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Maternal Newborn: FINAL EXAM review - PART FOUR!Version en ligne
This review covers the following topics: Growth/Development, Immune disorders, Metabolic disorders, Nursing care of a Special Needs child.
1
adduction
unequal gluteal folds
length
abduction
width
equal gluteal folds
A
nurse
is
assessing
a
child
who
is
suspected
of
having
developmental
dysplasia
of
the
hip
(
DDH
)
.
The
nurse
understands
that
limited
hip
is
associated
with
this
disorder
.
Therefore
,
the
nurse
would
expect
to
see
the
following
characteristics
with
DDH
:
&
difference
in
of
the
leg
/
knee
.
2
abduction
adduction
Ortolani
Barlow
A
new
graduate
nurse
is
observing
as
the
physician
examines
a
pt
who
was
recently
diagnosed
with
developmental
dysplasia
of
the
hip
.
The
nurse
recognizes
the
maneuver
as
a
good
sign
(
)
and
the
maneuver
as
a
bad
sign
(
)
.
3
8 weeks
pavlik
Ortolani
4 weeks
walking
Barlow
12 weeks
Tx
for
developmental
dysplasia
of
the
hip
involves
use
of
a
harness
.
This
harness
maintains
the
position
.
The
harness
is
worn
for
over
clothes
and
the
nurse
should
clarify
that
the
harness
must
be
worn
24
/
7
even
during
bathing
.
4
Gower's
Bower's
skeletal
Gower's
males
adipose
females
Muscular
dystrophy
is
more
common
in
(
xy
)
.
Muscle
tissue
is
essential
in
the
protection
of
vital
organs
.
With
muscular
dystrophy
,
muscle
tissue
is
replaced
with
tissue
/
scar
tissue
.
Upon
assessment
,
the
nurse
may
notice
sign
(
maneuver
)
which
is
often
used
by
those
with
the
disorder
when
trying
to
stand
from
a
sitting
position
.
5
Achille's tendon
decreased
tibia
increased
dystrofin
10-15
decreased
albumin
increased
increased
30-40
15-18
1-6
Duchenne's
muscular
dystrophy
(
DMD
)
is
typically
diagnosed
between
ages
years
.
With
this
disorder
,
the
tightens
up
and
muscles
cannot
produce
(
absorbs
shock
)
.
The
life
expectancy
for
those
with
DMD
is
approximately
years
.
A
proper
diet
for
a
person
with
Duchenne's
muscular
dystrophy
should
include
calories
(
decreased
activity
)
,
protein
(
muscle
loss
)
,
and
fiber
(
rectal
muscle
loses
strength
&
cannot
effectively
assist
with
removal
of
stool
)
6
three
Singular
Systemic
Spastic
Ataxic
baclofen
five
nausea
baclofen
cerebellum
Dysfunctional
fatigue
involuntary
morphine
Dyskinetic
Acute
hypothalamus
voluntary
There
are
types
of
cerebral
palsy
.
(
70%
-
80%
)
,
(
6%
)
,
and
or
"
Athetoid
"
(
6%
)
.
Spastic
cerebral
palsy
is
the
most
common
.
With
this
type
,
a
"
scissor
gait
"
may
be
noticed
.
Medications
for
cerebral
palsy
often
include
via
a
pump
or
an
oral
form
.
A
transdermal
patch
like
Scopolamine
may
also
be
utilized
for
cerebral
palsy
as
well
as
.
Ataxic
cerebral
palsy
affects
approximately
6%
of
those
with
the
disorder
.
With
this
type
,
the
is
affected
causing
a
wide
base
gait
.
Dyskinetic
cerebral
palsy
,
also
known
as
athetoid
,
affects
6%
of
individuals
and
consists
of
"
worm
-
like
"
movements
.
This
type
also
has
characteristics
such
as
speech
impairment
,
cognitive
impairment
,
dysphagia
,
and
drooling
.
Those
with
athetoid
cerebral
palsy
may
need
a
puree
/
soft
diet
.
7
males
Functional
Structural
S-shaped
Astructural
L-shaped
females
Dysfunctional
Scoliosis
is
more
common
in
.
scoliosis
=
slouching
.
scoliosis
is
idiopathic
and
presents
with
an
curve
in
the
spine
.
TRUE
or
FALSE
:
Cerebral
palsy
is
genetic
.
TRUE
or
FALSE
:
Cerebral
palsy
is
a
progressive
disease
(
able
to
progress
/
improve
)
.
TRUE
or
FALSE
:
Muscular
dystrophy
is
a
genetic
disease
.
11
decreased activity
ability to focus
impulsivity
inattention
calm under pressure
hyperactivity
Symptoms
of
ADHD
include
,
,
and
.
12
antivirals
fluid restriction
steroids
antibiotics
Treatment
for
acute
otitis
media
(
AOM
)
often
includes
.
13
Non-Organic
Non-Organic
Organic
Organic
Organic
Examples
of
failure
to
thrive
(
FTT
)
may
include
:
Inability
to
suck
and
/
or
swallow
correctly
,
malabsorption
,
diarrhea
and
/
or
vomiting
,
alterations
in
metabolism
,
cardiac
or
metabolic
disease
,
chronic
lung
disease
,
cleft
palate
,
or
gastroesophageal
reflux
disease
.
Examples
of
failure
to
thrive
(
FTT
)
may
include
:
Neglect
,
abuse
,
behavioral
problems
,
lack
of
appropriate
maternal
interaction
,
poor
feeding
techniques
,
lack
of
parental
knowledge
,
or
parental
mental
illness
.
If
a
nurse
observes
failure
to
thrive
,
the
desired
type
should
be
!
14
fiber
glucose
gluten
wheat
rye
protein
Celiac
disease
is
a
common
immune
disease
among
children
.
The
nurse
understands
that
a
child
with
celiac
disease
should
avoid
foods
that
contain
.
The
patient
should
avoid
consuming
,
barley
,
and
in
their
diet
.
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