Peds Test 3
Card Set Information
Peds Test 3
Peds Test 3
A congenital defect of the lip that varies from simple notching of vermillion border on one side to bilateral fissure or opening is:
Problems that are associated with cleft lip are:
Surgical repair of a cleft lip is __________.
avoid sucking for 1-2 weeks
feed with rubber tipped syringe
Breck feeder (bulb tipped syringe)
H2O first, then formula
upright for feeding, burp every 1/2 oz
no suctioning or tongue depressors
position inclined on back/upright in infant seat or on right side NEVER on abdomen
Suture line care after a cheiloplasty:
do not allow to crust (scarring)
use saline/sterile water
Logan Bar- prevents strain/stress
sutures usually removed 7-10 days
cuddle (crying puts strain on suture line)
__________ is a congenital defect resulting in failure of the hard palate to fuse, leaving passageway between nasopharynx and nose.
Problems associated with cleft palate:
increased resp/middle ear infections
can interfere with bonding
Surgical repair of a cleft palate should be performed around __ to __ months of age and is called a __________.
__________ is the abnormal narrowing of the pyloric sphincter caused by overgrowth of muscle at the pylorus. Hypertrophy causes the stomach to become __________.
S/s of pyloric stenosis appear when the infant is about __ to __ weeks old; includes occasional vomiting that becomes __________ with a very sour smell. Other s/s:
2-3 weeks old
dry and mucous membranes
no tears w/crying
inelastic skin turgor (tenting)
pallor, gray skin with dark circles
urine specific gravity >1.030
VS changes (weak pulse)
Pyloric stenosis is usually dx by __________.
__________ is performed by splitting the hypertrophied pyloric muscle down to the submucosa.
While awaiting surgery for pyloric stenosis, they might recommend a small amt of __________ to be added to the formula to thicken it and give extra nutrients.
__________ is commonly given to infants with pyloric stenosis.
How should you feed an infant after a pyloromyotomy?
feed slowly and upright, burp frequ, position on right side after feedings
Who gives the feeding schedule for an infant who had a pyloromyotomy?
After a pyloromyotomy, the infant may vomit within the 1st 24 hrs and have a brief dumping syndrome; this is __________.
__________ is a medical emergency and is described as the telescoping of the bowel into itself usually at the __________ valve.
Intussusception usually affects males under __ years of age.
Intussesception may correct itself, and the prognosis is good if it is treated in the first __ hrs.
Fetal shunt: from the umbilical vein to inferior vena cava
Fetal shunt: from the right atrium to the left atrium
Fetal shunt: from the pulmonary artery to the aorta
CHF tx goals:
improve cardiac function
: Digoxin, ACE inhibitors
remove accumulated fluid
: diuretics, monitor K level (low K can lead to dig toxicity), fluid and Na restrictions, monitor I&O, daily wts
decrease cardiac demands
: bed rest, small freq feedings; soft nipple with enlarged hole; semi-fowler's
increase tissue oxygenation
: supplemental O2, inrease iron foods; supplements as needed