Flashcards
Chapter 32 - Part 2
Cards in this deck (27)
- 1Developmental Dysplasia of the HipPavlik harness is used to hold the child's femurs in the abduction position
- 2ScoliosisUsually treated with braces - For teenagers the brace can be upsetting; suggest family to buy clothes to disguise the cast
- 3Talipes (Clubfoot)Treated with a series of casts that are changed weekly
- 4Duchenne's Muscular DystrophyGowers Sign - The child rises from the floor by walking up the thighs with their hands
- 5Signs of MeningitisPositive Budzinski's sign
Positive Kernig's sign
Photophobia - 6Kernig's SignResistance to the extension of the leg while hip is flexed
- 7Brudzinski's SignFlexion of the hips and knees in response to neck flexion
- 8Treatment for MeningitisAntibiotics:
IV at least 10 days or until CSF is negative
Must remain on isolation until the antibiotics have been initiated for 24 hours - 9Cerebral PalsyTeaching:
Educate parents
Encourage child to ambulate independently with adaptive devices - 10Spina Bifida (Myelomeningocele)Newborns: Prior to surgery, must cover lesion with sterile, saline soaked gauze
80% of children also have hydrocephalus - 11Lead PoisoningIngests level that cannot be absorbed by the bone, child will develop anemia
- 12Diaper DematitisTreatment: Zinc oxide is applied; can be removed using mineral oil
- 13Seborrheic Dermatitis (Cradle Cap)Treatment:
Apply mineral oil to scalp - 14Acne VulgarisTreatment for severe:
Accutane - Must be carefully monitored & use contraception - 15Candidiasis (Thrush)Treatment:
Nystatin - Must be used for full 7 days even if lesions are gone - 16Otitis Media (Ear Infection)Clinical Manifestations: Fever, irritability & pulling on ear
- 17Otitis Media (Ear Infection) - SurgeryMyringotomy - Procedure in which a tiny incision is created in the eardrum to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear; after surgery, place child on affected side
- 18Cognitive Impairment (SATA)Diagnosed:
IQ is 70 or below
Denver Developmental Screening Test
Stanford-Binet Intelligence Scale
Wechsler Intelligence Scale - 19Cognitive ImpairmentEducate parents to help child perform self care activities & provide loving interactions
- 20Cognitive Impairment (4 Categories)Mild (IQ 50/55 - 70, educate cognitive impairment)
Moderate (IQ 35/40 - 50/55, trainable cognitive impairment)
Severe (IQ 20/25 - 35/40)
Profound (IQ below 25) - 21Down SyndromeExtra Chromosome on 21st pair
Clinical Manifestations: Low set ears and simian crease (1 crease on palm); often accompanied by heart defects - 22School Avoidance (School Phobia, School Refusal)Medical Management / Nursing Interventions:
Educate parents to be firm & insist child to go to school - 23Attention Deficit / Hyperactivity Disorder (Medical Management)Behavioral therapy;
Medications - Should be checked for side effects every 6 months - 24Attention Deficit / Hyperactivity Disorder (Nursing Interventions:)Help parents decrease any feelings of guilt
- 25DepressionCauses of major depression are unknown
Always ask about suicidal thoughts - 26SuicideMost common method is drug overdose
- 27Psychogenic Abdominal Pain (recurrent abdominal pain)Must have pain for at least 3 consecutive months to be diagnosed
All other causes have been ruled out
Be sure to assess for emotional problems
Most often experience constipation
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- Flashcards on Chapter 32 - Part 2, created by Mattie Dowdall on 13/02/2022.
- Created by
- Mattie Dowdall · Feb 2022
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- Feb 14, 2022
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