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Prostaglandin E is usually given for which type of cardiac defect?
- Coarction of hte aorta
- (Maintains PDA open!!)
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When would you administer digoxin?
Before feedings!
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What nursing interventions are necessary when you administer digoxin (Lanoxin)?
- SE: weakness, HA, n/v, arrhythmias
- Monitor for apical pulse, hold if <100 for infants
- Given before feedings (oral dose)
- Therapeutic range (1.0-2.0 ng/ml)
- Monitor potassium levels
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What is the most likely nursing assessment finding in a infant just diagnosed with aortic stenosis?
Heart murmur at the L sternal border
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When does a child achieve 50% of adult height?
by 2 years
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When does a child throw a ball overhand?
18 months
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How much weight should infant gain in first year of life?
- 6-8 oz per week first 6 months (1 oz per day)
- 3-4 oz per week during 6 to 12 month
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When is the newborns weight doubled?
- 4-6 months
- -4 months brest fed
- -6 months bottle fed
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What are the avg measurements of an infant at birth?
- 7.5 lb
- 19-21 inches
- head circ: 13-14 inches
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With which heart condition do you see machinery-like murmur on auscultation and signs of congestive heart failure?
Patent ductus arteriosus
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what is the most common cause of cerebral palsy?
Premature birth or very low birth weight
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A is a major insult associated with near drowning?
Hypoxemia
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What indicated increased intracranial pressure?
- Projectile vomiting and severe HA
- High pitched cry or irritability
- Bilaterally dilated pupils
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What potential alterations in body systems might occur with congenital hip dysplasia?
- Asymmetrical gluteal folds and an apparent limb-length inequality
- Shortening of the affected femur
- Trengelenburg gait
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Which condition is avscular necrosis of the femoral head?
- Legg-Calve-Perthe disease
- - pain in thigh, knee,groin,hip
- -atrophy of muscles in thigh
- -Trendelenburg gait
- -Bedrest 1-2 weeks
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What sign will be positive in a child with muscular dystrophy?
Positive Gower's sign: the child cannot rise from floor in stadndard fashion b/c of increaseing weakness
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What are the nursing implications for BUck's traction?
Remove boot every 8 hours to assess skin. Leg may be slightly abducated
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Which traction is where both legs are extended vertically, with childs weight serving as the countertraction?
Bryant's traction
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Characteristics that describe the sample and provide a composite picture of the subjects of the study; they are not manipulated or controlled by the researcher.
Descriptive variables
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