final

Fractures in multiple phases of healing, stories don’t match, delay seeking ER care 

Exacerbation of chronic asthma 

No, cupping is not child abuse 

Dental caries (cavities) 

Date, location, lot, expiration, manufacturer, education provided 

State of illness or frequency of disease in a population 

Kids with gastroenteritis 

Thelarche (breast budding) 

Testicular enlargement and thinning of the scrotum 

Abstinence and condoms 

Call poison control and go to ER 

Immunizations 

Screenings 

Prevent worsening of disease 

Adequate nutrition 

Some substances cause more harm coming back up 

Separated sutures, oblique fissures, depressed nasal bridge, protruding tongue, transverse palmar crease, hypotonia 

Duration, travel, meds used, exposures 

Kids with multiple surgeries, spina bifida, hydrocephalus with VP shunts 

Shaken baby syndrome 

Teach at the developmental age they function at 

Protect from harm 

No, first seizure does not diagnose epilepsy 

Administer slowly IV at Y-site closest to child 

Bulging fontanel, nausea, feeding intolerance, large head circumference, high-pitched cry, irritability 

Droplet until 24 hours after antibiotics start 

To prevent increased cranial edema 

Yes, seizures can still occur 

Optimal function and mainstreaming into society 

Skin breakdown, pressure points, redness, swelling, intact padding 

Stridor, wheezing, dyspnea, hypotension, hives, angioedema, shock signs 

Calculate burn percentage 

Airway 

Currant jelly stools, abdominal pain, distention, sausage mass 

Otitis media; elbow restraints needed 

Assess feeding patterns (overfeeding) 

Doxycycline 

Live to ~30; decreased auditory acuity 

Give booster 

Drinks a lot of diet Coke 

Pain, swelling, bruising, limited movement, partial bend 

Possible abuse; severe pain, swelling, deformity 

Broken bone with intact skin 

Bone breaks skin; high infection risk 

Gower’s maneuver 

Body image concerns 

Do not stop abruptly; taper 

Screen family members 

Pedialyte or electrolyte solution; sugar-free Gatorade 

Dehydration and heat exposure 

Breathing worsening—take emergency dose and get help 

Bed sharing, secondhand smoke, soft mattress 

Fluids and rest; infection spread precautions 

Pulmonary function tests 

Heat or cool compress 

Parent stays at bedside to reduce stress 

Blow bubbles or blow out penlight 

Get the flu shot 

3 months 

Genetic deficiency of factor VIII 

Hemarthrosis 

RBCs collapse, crescent-shaped, sticky 

Thinks they are being punished 

Yes, normal response 

Wilm’s tumor 

Before chemotherapy 

FLACC infants–7, Faces 3+, Numeric 7+, Oucher culturally adapted 

Pain relief for infants during heel stick 

Additive effect → lower opioid dose needed 

Potassium 

60 

PDA + weak pulse; TET + low Hgb; Aortic stenosis + obstruction; VSD + ↓ pulmonary flow 

Clubbing 

Knee-to-chest position 

Squatting 

VSD 

PDA 

Check for bleeding under buttocks 

Do not re-dose if child vomits 

Decreased urine output, irritability, fever 

Improve care quality, safety, outcomes, and decision-making 

Primitive reflexes, symmetrical movement, reactive pupils, soft fontanelles 

Encourage activities they enjoy 

Motor vehicle accidents 

Plagiocephaly 

(Text did not specify toy) 

Call it a “special picture” 

Childhood obesity 

Identify illnesses and prevent complications into adulthood