NUR 507 Exam 4
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NUR 507 Exam 4
A child whose parents have refused vaccines has been exposed to
chickenpox, and the parents
ask whether the child may attend day care. What will the primary care pediatric
nurse
practitioner tell them?
d. The child should stay home if any symptoms occur and may return in 1 week if no
rash
develops.
An 18-month-old child who developed upper respiratory symptoms 1 day prior
is brought to the
clinic with a high fever, chills, muscle pains, and a dry, hacking cough. A rapid
influenza test is
negative and a viral culture is pending. What will the primary care pediatric
nurse practitioner
do?
c. Prescribe oseltamivir and follow closely
The primary care pediatric nurse practitioner is reviewing medical records for
a newborn that is
new to the clinic. The toddler's mother was found to be HIV positive during her
pregnancy with
this child and received antiretroviral therapy during pregnancy. The child was
born by cesarean
section, begun on antiretroviral prophylaxis, and did not breastfeed. What is
the correct
management for this child?
a. Consult with a pediatric HIV specialist.
A 3-year-old child whose immunizations are up to date has been exposed to
measles because of a
localized outbreak among unvaccinated children. The parent reports that
contact with infected
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children occurred within the last 2 days at a birthday party. What is the best
course of action?
a. Administer the MMR vaccine to help prevent disease.
A preschool-aged child is brought to clinic for evaluation of a rash. The
primary care pediatric
nurse practitioner notes an intense red eruption on the child's cheeks and
circumoral pallor. What
will the nurse practitioner tell the parents about this rash?
d. Expect a lacy, maculopapular rash to develop on the trunk and extremities.
An unimmunized school age child whose mother is in her first trimester of
pregnancy is
diagnosed with rubella after a local outbreak. What will the primary care
pediatric nurse
practitioner recommend?
a. Assessment of maternal rubella titers
A child is brought to the clinic with a fever, headache, malaise, and a red,
annular macule
surrounded by an area of clearing and a larger, erythematous annular ring. The
child complains
of itching at the site. What will the primary care pediatric nurse practitioner do
to determine the
diagnosis?
a. Ask about recent tick bites
A child whose family has been camping in a region with endemic Lyme
disease suffered several
tick bites. The parents report removing the ticks but are not able to or the
length of time the ticks
were attached. The child is asymptomatic. What is the action?
d. Teach the parents which signs and symptoms to report.
A 10 month-old infant has an erythematous, fluctuant, nondraining abscess on
the right buttock
after 10 days of treatment with amoxicillin for impetigo. What is the next step
in managing this
infant's care?