NSG 434 Childhood disease Management Exam Questions and Must have marking scheme 2024/2025
6 views 0 purchase
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller KieranKent55. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.