NR 602 Midterm Study Guide

NR 602 Midterm Study Guide – Topics 26-30
Cryptosporidium
Pyloric Stenosis
Intussusception
Celiac Disease
Juvenile Idiopathic Arthritis (Page 551-554)
Questions for Thought with Answers & Rationale

1. The most common rheumatoid disease of childhood is:
Systemic lupus erythematosus
Kawasaki disease
Juvenile idiopathic arthritis
Legg-Calve Perthes disease

2. A 14-year-old boy os brought In by his mother who reports that her son has been complaining for several months of recurrent bloating, stomach upset, and occasional lose stools. She reports that he has difficulty gaining weight and is short for his age.  … ahs noticed that his symptoms are worse after eating large amounts of crackers, cookies, and breads.  She denies seeing blood in the boy’s stool.  Which of the following conditions is most likely?
Amebiasis
Malabsorption
Chrohn’s colitis
Celiac disease

3. A common cause of acute abdominal pain in children under 5 years old?
Appendicitis
Intussusception
Incarcerated hernia
Gastroenteritis

4. An 18 -month old child is brought to the clinic by her mother and is c/o abrupt onset of vomiting, followed by more than 10 liquid stools with mucus for the past 48 hours. Temp is 100 degrees F orally.  The stool smear obtained is negative for WBCs.  What is the most likely etiologic pathogen for this young child’s gastroenteritis?
Rotavirus
Shigella dysenteriae
Campylobacter jejuni
Salmonella

5. The viral gastroenteritis seen in older children and adults has a short incubation (18-72 hours) and short incubation (24-48 hours), is characterized by abrupt onset of nausea and abdominal cramps, followed by vomiting and diarrhea, and is often accompanied by headache and myalgia. What causes this disorder?
Enteric adenovirus
Enteric calicivirus (Norwalk)
Rotavirus
Cytomegalovirus

6. The family nurse practitioner is interpreting the notation of “string sign” on an upper GI series performed on an infant. This is associated with the dx of:
Intussusception
Hirschsprung’s disease
Pyloric stenosis
GERD

7. What question by the FNP would be appropriate to ask the parents of an infant suspected of intussusception?
“Does the infant have clay colored stools?”
“Doe.s the infant have projectile vomiting?”
Does the infant have constant abdominal pain?”
Doe.s the infant have red currant jelly stools?”

8. A 6 year old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology?
Group A Strep
Parainfluenzae
Viral etiology
Mycoplasma

9. Which of the following findings could be expected to occur in a baby with intussusception?
Inconsolable screaming
Olive- shaped mass
Left to right peristaltic waves
Weight loss

10. Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would likely point to pyloric stenosis?
Diarrhea
Appropriate growth
Acts hungry after vomiting
Sausage-shaped mass in abdomen
 ————–8 Pages Document————-

D&M 3 NDNP 864
Midterm Study Guide
Week 1: Early child development notes (chapter 6):
Articulation:
Lexicon:
Syntax:
Peer relationships:
Body image:
Theories:
Developmental Assessment:
Screening Tools:
Safety
Gross Motor Development
Sleep

School Age Children
Growth and Development
Physical development:
Psychosocial development:
Conceptual vs perceptual thinking:
and language development:
Language development:
Social/Emotional:
Common fears:
Symptoms of stress / fear:
Physical characteristics:
Dental:
Nutrition:
Sleep:
Safety:

WEEK 2 : Chapter 8
Adolescent
Physiologic Changes of the Adolescent
Tanner stages:
Female stages:
Male stages:
Egocentrism of adolescents:
Principles and approaches to assessment:
Physical Assessment:
Cognitive development:
Phases of adolescence:
• Early adolescence (11-14 years old): most difficult period
• Middle Adolescence (15-17 years old): stand out for their unique appearance
• Late Adolescence (18 to 21 years old): autonomy
Risk behavior assessment:
Sexual Activity
Nutritional Needs
• Adolescent interviewing

Week 5: Pediatric Orthopedics 3/1/2018
Age and likelihood of disorder
Obtaining hx
Sprains
Treatment of sprains:
Strain
Fractures

Neuromuscular conditions
Cerebral Palsy
Diagnosis plan for CP
Problems associated with CP
Signs of possible CP
Goals for CP
Treatment
CP and IQ

Muscular dystrophies (MD)
Duchenne Muscular Dystrophy
Case Study: 15 yr old male, Dx with DMD at age 5, Wheelchair bound since age 9, Bipap at night, 5kg wt loss in 3 mths, now with complaints of difficulty swallowing,
• What diagnostic work-up is indicated? Swallow study (condition may cause aspiration), EMG (electromyography) to check muscles
• What is the prognosis for this condition (life span mid 20s)
• Wha.t tx/therapies are needed (thicken feeds, slow softer foods, feeding tube, speech, PT)
• What consult/referrals should be placed?
Characteristics
Dx eval
Manifestation
Management

Guillian-Barre syndrome (GBS)
Case Study: 17 year old male, Hx influenza 2 wks ago, Ataxia, HA, blurred vision, Limping unable to stand on 1 foot, Denies fever, Labs norm CBC and electrolytes, What other studies would you do Laboratory Imaging: MRI or CT scan
Prognosis
Manifestation
Dx eval
Management

Myasthenia Gravis (MG)
Case study (recommended reading): 2 y.o. girl presents with refusal to walk, symptoms started 3 wks ago with fever of 104 and difficulty bearing weight on both lower extremities. xray unremarkable at the time but was positive for AOM which was tx’d with amoxicillin. 1 wk later limp worsened, tx at a community clinic was NSAIDs and heating pads. Further progression brings her to the hospital; no hx of trauma or resp. s/s but 3 mths prior had bloody diarrhea +ve for E. coli and Shigella. Immunizations UTD.
PE: Afebrile, HR 100, RR 24 BP 84/60. full ROM bil. at hips and knees, no deep tendon reflexes in LE at both knees and ankles, limited dorsoflexion of the R foot, no swelling, erythema at any joints. other exam was normal.
Labs: CBC, CMP, CK, CRP, antinuclear antibodies WNL but ESR slightly elevated at 25mm/hr. LE xray and bone scan are -ve
What further test would you do? MRI and CSF
Neonatal MG:
Juvenile MG:
Manifestation
Dx eval
Management
Nursing Considerations:

Week 4 (3/22) Mental Health
Common Pediatric Psych Diagnoses
Treating Depression & SSRI use from readings
ADHD Medication Management – from readings
Pediatric Surgery 2/22/18

Pediatric Oncology
Morphologic Diagnosis
Leukemia
Hodgkin’s Disease
Non-hodgkins lymphoma
Wilms tumor
Osteosarcoma
Ewing Sarcoma
Retinoblastoma
Rhabdosarcoma
Brain Tumors
Cancer Treatment
Post consolidation immunotherapy
Radiation
Bone Marrow Transplant
Hyperleukocytosis
Fever and Neutropenia
Typhlitis
Superior Vena Cava Syndrome
Spinal Cord Compression
Cancer Treatment Side effects
Cardiotoxicity
Pulmonary Complications
Pulmonary Infections
Neurotoxicity
Guidelines for management of cancer survivors