Maternal 105 lecture

Suppose Navi, 15 years of age, had undergone diagnostic testing and been diagnosed with precocious puberty. What advice would nurse give her parents?

Non pharmacologic questions are being used with increasing frequency to help reduce the pain of dysmenorrhea. To discover whether participating in a yoga program could decrease the symptoms related to primary dysmenorrhea, a research team recruited 40 undergraduate female students. Half were in a control group, and the other half were assigned to the exercise group. Those in the exercise group participated in an hour long yoga session once a week for 12 weeks. Results of the study showed that a yoga program can improve menstrual pain intensity and menstrual distress. Based on this study what would the nurse recommend to Navi?

The symptoms of PCOS can begin with adolescence. If Navi had this, which of the following fact would a nurse want her to describe after an educational session?

Navi, 15 years of age, ask whether it would be safe for her to have breast augmentation. What advice should the nurse give her?

Candidal vaginal infections can occur as an opportunistic infection when adolescents are prescribed antibiotics. A nurse would refer an adolescent for medical treatment of this problem if she reported which of the following?

Navi does not seem concerned about the possibility she could contract gonorrhea again. What additional health teaching does she need to better understand how this disease is spread?

Sandy, Rob's 14-year-old girlfriend, often comes to the pediatric clinic with him. Sandy has hypopituitarism, and she and Rob first met at the endocrine clinic. Which of Sandy's statements would make the nurse believe she needs more education about her disorder? Select all that apply.

Rob has a cousin who has developed hyperthyroidism with puberty. Which of the effects of this health problem might a school nurse need to support Rob's cousin in dealing with?

Rob has his adrenal gland function assessed through diagnostic testing. What is the effect on a child when sufficient aldosterone cannot be produced?

Rob tells the nurse that he experienced a "honeymoon" period when he was first diagnosed with diabetes mellitus. The nurse recognizes that this would be demonstrated by which of the following signs?

Rob needs to adjust his regular insulin dose to the amount of carbohydrates he eats in order to prevent dangerous complications of his disease. If his insulin to-carbohydrate ratio is 1:10, how many units of insulin should he inject if his lunch will consist of a hotdog on a bun (24 g), 1 cup chicken noodle soup (7 g), an apple (19 g), and a glass of milk (25 g)?

Based on this study, which comment by LaRoya, a 12-year-old girl who comes to the clinic because she has galactosemia, would make the nurse believe LaRoya's family's quality life is not ideal?

Tasha, 3 years old, is scheduled for a full neurologic examination. What explanation would best prepare her for this?

Tasha's diagnostic workup will include a lumbar puncture. When collaborating with the physician to perform this procedure, what nursing action should the nurse prioritize?

Tasha's sister Wanda was diagnosed with CP as an infant. What information would the nurse want her parents to know about her prognosis?

Tasha is diagnosed as having bacterial meningitis, and her plan of care is being amended in light of this diagnostic finding. How long should the care team maintain respiratory precautions for this condition after Tasha begins an antibiotic?

Recurrent seizures can be depressing for children and parents if the seizures are difficult to eliminate with therapy. A 2015 study looked at parents' cop ing behaviors and stressors, and their ability to care for their child with chronic disease. The parents were given the Coping Inventory for Parents (CHIP) survey along with the Pediatric Inventory for Parents (PIP). Significant correlations were found in the study showing the need for early identification by nurses of disease-related challenges, stressors, and parental coping methods to improve the outcomes of the chil dren (Senger, Ward, Barbosa-Leiker, et al., 2015). Based on this study, if Tasha is found to have recur rent seizures, which statement by her mother at a healthcare visit would concern a nurse the most?

Suppose Tasha has a tonic-clonic seizure while in the hospital. Which of the following items should the nurse keep available at the bedside for a child known to have generalized seizures? (Select all that apply)

Carla, who is 6 years old, has developed amblyopia Which statement by her mother would assure the nurse that her learning needs are being met?

Carla is diagnosed as having a bacterial conjunctivitis of her right eye, and the unit has a standardized care plan and educational materials that address this common diagnosis. What instruction should the nurse check in these clinical resources?

If Carla, the 6-year-old who has strabismus, has to have corrective eye surgery, why would the prevention of vomiting from anesthetic be a high priority?

Glaucoma can occur in children following surgery for cataracts. Because Carla had surgery for congenital cataracts as an infant, she is being followed by a pediatric ophthalmologist. What assessment finding from the ophthalmologist's documentation would best reveal that Carla is developing glaucoma?

