Week 4 Pediatrics

Minute to Win It

Infectious Disease and Eyes/ Ears

In one minute, see if you can remember the treatment for the following diseases:
-viral illness
-MRSA
-Lyme disease
-Rabies
-Acute Otitis Media
-Strabismus

Let's Think....

In groups of 3-5, you will be assigned either neurological or musculoskeletal

1. What are common assessments that a nurse would do for a child related to your assigned body system?

2. List 3 common s/s you would see that would tell you something was wrong with your body system.

3. List 3 diseases you know related to your body system that you think would be common in children.

Multiple Choice

The nurse is assisting with testing on a newborn suspected of having a neural tube defect. Which diagnostic test would be used to confirm this condition?

• Lumbar puncture

• Electroencephalogram

• Fluoroscopy

• Magnetic resonance imaging (MRI)

Multiple Choice

The nurse observes a child for neurologic disorders. What is the earliest indicator of improvement or deterioration of neurologic status?

• Vital signs

• Level of consciousness

• Motor function

• Reflexes

Multiple Choice

The nurse is collecting data on an 18-month-old child admitted with a new diagnosis of possible seizures. When interviewing the caregivers, which questions would be most important for the nurse to ask?

• “Is your child up to date on his immunizations?”

• “Has anyone in your family been sick recently”

• “What type of activities was your child doing today?”

• “Have you checked your child's temperature?”

Multiple Select

The nurse is caring for a hospitalized infant at risk for developing increased intracranial pressure. Which assessment finding(s) would the nurse communicate to the health care provider for further intervention? Select all that apply.

• increased head circumference

• pulse rate of 60 beats/min and regular

• vomiting

• blood pressure decreased from baseline

• parent states, "My infant does not act right"

Multiple Choice

A nurse is caring for a newborn with a myelomeningocele. Which intervention is the priority in the care of the infant’s sac?

• Cover the sac with a dry, sterile gauze dressing

• Position the infant supine to avoid pressure on the sac

• Apply a moist, sterile, non-adherent dressing over the sac

• Clean the sac with betadine to prevent infection

Multiple Select

The nurse is assessing a young boy who has been brought to the health care provider for mobility and balance issues by his parents. Which findings are positively associated with the presence of Duchenne muscular dystrophy? Select all that apply.

• Serum creatine kinase levels are elevated.

• An electromyogram demonstrates the problem is within the nerves, not the muscles.

• A muscle biopsy shows an absence of dystrophin.

• The child is unable to rise easily into a standing position when placed on the floor.

• Genetic testing indicates the presence of a gene associated with spinal muscular atrophy.

Multiple Choice

A school nurse is performing scoliosis screenings for a group of adolescents. Which finding should prompt the nurse to refer a child for further evaluation?

• Equal shoulder height and a straight spine when bending forward

• A slight curve that disappears when the child sits

• One shoulder blade that appears more prominent than the other when bending forward

• A mild curve of the spine in a 4-year-old child

​Let's Review

1. You will receive a card with the name of a disease we learned today

2. Write three "clues" about your disease on the back that would help your classmates guess what the disease is

3. We will take turns sharing your clues and letting the rest of the class guess the disease

• Spina bifida

• Developmental Dysplasia

• Scoliosis

• Cerebral Palsy

• Muscular dystrophy

Musculoskeletal

• Epilepsy

• Hydrocephalus

• Meningitis

• Trauma

• Reye syndrome

Neurological

Possible diseases...

Check in with Ryan...

7 month old, 7kg

Ryan's father brings him to the pediatrician for his routine check up. As you are talking with the father, he father mentions that he is concerned because he hears a clicking noise when he changes Ryan's diaper. He also mentions that his legs appear to be different lengths.

1. What additional questions should you ask the father?
2. What additional assessments might you perform?

You perform the Barlow and Ortolani measures and hear a "clunk" while abducting the hip. You also notice that there is an uneven fold in the skin fold of Ryan's thighs.


1. What do you think Ryan will be diagnosed with?
2. Would you like to do any further tests to confirm your diagnosis?

You confirm the diagnosis of developmental dysplasia of the hip with a hip x-ray. The provider orders a Pavlik harness to treat the disorder. The father has never heard of the harness before and asks you how to use it.

1. What would you teach the father about proper use and maintenance of the harness?
2. What complications should you teach the father to monitor in Ryan while wearing the harness?
3. How will you teach the father to manage mobility concerns while Ryan is wearing the harness?

Medication Calculation..

Ryan also received vaccines at his appointment and her father is worried about him being uncomfortable. You see that the doctor ordered ibuprofen for Ryan in case of irritability or a fever. You know that the safe dose of ibuprofen is 6-10mg/kg. What would be a safe dose for the provider to order?

The provider orders: 70mg of ibuprofen Q6hr prn. The father has liquid ibuprofen at home that is 100mg/5mL.


How much ibuprofen would you instruct the father to give Ryan? When should he give it?