Certified Pediatric Emergency Nurse (CPEN) Practice Exam 2025 – All-in-One Guide to Master Your Certification!

The presence of "moon facies" is indicative of possible steroid use or Cushing's syndrome in a pediatric assessment. Moon facies refers to the characteristic rounding of the face due to fat redistribution, which is commonly associated with the use of corticosteroids or the endogenous overproduction of cortisol seen in Cushing's disease.

In children, prolonged exposure to corticosteroids, whether through medication or other medical conditions affecting hormone production, can lead to a variety of physical changes, including the development of moon facies. These changes occur due to the accumulation of fat deposits in the facial region, leading to the typical full appearance of the cheeks and rounded shape of the face.

Recognizing moon facies is crucial for pediatric healthcare providers, as it may prompt further investigation into the child's underlying medical condition and medication history, particularly regarding endocrine disorders or chronic steroid therapy. Understanding this manifestation helps in identifying and addressing health concerns effectively.