Shared Flashcard Set

Details

PEDS: NEUROMUSCULAR
HESI HINTS
14
Nursing
Not Applicable
08/12/2009

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Cards

Term
What are the physical features of a child with down syndrome
Definition
Simian Creases in palms, Hypotonia, protruding tongue, and upward outward slant of eyes
Term
Describe scissoring
Definition
A common characteristic of spastic cerebral palsy in infants; legs are extended and crossed over each other feet are plantar flexed
Term
What are two nursing priorities for a newborn with myelomeningocele?
Definition
Prevention of infection of the sac and monitoring for hydrocephalus (measure head circumference; check fontanel; assess neurologic functioning)
Term
List the s/s of increased ICP in older children?
Definition
Irritability, change in LOC, motor dysfunction, headache, vomiting, unequal pupil response and seizures
Term
What teaching should parents of newly shunted child receive?
Definition
Information about signs of infection and increased ICP; understanding that shunt should not be pumped and that child will need revisions with growth; guidance concerning growth and development
Term
State the three main goals in providing nursing care for a child experiencing a seizure.
Definition
Maintain patent airway, protect from injury and observe carefully
Term
What are the side effects of Dilantin?
Definition
Gingival hyperplasia, dermatitis, ataxia, GI distress
Term
Describe the s/s of child with meningitis?
Definition
Fever, irritability, vomiting, neck stiffness, opisthotonos, positive kernig sign, positive brudzinski sign; infant may not show all classic sings even though very ill
Term
What antibiotics are usually prescribed for bacterial meningitis?
Definition
Ampicillin, PCN, chloramphenicol
Term
How is a child positioned after brain tumor surgery?
Definition
Flat or on either side
Term
Describe the function of an osmotic diuretic.
Definition
Osmotic diuretics remove water fromt he CNS to reduce cerebral edema
Term
What nursing intervention increase intracranial pressure?
Definition
Suctioning and positioning and turning
Term
Describe the mechanism of inheritance of Duchenne muscular dystrophy?
Definition
DMD is a inherited as an X-linked recessive trait
Term
What is the Gowers sign?
Definition
An indicator of muscular dystrophy; to stand, the child has to walk up legs, using hands
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