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peds DB

Week 2 Discussion Part I

Table 1

What is the Rome IV criteria for functional constipation in infants and children?

List possible physiologic and psychosocial factors related to encopresis

Physiologic

Psychosocial

1.

1.

2.

2.

3.

3.

4.

4.

5.

Table 2

Neonatal Jaundice

Jaundice Appears

Jaundice Disappears

Peak Bilirubin Concentration (days)

Diagnostic Studies

Management and Prevention

Physiologic

Full-term

Premature


Table 3

Breast feeding, Infant Nutrition, Postpartum Depression

Complete the information requested.

What is the American Academy of Pediatrics recommendation for breastfeeding?

How much weight loss is common after birth – what percentage? ________

Newborns should regain birth weight by ______ (when?)

What do the Letters PURPLE stand for:

Birth weight _________ at 6 months and _______ at 12 months.

How does one distinguish caput succedaneum and cephalohematoma? What percentage of mothers experience “baby blues” after birth?

What percentage of mothers experience “baby blues” after birth?

What screening tool/scale is used to identify mothers at risk for perinatal depression?

What is the daily dose for vitamin D in an infant? Breast milk or formula contains________ calories per ounce?

Breast milk or formula contains________ calories per ounce?

When can infants start solid foods?

What are 5 principles for the introduction of solids into an infant’s diet?

How long should newborns avoid cow’s milk and why?

What are the clinical findings of dehydration in infants?


Table 4

Common Infectious Diseases in Children

Complete the table

Name

Clinical Features

Differential Diagnoses

Treatment/Management

Herpes Simplex Virus

Mononucleosis

Roseola Infantum (Exanthem Subitum)

Varicella

Influenza

Measles (Rubeola)

Mumps

Erythema Infectiosum (Fifth disease)

Rubella

Table 5

Fundamental Principles of Prescribing Medication for Pediatric Patients

What are the 4 key fundamental principles to consider when prescribing medications for children?

1.

2.

3.

4.

Mr. and Mrs. Escandar have brought in their 4-day-old infant boy for a newborn exam. The mother and father are concerned that their baby seems to be crying excessively and appears to be “hungry all the time.” The mother reports that she exclusively breastfeeds her infant. The infant is measured and weighed; you estimate that he has lost 5% of his birth weight. On exam, you notice caput succedaneum and jaundice.

· What should the APRN tell the parents about the baby’s 5% weight loss and crying?

· How many wet and soiled diapers should the baby have at 4 days old?

· How would you manage this baby’s jaundice?

· What more should the APRN know about the baby–mother dyad breastfeeding experience?

· What anticipatory guidance would the APRN provide Mr. and Mrs. Corrigan?

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