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NSG 434 Childhood disease Management Exam Questions and Must have marking scheme 2024/2025 $11.99   Add to cart

Exam (elaborations)

NSG 434 Childhood disease Management Exam Questions and Must have marking scheme 2024/2025

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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 ...

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  • August 24, 2024
  • 47
  • 2024/2025
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KieranKent55
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)


3 c's of tracheoesophageal fistula - correct answer
coughing
Choking
Cyanosis


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


Problems with pyloric stenosis - correct answer -rf metabolic alkalosis
-ftt
-dehydration
-cranky


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


Volvulus clinical manifestations - correct answer -intense crying and pain
-abdominal distention
-vomiting (bilious)
-tachycardia/tachypnea
-surgical emergency


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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