MVU NURS 629 EXAM 4 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam)

MVU NURS 629 EXAM 4 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam) Clinical manifestation of physiological jaundice *Usually within first 2-4 days of life *Not lasting longer than first 2 weeks of onset *Due to fast breakdown of RSCs *Liver immature and poor dietary intake. Clinical manifestation of breast fed jaundice *Usually within first few weeks to month of life *Secondary to poor intake what to assess for Determining hydration status *skin turgor *mucous membranes *peripheral pulses *tears *capillary filling Clinical s/s of dehydration *sunken ant fontanel *tachycardia *decreased urinary output *decreased B/P What is the most common cause of acute stomach pain gastroenteritis What is the most common complication in children with gastroenteritis? dehydration What is the initial treatment in Osgood Schlatter disease stretching Recommended treatment for a Sprained ankel Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48 hrs) What type of X-ray is best for diagnosing Legg-Calve-Perth? Frog leg How to perform Rovsing sign? apply pressure to left lower abdomen What is considered a positive sign with Rovsing exam pain in right side when pressure is released from left side What assessment would indicate an injury to the ACL or PCL? a positive Ant/Post drawer sign Ideal glucose level for 4 yr old? 90-130 What should be the initial evaluation of suspected growth hormone deficiency? *Thyroid function *screen for hypoglycemia *possible GI illnesses Initial evaluation in cases of isolated menarche? Sexual abuse should be ruled out first essentials for child's mental health? *predictable home, childcare, school routine What is the most common type of seizure in a child? Febrile seizure Unilateral, pulsating headache with occasional photophobia migraine microcytic hypochromic anemia iron deficiency anemia Most common causes of iron def anemia in child and infant poor dietary intake and breast feeding risk factor for depression in child? separation anxiety Comorbidities of depression? anxiety, learning, conduct, and eating disorders Depression DX must have 1 of what 3 characteristics? depressed mood, diminished interest, significant wt loss/gain, insomnia, fatigue, worthlessness, thoughts of death Most common somatic complaints of depression? HA & stomachache What depression screening tool is used in ages 11 and up?