Nursing Care of the Child Born With a Physical or Developmental Challenge

These flashcards cover essential concepts and management strategies regarding children born with physical or developmental challenges, focusing on commonly affected systems.

What are the commonly affected systems in children born with physical or developmental challenges?

Skeletal, Gastrointestinal, and Nervous Systems.

What congenital condition involves absent or malformed extremities?

Skeletal system abnormalities.

What is craniosynostosis?

Premature closure of the sutures of the skull.

What assessment should be done for craniosynostosis?

Palpate newborn cranial suture lines and fontanelles.

What are the components of Pierre Robin sequence?

Micrognathia, cleft palate, and glossoptosis.

What is the assessment for ankyloglossia?

Assess for difficulty with feeding.

What is the management for cleft lip and palate?

Surgical intervention often with revisions as the child grows.

What is the significance of the esophageal atresia assessment?

It needs to be ruled out in any baby born with polyhydramnios.

What symptoms indicate possible esophageal atresia?

Cough, aspiration, choking, tachypnea, and copious mucus.

What is hydrocephalus?

Excess cerebrospinal fluid in the ventricles or subarachnoid space.

What are the signs of increased cranial pressure in infants?

Increased head circumference, lethargy, irritability, and hyperactive reflexes.

What is the management for hydrocephalus?

Acetazolamide (Diamox), shunt placement, and monitoring.

How is Spina bifida occulta assessed?

Look for dimpling, abnormal hair tufts, or discolored skin along the spinal tract.

What is the treatment approach for spinal cord abnormalities?

Collaborative approach involving multiple specialists.

What surgical intervention is required within 24 hours for gastroschisis?

Surgery to cover and protect exposed organs.

What dietary intervention may be needed for babies with cleft lip and palate?

Special feeding bottles to accommodate feeding difficulties.