Peds 3--GI & Caring in Diverse Settings

Imagine you're a superhero nurse in the bustling world of Acute Care City! A young sidekick has just zoomed into your care station, battling the sneaky villain known as Dehydration. Your mission: to select the magical elixirs that will restore our hero's hydration levels and defeat Dehydration once and for all. Which of these powerful potions will you choose? (Select all that apply.)

• Lactated Ringer's

• 0.45% normal saline

• 0.9% normal saline

• 10% dextrose in water (D10W)

• 5% dextrose in water (D5W)

Answer explanation

Lactated Ringer's and 0.9% normal saline are the correct choices to restore hydration levels and defeat Dehydration.

Imagine you're a superhero nurse caring for a cute 6-month-old sidekick who's battling the evil duo of diarrhea and dehydration. Amidst this chaos, the concerned parent points out some mysterious patches on the child's tongue. Your mission: Identify the sign that reveals these patches as the work of the notorious Geographic Tongue, not the deceptive Thrush.

• There are white patches on the erupted teeth, signaling a call for dental superheroes.

• The patches are thick, white plaques on the tongue, as if painted by a villain.

• There are plaques on the buccal mucosa, a secret hideout for trouble.

• The patches are light in color on the tongue, a clue to the true nature of our foe.

Answer explanation

The patches are light in color on the tongue, a clue to the true nature of our foe.

Imagine you're a superhero nurse caring for a brave 5-year-old adventurer who's battling a fever and mysterious abdominal pain. The child's sidekick (parent) is super worried because our little hero doesn't want to eat. Which villainous symptom points to the sneaky Appendicitis Monster instead of the common Stomach Bug Beast?

• The child is facing a towering high fever and a headache as sharp as a sword.

• The child is wrestling with a sore throat and body aches as if they've been on a long quest.

• The child is challenged by pain in the lower right abdomen, the secret lair of the Appendicitis Monster.

• The child is battling a runny nose and cough, signs of an encounter with the Cold Dragon.

Answer explanation

The correct choice is the child is challenged by pain in the lower right abdomen, the secret lair of the Appendicitis Monster.

Let's dive into a medical mystery! Imagine you're a detective nurse reviewing the case of a little superhero with a cleft lip and palate. As you sift through their medical history, can you spot the clue that might explain how this condition came to be?

• Was it a history of battling dragons, I mean, hypoxia at birth?

• Could it be the potion of acetaminophen the mother took in the third trimester?

• Or was it the wisdom that comes with the mother's age of 42 years during pregnancy?

• Perhaps, was it the adventure of arriving in this world a bit too early, also known as preterm birth?

Answer explanation

The correct choice is the wisdom that comes with the mother's age of 42 years during pregnancy, as advanced maternal age is a risk factor for cleft lip and palate.

Hey there! Imagine you're a super nurse caring for a superhero child with celiac disease. The child and their super parents have just zoomed through a class with other amazing families dealing with the same power. Which of these statements made by our superhero child or their incredible parents sounds like they might need a bit more of your superhero guidance? (Pick all the super answers that apply!)

• 
  "To keep my powers strong, I must stick to eating only 100% whole grain foods."

• "I'm keeping my fingers crossed that they'll discover a super cure for celiac disease someday."

• "Celiac disease is just like the gluten intolerance everyone in the superhero world is chatting about these days."

• 
  "I adore pasta, so it's totally fine if I just have it on rare super occasions, right?"

• 
  "Since I'm battling celiac disease, my brother and sister might be next in line to join this superhero challenge."

Answer explanation

The correct choices are: 'To keep my powers strong, I must stick to eating only 100% whole grain foods', 'Celiac disease is just like the gluten intolerance everyone in the superhero world is chatting about these days', and 'I adore pasta, so it's totally fine if I just have it on rare super occasions, right?' These statements show a need for guidance on understanding the specific dietary requirements for celiac disease and the difference between celiac disease and gluten intolerance.

Imagine you're a superhero nurse crafting a super-care plan for a tiny hero just out of surgery, stationed in a grand hospital fortress that rarely shelters young champions. What ingenious strategy would you include to guarantee the infant's safety in this vast realm?

• Transform the infant into a mobile sidekick by placing her in a carrier and whisking her off to the nurses' command center.

• 
  Secure a safe haven for the infant right next to the nurses' command center, ensuring she's under vigilant watch.

• Summon the infant's family guardians to stand watch over her at all times, ensuring her protection.

• Ally the infant with an ambulatory adolescent hero, placing them in the same room for mutual support.

Answer explanation

The correct choice is to secure a safe haven for the infant right next to the nurses' command center, ensuring she's under vigilant watch.

How can a 10-year-old superhero keep their powers sharp while staying in a hospital fortress for a long time?

• 
  Staying on top of their secret mission briefings (schoolwork)

• Deciding when to take their superpower rejuvenation bath (choosing bath time)

• Keeping a log of their daily energy intake (writing down oral intake)

• Strategizing with the child life specialist to defeat boredom villains (playing board games)

Answer explanation

Staying on top of their secret mission briefings (schoolwork) is important for the 10-year-old superhero to keep their powers sharp while staying in the hospital fortress for a long time.

Let's make the hospital stay a bit more fun! Can you help pick out the best play activities for toddlers to keep their development on track? Choose all the fun options!

• Stacking colorful blocks into tall towers

• Gazing at a bright, spinning mobile above

• Laughing while batting balloons back and forth

• Chugging along with a toy train adventure

• Solving a mystery with a large-piece puzzle

Answer explanation

The best play activities for toddlers to keep their development on track are stacking colorful blocks into tall towers, chugging along with a toy train adventure, and solving a mystery with a large-piece puzzle.