A young child recently diagnosed with a terminal cancer just told the nurse "I have a secret to tell you, but don't tell mommy and daddy. I'm going to die". The parents don't want to tell the child that he is near death. What do you need to start talking to the parents about? Correct Answer-Discuss...
Pediatrics (NURS 355- Liberty University) Test 3
questions with correct answers
A young child recently diagnosed with a terminal cancer just told the
nurse "I have a secret to tell you, but don't tell mommy and daddy. I'm
going to die". The parents don't want to tell the child that he is near
death. What do you need to start talking to the parents about? Correct
Answer-Discuss a good death- home or hospital, drugs for treatment or
for pain relief?
What IQ constitutes cognitive impairment? Correct Answer-<70-75
When are cognitive impairment diagnoses made? Correct Answer-
Before 18 years old
What is the most common chromosomal abnormality? Correct Answer-
Down syndrome
What one maternal cause can increase the risk for having a Downs
baby? Correct Answer-Having her baby >40 years old
What is the most common inherited cause of cognitive impairment?
Correct Answer-Fragile X Syndrome
The triage nurse said that she is sending back a Fragile X patient. What
do you expected to see? Hear? Find? Correct Answer-See- strabismus,
long narrow face with large jaw, big ears, big head, very large testes
,Hear- Possible mitral valve prolapse, speech problems
Find- Attention deficit, autistic like, cognitive impairment, possible
violence
What hospital cause greatly increases the likelyhood of an infant
developing hearing loss? Correct Answer-Them being in the NICU (lots
of noise)
What are some causes for hearing impairment? Correct Answer-Chronic
ear infection
Perinatal infection
NICU stay
Aanatomic malformation
Asphyxia or prolonged oxygen supplementation
Maternal substance abuse
How to treat conductive hearing loss? Correct Answer-Antibiotics
Tympanoplasty
Hearing aids
How to treat sensorineural hearing loss? Correct Answer-Cochlear
implants
, When is it best to get a Cochlear implant? Why? Correct Answer-Before
1 year old so the child can learn sounds better and learn as he grows
instead of having to relearn and getting frustrated
What kind of visual impairment is normal until age 7? Correct Answer-
Hyperopia (farsightedness)
How do you treat amblyopia (lazy eye)? Strabismus? Correct Answer-
Eye patch on the good eye
Possible surgical repair
How many kinds of autism are there? What are they? Correct Answer-
Two
social communication/interaction
Unusually repetitive behavior/interest in certain activities
Do genetics play a role in autism? Correct Answer-Highly probable
What is one of the biggest life changing things for kids with cognitive
impairment? Correct Answer-Early diagnosis and intervention
What condition used to be blamed on delivery doctors? Correct Answer-
Cerebral Palsy
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