ANSWER: - Vertebral defect
- Anal atresia
- Cardiac defects
- Tracheoesophageal fistula
- Renal/radial defect
- Limb abnormalities
Which limb abnormality is most common among obese boys with delayed skeletal
maturation or in thin, tall adolescents having recently enjoyed growth spurt. -
ANSWER: Slipped capital femoral epiphysis
_____ is avascular necrosis or idiopathic osteonecrosis of the femoral head. Happens
to boys btwn ages 2 and 12 years. Sxs include limp and pain in the anterior thigh,
groin, knee, "painless limp" - ANSWER: Legg-Calve-Perthes disease
Painful limp usually from 2 to 6 years of age. WBC and ESR may be normal of slightly
elevated. - ANSWER: Transient synovitis
How do you treat salicylate poisoning? - ANSWER: - Acetazolamide
- IV sodium bicarb
Morphine and narcotic toxicity on newborns during birth can be treated with... -
ANSWER: Naloxone
____ can cause an idiosyncratic rxn causing extrapyramidal sxs such as oculogyric
crisis, temors, torticollis, opisthonus, dysphagia - ANSWER: Phenothiazine
How do you tx phenothiazine toxicity? - ANSWER: Diphenhydramine
What toxicity is this? A 2 year-old boy found a bottle of his mother's prenatal
vitamins and consumed the majority of them. He now has hematemesis and
abdominal pain. He is febrile, and lab tests reveal a leukocytosis and hyperglycemia. -
ANSWER: Iron toxicity
For trichomonas, you can use metronidazole or... - ANSWER: tinidazole
What is the first line treatment for giardia? - ANSWER: Tinidazole
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