Pediatrics HESI Study Categories
Questions and Answers
To protect infant's teeth development, what is included in their vitamins? - Answer -
Fluoride
What age do we start Flouride if infant doesn't receive tap water? - Answer -6 months
How can we prevent ticks? - Answer -bug spray with DEET, light colored clothing, tick
checks, showers and baths when exposed
How do we remove a tick? - Answer -pull the entire tick out with tweezers.
What is the first indication of Lyme Disease - Answer -Bulls eye rash
How do we treat Lyme disease? - Answer -Over 8 years: Doxycyxline PO for 14-21
days
Under 8: Amoxicillin PO for 14-21 days
What are the main 3 medicines used to treat Lyme Disease? - Answer -Doxycycline,
Amoxycillin, and Cephuroxine
What are the main S&S of Lyme Disease? - Answer -flu like symptoms (aches, swollen
lymph nodes, chills, headache, fever), Bell's palsy, Bull's eye rash, and later on carditis,
then cognitive issues, joint pains, and sleep issues
Where are T3 and L3 located along the spinal cord? - Answer -lower in the body
What are the long term issues of T3 and L3 spinal fusion? - Answer -elimination issues
What can you do to help elimination issues with T3 and L3? - Answer -stool softeners-
prevent constipation
leave Foley in for 3 days
Keep accurate I&O's
What is spinal fusion associated with? - Answer -Scoliosis
When do we introduce solid foods? - Answer -4-6 months
, What solid foods do we introduce first? - Answer -cereal first
vegetables next
Then one at a time every 4-7 days introducing a new food so we can watch for allergies
What are some side effects of iron? - Answer -constipation, tarry/green stools, stain the
teeth
How should we give iron? - Answer -with fruit on an empty stomach
What do we want to pay most attention to in blood pressures? - Answer -Systolics
What are the norms for blood pressure? - Answer -babies run high
under 6: 70-100
6-12: 80-120
13-18: 90-130
They should not be lower or higher
How will you double check another reading if the machine is high? - Answer -double
check manually (most accurate). If you recheck and it is still high, call the doctor.
How should someone be positioned when getting blood pressure taken? - Answer -
calm, sitting with legs uncrossed, arms above heart level, and have the right size cuff
What do we do if a child has a low blood pressure? - Answer -stop and do something;
kids will crash! Call the Doctor! Give fluids and assess I&O's
What are the S&S of Kawasaki Dx? - Answer -strawberry tongue, flushed skin, damage
to blood vessels, painless peeling of hands and feet, long term arthritis
What is the biggest risk of Kawasaki? - Answer -death of coronary aneurysm
What is the treatment for Kawasaki? - Answer -IBIG, and Aspirin for clotting (2gm over
8-12 hours). Aspirin causes bruising
What are some other things to know about Kawasaki? - Answer -highly irritable for a
long time
call Physician if fever
immunizations are not effective
What do insulin pumps not check? - Answer -Accuchecks (Glucose)
Always double check reading on pump
How often should we rotate the site for insulin? - Answer -every 2 days put some place
else
What are the different options of an insulin pump? - Answer -continuous insulin or bolus
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