Peds GI/GU Study Guide (not finished)

For a health history with Meckel’s diverticulum you need to assess for? Select all that apply

With cleft, how can you prevent dental problem complications?

Diabetic ketoacidosis onset is ___ and the mortality rate is high!

Pre-op nursing actions for Cleft repair? Select all that apply

Use normal saline, water, or diluted hydrogen peroxide to clean the incision site for cleft lip repair!

For a child with cleft lip/palate it takes a specialized team that may include? Select all that apply

Acceptable HgbA1C target for children who have diabetes?

Prosthodontic Device may be created to form a false palate covering to prevent aspiration!

The child will need a bedtime snack is taking insulin at night (long or intermediate acting)

A complication resulting from failure of the Omphalomesenteric duct to fuse during embryonic development?

What are some common adverse effects of oral diabetic meds? Select all that apply

Meckel diverticulum nursing management? Select all that apply

Cleft may be diagnosed during prenatal ultrasound but is more commonly diagnosed at birth by appearance!

Educate about surgical procedures and eventual normal appearance of lip!

The cleft may be unilateral or bilateral, but which side is affected more often?

Apply elbow restraints to keep the infant from injuring the repair site after cleft lip repair!

Glycosylated hemoglobin (HgbA1C) expected reference range?

Encourage breast-feeding while promoting adequate nutrition, breast-feeding promotes growth! (Preop cleft)

Apply antibiotic ointment if prescribed after cleft lip repair!

Avoid placing hard things in the infants mouth after a cleft palate repair!

Diagnostic test for Meckel diverticulum? Select all that apply

What are some complications you might see with a cleft lip or palate? Select all that apply

The causes of DKA include? Select all that apply

Oral diabetic meds a.k.a. hypoglycemic, anti-diabetic, or anti-hyperglycemia are used in?

Diabetic ketoacidosis is a medical emergency requiring early recognition and prompt intervention!

For a child with an isolated cleft lip, what education could you give to the mother? Select all that apply

After cleft palate repair, how should you deliver oxygen to the infant?

Meckel’s diverticulum complications include? Select all that apply

Remove elbow restraints periodically to inspect skin, allow movement and provide for comfort!

Which of these test is a conclusive diagnosis for Meckel Diverticulum?

You draw up insulin clear-cloudy to reduce the risk of introducing the long acting into the vial of the short acting!

Continued postop care for cleft repair….Select all that apply

Contour/softness of breast against cleft lip may allow for better seal for adequate sucking in some infants!

Cleft lip or cleft palate may occur in isolation, or the infant may have both a cleft lip and cleft palate!

DKA patient assessment symptoms include? Select all that apply

Causes a fibrous band to connect the small intestine to the umbilicus known as?

Continued DKA… nursing actions? Select all that apply

Meckel Diverticulum-significant anemia-administer packed red blood cells PRBC to stabilize before surgery if ordered

Oral diabetic meds are given to type2 if glycemic control cannot be achieved by diet/exercise!

Nursing care of DKA? Select all that apply

Cleft surgical repair - encourage infant to parent bonding!

When mixing rapid or short acting with long-acting, which one do you draw up first?

What are some risk factors for Cleft lip or cleft palate? Select all that apply

Postop care Cleft repair? Select all that apply

To prevent complications with the ears in a child with cleft, what might you do? Select all that apply

Acknowledge normal feelings of guilt, anger, and sadness! (Cleft repair)

S/S of DKA include anorexia, N/V, lethargy, stupor, altered LOC, confusion, decreased skin turgor, and? SATA

Regular insulin delivers programmed amount of insulin on consistent basis, boluses can be administered before meals?

Diabetic ketoacidosis is an acute life-threatening condition characterized by hyperglycemia/glucose greater than 330!!!

Unrepaired cleft palate is at risk for?

What is a complication for untreated Meckel’s diverticulum?

Breast-feeding is effective with a cleft palate due to the pliability of the tissue to contour the opening!

Patho: Cleft lip results from the incomplete fusion of the oral cavity during ___ ___.

Results in breakdown of stored body fat for energy and accumulation of keytones in blood, urine, and lungs?

Preop care for Meckel diverticulum? Select all that apply

After a cleft palate repair surgery how should you place the child to prevent aspiration & facilitate drainage?

If oral hypoglycemic meds fail to keep a normal glucose level, then insulin injections will be required for type 2!

Biguanides (Metformin) reduce glucose production from the liver!

After Cleft repair, Have parents provide care, particularly feeding, which is viewed as a nurturing function!

Each insulin works at a different pace and most children will use more than 1 type!

In the immediate postop period of cleft lip repair how should you position the child 2 maintain integrity of repair?

Insulin administration education includes? Select all that apply

After cleft lip repair gently aspirate secretions of a mouth and nasopharynx to prevent?

After cleft palate repair you need to ensure maintenance of IV fluids until infant is able to eat/drink!

After cleft palate repair you need to closely observe for? Select all that apply

In an infant with cleft how can you prevent complications with speech and language? Select all that apply

What info could you give a new mother for a baby with cleft palate with or without cleft lip? Select all that apply

Cleft nipple-Parent and surgeon preference determines method of feeding!

After cleft palate repair you need to provide clear liquid diet for?

Postop care for Meckel diverticulum? Select all that apply

Meckel’s diverticulum complications-require surgical correction to remove the diverticulum itself!

During a physical exam for Meckel diverticulum you will find? Select all that apply

What is a physical finding with cleft lip?

Cleft-burp well to expel excess air taken in during difficult sucking!

Administered daily subcutaneously, 2 or more times with dosage depending on needs of the child?

What are physical findings with cleft palate?

Nursing actions for insulin administration? Select all that apply