NUR 2513 Final Exam 3 Maternal Child Nursing - Rasmussen
Cumulative; 125 Q & A
What is an expected assessment finding for bacterial pneumonia?✓ Crackles ✓ Harsh cough ✓ Elevated temperature ✓ Thick secretions
Safe practice in administration of blood products ✓ Remain with the patient for the first 15 minutes of the infusion
S/S: Kawasaki disease (KD)
✓ "Strawberry" tongue ✓ Edema of hands and feet ✓ Conjunctivitis without exudate
Home Treatment: Bronchiolitis
✓ Cool-mist humidity ✓ Steamy shower 1 / 4
Pharyngitis causes increased risk of developing ?✓ Rheumatic fever ✓ Glomerulonephritis (antibiotics decrease occurrence)
Nursing Care: Post Tonsillectomy
✓ Monitor for s/s of bleeding (clearing throat) ✓ Give clear, cool liquid or ice chips ✓ No red, citrus/acidic, carbonated or milk products ✓ Clear fluids are best ✓ No straws, forks ✓ Position for drainage
S/S: Pneumonia
✓ Inflammation of the pulmonary alveoli ✓ Fever, cough, fine crackles ✓ Viral - supportive care ✓ Bacterial - antibiotics and supportive care
Epiglottitis position ✓ Upright
Noninvasive diagnostic testing for the heart to see its structure and function. Should be ordered first to evaluate a murmur.✓ Echocardiogram
Patient Education: Legg-Calve-Perthes Disease
✓ Non-weight bearing ✓ Activity limitations ✓ Cast education 2 / 4
• This is an avascular necrosis (lack of blood resulting in destruction) of the proximal femoral epiphysis
• Child normally look well but may have a limp, guarding of hip while moving it ✓ Legg-Calve-Perthes Disease
Treatment: Legg-Calve-Perthes Disease
✓ Less than 6 - NSAIDs and containment device to keep head of femur in place ✓ Older than 6 - reconstructive surgery followed by cast application
Symptoms: Patent Ductus Arteriosus
✓ Machine like murmur heard at the left sub clavicular margin ✓ They may be asymptomatic or show signs of HF ✓ A widened pulse pressure and bounding pulses may be present
Treatment: Patent Ductus Arteriosus
✓ Indomethacin, a prostaglandin inhibitor ✓ Closed during cardiac catheterization or surgical management
A failure of the fetal ductus arteriosus to close within the first weeks of life ✓ Patent ductus arteriosus
S/S: Coarctation of the Aorta
✓ BP higher in the upper extremities than in the lower extremities ✓ Signs of HF may occur in infants ✓ Bounding pulses in the arms and weak or absent femoral pulses and cool extremities may be present
*be sure to assess the femoral and radial pulses simultaneously* 3 / 4
Treatment: Coarctation of the Aorta
✓ Balloon angioplasty ✓ Surgical repair
A localized narrowing near the insertion of the ductus arteriosus ✓ Coarctation of the aorta
If your patient has Tetralogy of Fallot and they become cyanotic and dyspneic, what is your intervention?✓ Place in a knee-chest position
Nursing Interventions: Sickle Cell Anemia
✓ REST
✓ HYDRATION
✓ PAIN CONTROL
✓ OXYGENATION
S/S: Dehydration
✓ Mottling ✓ Increased capillary refill time ✓ Turgor ✓ Dry mucous membranes ✓ Tachycardia
Tx: Mild to Moderate Dehydration
✓ Oral rehydration
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