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what is the difference between primary and secondary vesicoureteral reflux?

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what is the difference between primary and secondary vesicoureteral reflux?

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I have gotten some questions on vaccines.

I like this chart visually. It makes sense in my brain. But find one that works for you.

The important thing to know is by month, what vaccines should each child receive. So if someone comes to you and says they have gotten all of their shots up to 3 months what shots have they received?

There are only a few vaccine questions and I think they are pretty fair so dont spend too much time on this.

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From a student: When would we give the 3rd dose of Hib? 6 months When would we give the 3rd or 4th dose of Hib? 12-15 month

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From a student: When would we give the 3rd dose of Hib? 6 months When would we give the 3rd or 4th dose of Hib? 12-15 month

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From my understanding this is manufacture dependent. This is an excerpt from the CDC.

It is important to know that they get their first dose at 2 months. They can get the second at 3 months. And then a booster between 12-15 months.

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SHOULD WE KNOW ABOUT THE LAIV3 influenza shot?

I would just know that children should get a yearly flu shot.

When do we give the 2 dose series of HeP A? 12-23 months

correct 12-23 months with at least 6 months in between

When do we give the HPV vaccine? 11-12 years

Correct, This is what the CDC recommends. This one has a little more wiggle room.

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From a student: Ati says we can tell parents 6m can have 6oz fruit juice but you said no

This is a hot topic and the guidance has changed back and forth a bit. Currently the CDC says that a child under 12 months should not have juice.

Some pediatricians may say that from 6-12 months they can have 4oz of juice but it must be diluted as 50% juice, 50% water.

The main concern with too much juice or water for a child is that it is not a calorie dense fluid to meet their metabolic demand. Additionally the sugar in juice creates a risk for dental caries.

Personally, I dont see the benefit of giving a child under 12 months old diluted juice.

For your exam it is safe to say that avoiding juice under 12 months is recommended as that is the CDC guidance.

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Hi, how in depth should we get with developmental milestones? There is a lot for us to study and it would be nice if we can narrow some of it down.

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Hello - there are 5 top causes to infant mortally (congenial malformations, LBW, birth/maternal complication, SIDs and unintentional injuries). Can you please clarify which out of the top 5 is the highest risk? Thank you!

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are there specific RN treatment/interventions to give to a vesicoureteral reflux patient? 

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are there specific RN treatment/interventions to give to a vesicoureteral reflux patient? 

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What is the range of vital signs we should know as the ATI book has all different for different genders?

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Do you have any recommendations on how to remember what precautions a patient should be on for the childhood illness we need to know about?

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In my ATI book on page 32 it says a 5 year old should be able to throw a ball overhead. Can you clarify if its 5 years or 18 months? Thanks so much!

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Hi, for the communicable diseases which name should we know? or are we going to have both names present on the exam?

For instance, Fifth disease is also called erythema infectiosum.

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Hi! we were provided this table for vaccines and were told to know the yellow. Myself and many others are learning the "B DR HIP" mnemonic provided in blackboard but that does not include the COVID or RSV vaccine. I am wondering if a question was asking "how many vaccinations can an infant get at birth?" would the answer be 1 (hepB) or 2 (hep B and RSV)? similarly with adding the COVID vaccine into the 6 month category. Thanks!

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is there specific nursing care that we can give to patient with phimosis?

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is there specific nursing care that we can give to patient with phimosis?

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whats the difference between non communicating vs communicating hydrocele? 

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whats the difference between non communicating vs communicating hydrocele? 

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Will there be another review session for the upcoming (02/25) test #2?

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On slide 12 of the renal ppt, can you explain why an upper UTI would usually not have systemic manifestations? I thought a fever could indicate pyelonephritis. Thanks!

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Whats the difference between Obstructive Uropathy and Posterior Urethral Valve and VUR

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Hi! The respiratory PowerPoint says OTC remedies are not recommended for URIs on slide 6. However, the notes on that slide say antipyretics for comfort, cough suppressants for dry cough, and decongestants for nasal passages. Just looking to clarify whether these OTC products are recommended or contraindicated. Thanks Kaylee!

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What are the early signs and symptoms of heart failure? How do they compare to late signs and symptoms?

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just wanted to make sure if a patient is having a blood transfusion reaction the RN should stop the transfusion, make sure the IV is patent, flush with normal saline, and notify the provider? 

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just wanted to make sure if a patient is having a blood transfusion reaction the RN should stop the transfusion, make sure the IV is patent, flush with normal saline, and notify the provider? 

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should we know about how the blood flows in the heart before and after birth?

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should we know about how the blood flows in the heart before and after birth?

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My notes say that infants should never get more than 1ml of digoxin, and if they are perscribed more call the provider because it is most certainly an error. Is this true for toddlers, school age children as well?

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Hello,

Should we be able to connect the heart murmur description to the defect?

Thank you!

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How in depth do we need to know the brain tumors in children? Dr. Denhup had posted a picture with the pathophysiology with supratentorial and infratentorial

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would it be within our best interest to understand the different pathways & involvements or is this getting too in detailed?

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Are all postop appy patients NPO after surgery? (rupture vs non rupture) and are they both hooked up to NG/suction? I was confused if the NG with suction and NPO was just for a ruptured appy. thanks!

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do we have to know/memorize the GCS chart for the final exam? or just know under 8 they would be intubated, 3 is brain death and 15 is the best score.

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Should we know the different types of tractions and braces or just more an overview of nursing care for them?

Thanks!!