Peds exam 2
Which child needs to be seen immediately in the physician's office?
10-month-old with a fever and petechiae who is grunting
The rash in roseola is pruritic. Which measure would you teach the parent to provide comfort?
Apply cool compresses to the skin to stop local itching.
What is the leading cause of neonatal sepsis and death?
Group B streptococcus
The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel better during her illness. What information can be provided?
Encourage rest and relaxation.
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease?
Mumps
A nurse is preparing a presentation for parents about common childhood infectious diseases. What conditions would the nurse include as being caused by a tick bite? Select all that apply.
Lyme disease Rocky Mountain spotted fever
The nurse is caring for a child recently diagnosed with hypoparathyroidism disorder. Which medication would the nurse expect to be ordered?
Oral Calcium
A child is diagnosed with scarlet fever. History reveals that the child has no known drug allergies. When preparing the child's plan of care, the nurse would anticipate administering which agent as the drug of choice?
Penicillin V
A child who has type 1 diabetes mellitus is brought to the emergency department and diagnosed with diabetic ketoacidosis. What treatment would the nurse expect to administer?
Regular insulin
A nurse practitioner suspects that a child has scarlet fever based on which assessment finding?
Red, strawberry tongue
A child has been prescribed Stimate (esmopressin) acetate for the treatment of diabetes insipidus. The client and the parents ask the nurse how this drug works. What is the correct response by the nurse?
Stimate (esmopressin) acetate is a synthetic antidiuretic hormone that will slow down your urine output
A 6-month-old infant develops roseola. When obtaining information from the parent, what would the nurse expect the parent to report?
The infant's temperature fell when the rash appeared
A 6-year-old boy has a moon-faced, stocky appearance but with thin arms and legs. His cheeks are unusually ruddy. He is diagnosed with Cushing syndrome. What is the most likely cause of this condition in this child?
Tumor of the adrenal cortex
An infant on the pediatric floor has diabetes insipidus. Which assessment data are important for the nurse to monitor while the infant is on strict fluid precautions?
Urine Output
Measels prodomal phase
•3 to 5 days, ill, high fever, conjunctiities, cough, anorexia & malaise. Koplik spots on buccal mucosa.
Describe roseola rash?
•Pale pink, discrete, maculopapular rash, starts on trunk & spreads to face, neck & extremities. Lasts 1 to 2 days.
Varicella Rash
•Rash begins as macule on an erythematous base to papule to vesicle. "teardrop on rose petal" Erupts from 1 to 5 days. All stages may be present at one time. Begins on trunk, scalp, face then to rest of body.
S & S of whooping cough/pertussis?
•Whooping cough •Uri symptoms X 2 weeks •Severe cough, worse at night, spasms trying to expel mucoid plugs, followed by whoops, severe stridor.
A nurse is assessing a child with a tick-borne disease. What finding would indicate to the nurse that the child has developed ehrlichiosis and not Rocky Mountain spotted fever?
Absence of rash
Measels rash
•Red, blotchy, maculopapular rash apppears 2 to 4 days after the onset of prodromal phase. Begins on face & spreads to trunk & extremities.
The nurse is caring for a child being evaluated for diabetes insipidus. Which tests will likely be included in the diagnostic workup for this condition? Select all that apply.
CT scan skull MRI of kidney region Urinalysis
The nurse is assessing a 1-month-old girl who, according to the mother, doesn't eat well. Which assessment suggests the child has congenital hypothyroidism?
Bradycardia Enlarged tongue enlarged posterior fontanel cool dry scaly skin difficulty eating constipation
