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