NSG6435 Week 5 Assignment 4 Midterm Exam / NSG 6435 Week 5 Midterm Exam -Family Health - Pediatrics

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NSG6435 Week 5 Assignment 4 Midterm Exam / NSG 6435 Week 5 Midterm Exam -Family Health - Pediatrics- South University Question 1. The incidence of congenital heart defects is estimated to be _______... _ of all live births. 2. 2 Breastmilk can be safely stored in a freezer below 0 degrees Fahrenheit for how long? 3. 3 Which foreign body needs immediate removal from a five-year-old boy’s nose? 4. 4 The most useful diagnostic test in delayed puberty is _____________________. 5. 5 An average vision of a two-year-old child is approximately: 20/150 20/400 6. 6 A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. You would expect which treatment to have been prescribed? 7. 7 An adolescent with a chronic asthma cough notes that symptoms are usually worse _____________. at 8. 8 An average adolescent female usually experiences her biggest growth spurt at approximately what age? 9. Question 9 If an adolescent has a bone age of 10 but is actually 13 years of age, this patient has ______. 10. 10 Gardasil results in greater antibody responses for females who are administered the three-dose series between what ages? 11. 11 An eight-year old has chronic intermittent nasal congestion. All but which of the following would support allergic rhinitis? 12. 12 A fifteen-month old failed treatment with amoxicillin for an otitis media. At his two-week recheck, his tympanic membrane remained red with distorted landmarks and he persisted with nasal discharge that is thick and yellowish. The best action for the nursing practitioner should be to prescribe: 13. 13 An infant should be able to say his or her first word by: 14 The latter part of adolescence includes the ability to develop ________ and _______ means to be a part of society. 15 A fourteen-year-old adolescent presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have ____________. 16 A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses? 17 ______________ adolescents should be screened for sexually transmitted diseases. 18 An infant should no longer have a head lag when pulled from the supine to sitting position at what age? 19 ____________ should be given as a supplement in the management of delayed puberty. 20 Parents or guardians of adolescents should ___________________. 21 How does cultural sensitivity impact the care of infants in the primary care setting? 22 The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________. 23 A 10 yo has a single painful ulcerated lesion on an erythematous base on the inner buccal mucosa. The most likely diagnosis and treatment would be: herpes simplex stomatitis-- 24 A 9 month old is noted to have a bifid uvula. This would increase his risk of developing which disorder? 25 All of the following may predispose a patient to thrush except: 26 Patients with sinusitis should be instructed not to participate in what activity? 27 What complication of sinusitis are adolescent males more prone to? 28 Acceptable management options for allergic rhinitis include all of the following except 29 A 7 yo has experienced recurrent nose bleeds in the past 2 months. What finding on the physical exam would suggest an underlying medical cause for the epistaxis? 30 A 2 yo male with a history of chronic serous OM is noted to have a pearly white opacity in the upper outer quadrant of his TM. He currently has no symptoms and appears to be ok. The most likely diagnosis and appropriate managment would be: 31 A 15 mo failed treatment with amoxicillin for OM. At his 2 week re-check his TM remained red with distorted landmarks and he persisted with nasal congestion, poor sleep, and fever. The next best step would be to treat with: 32 All but which one of the following patients are at an increased risk of developing otitis media? 33 Patients with otitis externa should be instructed to do which one of the following: 34 A 10 yo has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present. TM is normal. How should this be managed? 35 A 16 yo was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5/10 eye pain. All but which of the following would be appropriate to obtain at this time 36 The greatest risk in a patient with a hyphema is which of the following? 37 Corneal abrasions can be managed with topical application of which of the following: 38 Trauma to the eye increases the risk of developing all but which one of the following? 39 Fluorescein staining of the eye is used to detect a: 40 Prematurity increases the risk of developing which one of the following? 41 A 3 month old has a mild asymmetrical corneal light reflex on physical exam. What is the next appropriate step? 42 Which of the following may cause microcephaly? 43 What finding may accompany macrocephaly? 44 Obtaining a CT of the head would be indicated in which of these conditions? 45 Which one of the following conditions increases the risk of developing hydrocephalus? 46 A conjunctivitis appearing in a 2 day old newborn is likely due to: 47 Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of the following? 48 Which one of the following eye findings would be considered an ophthalmic emergency? 49 The most appropriate management of a 5 yo with a firm, nontender nodule in the mid-upper eyelid for 3 weeks would be: 50 Daily eyelid cleansing with diluted baby shampoo and a cotton tipped applicator would be appropriate in the treatment of which one of the following conditions? 51 A 3 year old has an edematous, mildly erythematous right upper eyelid for one day with a fever of 103. An important eye assessment would be: 52 Concurrent otitis media and conjunctivitis is likely due to which organism? 53 A 16 yo girl makes the following statements to you during her health visit. Which of the following pieces of information should not be kept confidential? 54 In performing a physical examination on a nine month old infant, which of the following developmental fears would not be appropriate for you to consider? 55 When performing a physical examination on a toddler, which of the following body parts would you examine last: 56 Role play with equipment during the course of a physical examination would be most beneficial with which of the following age groups: 57 Providing reassurance of "normalcy" during the course of an examination would be most important for: 58 Which of the following would not elevate the pulse of a child: 59 The PNP recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk? 60 Blood pressure should be measured at WCC beginning at age: 61 A wide pulse that results from a high systolic blood pressure is usually not due to which of the following: 62 Head and chest circumferences should be equal at: 63 The anterior fontanel usually closes by: 64 Diffuse edema of the soft tissue of the scalp which usually crosses suture lines in the newborn is: 65 An infant should no longer have head lag when pulled from the supine to sitting position at what age? 66 "Boggy" nasal mucous membranes with serous drainage upon examination usually suggests 67 A white instead of red reflex upon eye examination of a 1 yo child would suggest: 68 A cobblestone appearance of the palpebral conjunctiva usually indicates: 69 An eye that deviates in when covered but returns to midline when uncovered is an: 70 Pain produced by manipulation of the auricle or pressure on the tragus suggests: 71 A hypernasal voice and snoring in a child is suggestive of: 72 Physiological splitting of the second heart sound during inspiration in a child: is 73 Which of the following is not characteristic of innocent heart murmurs in children? 74 A grade II musical or vibratory murmur heard best at the lower left sternal border that changes with positioning is suggestive of a: 75 Wheezing in a child may not be found in which of the following conditions: 76 Gynecomastia in a male may not be a finding in which of the following: 77 Which of the following would usually not be considered a sign of a pituitary tumor in an adolescent female? 78 Which of the following is not a specific examination test for a dislocated hip? 79 In addition to the knee, which of the following should be examined in a child complaining of knee pain? 80 Which of the following infant reflexes should not disappear by 6 months of age? 81 Spasticity in an infant may be an early sign of: 82 A shift to the left is present when which of the following are elevated? 83 Which of the following is usually elevated with viral infections? 84 Decreased platelets may not be found in which of the following: 85 Which of the following does not suggest a urinary tract infection? 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