A concern about the many mobile electronic devices available today is that increased noise exposure will cause neurologic hearing injury. To investigate whether hearing loss was present in teenagers who typically listened to music through earphones, researchers tested the hearing of 381 first-year university students and then asked them to self-report their history of music exposure. The results of the study showed those students with a high level of recreational noise exposure had lower hearing thresholds than those students with less recreational noise exposure (Tung & Chao, 2013). Based on this study, which action by Carla's teenage brother would cause a nurse the most concern?

Carla is diagnosed as having otitis media. When interpreting the documentation in Carla's electronic health record, the nurse should recognize that this diagnosis differs from otitis externa in what way?

Jeffrey is prescribed crutches to take weight off his affected leg. What teaching point should the nurse include in his health education?

A nurse is planning care for Jeffrey, who has osteomyelitis. Which of the following interventions should the nurse prioritize in the care plan?

Jeffrey's 10-year-old sister has JA, and her mother is eager to explore alternative methods of pain control in addition to standard approaches of analgesia. The standard approach to analgesia with JA is:

Jeffrey's mother said she was worried her son might be developing muscular dystrophy. A clinical care map for children who have this disease should prioritize which action?

A nurse is collaborating with a licensed practical nurse in the care of a child with an elbow cast. What information about an elbow cast should all care team members to be aware of?

Young children between the ages of 1 and 4 years frequently sustain dislocation of the radial head at the elbow that is often associated with the history of a pull to the arm, such as when a child is lifted by their arm or pulled at the wrist to prevent a fall. This often referred to a nursemaid’s elbow or a radial head subluxation. The left arm is affected more often than the right in both males and females, likely due to right hand dominance; and for unclear reasons, females are at great risk for sustaining injury (vitello et al., 2014) Based on this literature, which activity should the nurse advise Jeffrey not to do with his preschool sister?

Sage is 4 years old and sustained a burn that required hospitalization when her 10-year-old brother attempted to cook a meal while their mother was in the living room watching television. The nurse is preparing Sage for discharge from the hospital. Based on the evidence presented, the most effective advice the nurse could give to the mother to prevent future unintentional injuries is to:

Jason's parents are in distress because they fear that his ICP is increasing. The nurse wants to reassure his parents that Jason is being monitored closely. Which event would be most indicative that his ICP is increasing?

The nurse notices that Sage was seen in the emergency department last year for acetaminophen poisoning. The hospital's algorithm for dealing with acetaminophen overdose should specify what action?

Sage is found to have an elevated serum lead level. What is the most common source of lead poisoning in young children that would contribute to this assessment finding?

A nurse is with Jason when he spills scalding hot water onto his hand. Which of the following would be the best emergency action?

A nurse is helping a fellow nurse care for Sage, Jason's younger sister who has a third-degree burn on her arms and neck. Which statement by the fellow nurse on the second day of Sage's care would alert the nurse that the care team needs more instruction on burn management?

Based on this study, which statement by Gerri's mother would cause the nurse to believe she needs additional education about safe administration of Gerri's oral chemotherapy?

The child in the room next to Gerri's is a boy with ALL. Although his parents knew he wasn't well, they had no idea his diagnosis would be leukemia. A re view of this boy's electronic health record would most likely note what early signs commonly seen in a child with ALL?

Gerri's father is a Hodgkin lymphoma survivor, having experienced the active disease as an adolescent. Because of his disturbing memories of having this disease, he is highly anxious that the care team assess Gerri for Hodgkin lymphoma. What is the most likely first sign that Hodgkin lymphoma is beginning to develop in Gerri?

Gerri had surgery for a brain tumor 2 weeks ago. The care unit protocol specifies that the administration of stool softeners be given before and after surgery when not contraindicated. What is the rationale for this protocol?

Gerri's school nurse informs another nurse that his mother forbids him to play basketball because she heard a friend's son developed osteosarcoma when he was injured playing the sport. The nurses collaborate to plan a unified response to her concerns. What would be the best advice to give Gerri's mother regarding her understanding of osteosarcoma?

A child on the hospital unit is undergoing chemotherapy for newly diagnosed leukemia and is neutropenic. A visit arrives on the unit with a plant and flowers to put in the child's room. What should the nurse do to ensure the immunocompromised patient remains safe?