Pediatric Hesi Review
What are 2 contraindications for giving a child a live vaccine?
• Immunocompromised child; or in most cases, a child in the household
with an immunocompromised individual.
How should burns be assessed in the child?
Modified Rule of Nines
In children versus adults the H...
What are 2 contraindications for giving a child a live vaccine?
• Immunocompromised child; or in most cases, a child in the household
with an immunocompromised individual.
How should burns be assessed in the child?
Modified Rule of Nines
In children versus adults the Head and Neck are considered as one body
part. This would give you 18% of the body and in adults it is only 9%.
What early signs should the nurse assess when lead poisoning is
suspected?
Lead poisoning causes Anemia which gives you the following symptoms:
Acute cramping, Abdominal pain, Vomiting, Constipation, Anorexia,
Headache, Lethargy, Hyperactivity, Aggression, Impulsiveness, Decreased
interest in play, Irritability, Short attention span
List seven sign of respiratory distress in children.
Restlessness, Tachycardia, Tachypnea, Diaphoresis, Flaring nostrils,
Retractions, Grunting
Respiratory Disorders
What position would the child with epiglottitis assume to help them breathe
better?
The Tripod position – upright sitting, chin out and tongue protruding.
Review of Neuromuscular Disorders
What is a description of ‘scissoring’ in a child with cerebral palsy?
In spastic CP, in infants; legs are extended and crossed over each other; feet
are plantar flexed
Cardiovascular Disorders
What is the difference between a right-to-left shunt and a left-to right shunt
in cardiac disease?
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What would cause an infant to have nasal flaring?
Flaring nares is a sign of respiratory distress because infants are obligatory
nose breathers. They do not know they can breathe through their mouths
when the nose is stopped up.
When a pediatric patient has an amputation what kind of teaching will the
nurse do that is very important to the patient’s health?
Teach them to inspect the stump for skin breakdown to prevent infection.
What is ‘synagis’ and why is it given?
That is called the RSV ‘vaccine’.
Not really a vaccine but a preventative given IM once a month during RSV
season from Fall thru Spring, to children at risk:
• Premature
• Chronic illness
• Disabilities
When should solid food be offered to a baby?
When they can to turn their head and open their mouth when the spoon
comes toward their mouth. Textbook would say 4 to 6 months of age and
then only one new food at the time to make sure they are not allergic.
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