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PEDIATRIC NURSING MIDTERM EXAM QUESTIONS AND ANSWERS. - ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% $13.49
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PEDIATRIC NURSING MIDTERM EXAM QUESTIONS AND ANSWERS. - ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%
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Jacksonian Seizure - ANSWER- Type of seizure with tonic-cloning of group of muscles Psychomotor Seizure - ANSWER- Type of seizure not common in children; with mental clouding and intoxication Febrile Seizure - ANSWER- Under 5 seizures; with temp of 38.5 - 39 - 40 degree Celsius; in this seizure...

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  • October 17, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • pediatric nursing midterm exam

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  • Nursing Pediatrics
  • Nursing Pediatrics

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PEDIATRIC NURSING EXAM QUESTIONS AND
ANSWERS. - ALL EXAM REVISION QUESTIONS AND
CORRECT ANSWERS (ALREADY GRADED A+) (2024
UPDATE) 100%
Jacksonian Seizure - ANSWER- Type of seizure with tonic-cloning of group of muscles

Psychomotor Seizure - ANSWER- Type of seizure not common in children; with mental
clouding and intoxication

Febrile Seizure - ANSWER- Under 5 seizures; with temp of 38.5 - 39 - 40 degree Celsius; in
this seizure, hypothalamus not well developed (thermoregulation center)

Status Epilepticus - ANSWER- Seizure that could last maximum of 30 minutes; brain damage
could occur

Hydantoin: Phenytoin - ANSWER- Anticonvulsant used in seizure disorder
1. Gingival hyperplasia is en expected side effect of phenytoin. Use soft-bristled toothbrush and
perform meticulous oral care;

2. Pinkish-red urine (inform significant other) - ANSWER- In using Hydantoin: Phenytoin,
WOF:

Benzodiazepines (lam/pam) - ANSWER- Drug that minimizes seizure episode

Prevents seizure reoccurrence - ANSWER- Use of Inimitableness: Carbamazepine

Valproates: Valproic Acid - ANSWER- Last resort for seizure disorder because of
hepatotoxicity which is also not given in 1st trimester of pregnancy because it may cause Neural
Tube Defects

Neurectomy - ANSWER- Surgery for seizure disorder which is the surgical resection of the
cranial nerve involved in seizure

Bacterial Meningitis - ANSWER- Infection or inflammation of meninges which supports and
nourishes the brain

Lumbar puncture: L3, L4, L5 (CSF analysis) - ANSWER- Diagnostic test for Bacterial
Meningitis:

C- shape, fetal position, knee-chest: genupectoral - ANSWER- Position for lumbar puncture

Cloudy (mixture of WBC, CHON (protein), waste products - ANSWER- Abnormal finding of
CSF in Meningitis

,Nesisseria meningitidis - ANSWER- Causative agent of Meningitis
1. +Kernig's Sign/Knee (flex: pain in hamstring, back and neck)
2. +Brudzinski's sign/Batok (flex: pain in the neck and back)
3. Nuchal rigidity (stiff neck)

4. Opisthotonus (Arching of the back) - ANSWER- Signs and symptoms/Pathognomonic signs
of Meningitis

Antibiotic (finish duration, this will prevent drug resistance) - ANSWER- Drug for meningitis

Concussion - ANSWER- violent shaking up or jarring of the brain; forceful contact in a rigid
skull

Concussion - ANSWER- Head trauma where there is transient loss of consciousness

Contusion (bruising) - ANSWER- Extravasation of blood/Bleeding under skin caused by
damage to soft tissues & blood vessels

Safety (use of helmets, seatbelts, safe driving, use of infant car seat) - ANSWER- Priority
intervention to prevent head traumas

Rear facing - protects spine - ANSWER- Infant car seat positioning for < 3 years old

Front facing booster seat - ANSWER- Infant car seat positioning for > 3 years old

Level of consciousness - ANSWER- Most important prognostic indicator for head traumas

Endocardium (inner layer) - ANSWER- Inner layer of the heart

Myocardium - ANSWER- Muscular, middle layer of the heart

Pericardium - ANSWER- Membrane surrounding the heart (outer)

Visceral - ANSWER- Pertaining to the internal organs

Pericardial fluid - ANSWER- Prevents friction rub

Acyanotic Defects - ANSWER- Defects with absence of cyanosis

Cyanotic Defects - ANSWER- Defects with presence of cyanosis

Acyanotic - ANSWER- Is patent ductus arteriosus cyanotic or cyanotic?

Machinery-like murmur - ANSWER- Pathognomonic/hallmark sign of PDA
Poor feeding > fatigue
Poor weight gain

, 5 - 15 mmHg - ANSWER- Normal intracranial pressure:

Hypertension, Bradycardia, Bradypnea - ANSWER- Cushing's Triad

30 - 40 mmHg - ANSWER- Normal Pulse Pressure

Diamond shape; closes at 12-18 months - ANSWER- Anterior Fontanel

Triangular shape; closes at 2-3 months - ANSWER- Posterior Fontanel

High Pitched Cry AKA Shrill Cry - ANSWER- Early sign of increased ICP

High Pitched Cry - ANSWER- Early sign of increased ICP in Infant

Irritability and Agitation - ANSWER- Early sign of increased ICP in Child

Restlessness - ANSWER- Early sign of increased ICP in Adult

Confusion - ANSWER- Early sign of increased ICP in Geriatric

Tape measure; measure every shift (every 8 hours) - ANSWER- In increased head
circumference, what must be at the bedside of the patient?

Headache - ANSWER- Initial sign of increased ICP

Compressed medulla > CTZ (Chemoreceptor Trigger Zone) > Cerebral Edema - ANSWER-
What is the reason behind projectile vomiting in increased ICP?
Increased ICP > increased IOP (Proximity of brain and eyes) > optic nerve damage > blurring of
vision > blindness - ANSWER- Diplopia (Double vision) in increased ICP
1. Anisocoria (uneven pupil size) > brain damage
2. Dilated (OO) > shock

3. Constricted (oo) > narcotic overdose - ANSWER- Pupillary changes in increased ICP:

Sunset eyes, anorexia, nausea, weight loss, seizures - ANSWER- Other s/sx present in
increased ICP

Increased neuronal firing > erratic transmission of electrical impulses > seizure - ANSWER-
Reason behind seizures in increased ICP
Vomiting > decreased fluid levels > dehydration > increased temperature > convulsion (seizure) -
ANSWER- Reason behind seizures in increased ICP

Semi-Fowler's Position (decreases ICP = gravity) - ANSWER- Position of choice for increased
ICP

Vomiting and sneezing - ANSWER- What must be avoided in increased ICP

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