FNP PEDIATRIC FINAL SCRIPT PAPER 2026
VERIFIED SOLUTIONS FULL CONTENT
◉ What effects global food
Answer: Hunger and under-nutrition occur without access to safe,
nutritious foods
Climate change and its effects on crops and food
distribution
Undernutrition an important determinant of maternal/child health
Breastfeeding increases survival rates
◉ American Academy of Pediatrics recommendation for
preventative pediatric health care
Answer: Uncoupling of periodicity of visits and immunizations to a
greater emphasis on healthy growth/developmental surveillance
◉ Health literacy Chpt 2
Answer: All children need nurturing and attention from adults in
their lives
Mother's education levels, beliefs/attitudes about health, health
practices affect health of children
,Parental stress/mental illness affect health care
Maternal depression in 1st year of life associated with
poor caregiving leading to poor language
development
Maternal depression predictive of asthma symptoms
in inner-city African-American families
Lack of consistent, affectionate attention can have devastating
results
"Poor fit" between child and adult can cause later social adjustment
issues
◉ Otitis Media signs and symptoms/ treatment
Answer: Accurate diagnosis
Rapid onset of otalgia, middle ear effusion
Confirmed with pneumatic otoscopy/tympanogram
signs of middle ear inflammation
Pain management
Antipyretics/analgesics
Distraction, oil application, external heat/cold
Initial observation versus antibiotics
Appropriate antibiotic choice
•Amoxicillin
,•Augmentin
Preventive measures
Plan for recurrence
•Referral if indicated
◉ Pressure-Equalizing Tubes
Answer: Clinical practice guidelines - refer if recurrent AOM 3
times/6 months or 4 times/year
◉ otits externa signs and symptoms
Answer: Diffuse inflammation of external ear canal (EAC); may
involve pinna, TM
Simple infection - edema, discharge, erythema
Furuncles or small abscesses in hair follicles
Impetigo or infection in superficial epidermis
Most frequently by retained moisture in EAC
Usually acidic environment changes to neutral or
basic
Chlorine kills normal ear flora
Regular cleaning removes the cerumen barrier
Soap, local trauma, sweating, allergy, stress can
, contribute
P. aeruginosa, S. aureus most common; may be polybacterial
◉ otitis externa treatment
Answer: inflammation of the outer ear
Eardrops: cipro; acetic acid drops might be effective in mild
episodes; antibiotics with steroid otic drops are the treatment of
choice. Symptoms should be improved in 7 days but can take up to 2
weeks.
Avoid ototoxic drops if risk of perforation
Systemic antibiotics not used unless severe
Thorough patient education about drops
Use a wick if significant swelling
Avoid cleaning, manipulating, getting water into ear - no swimming
VERIFIED SOLUTIONS FULL CONTENT
◉ What effects global food
Answer: Hunger and under-nutrition occur without access to safe,
nutritious foods
Climate change and its effects on crops and food
distribution
Undernutrition an important determinant of maternal/child health
Breastfeeding increases survival rates
◉ American Academy of Pediatrics recommendation for
preventative pediatric health care
Answer: Uncoupling of periodicity of visits and immunizations to a
greater emphasis on healthy growth/developmental surveillance
◉ Health literacy Chpt 2
Answer: All children need nurturing and attention from adults in
their lives
Mother's education levels, beliefs/attitudes about health, health
practices affect health of children
,Parental stress/mental illness affect health care
Maternal depression in 1st year of life associated with
poor caregiving leading to poor language
development
Maternal depression predictive of asthma symptoms
in inner-city African-American families
Lack of consistent, affectionate attention can have devastating
results
"Poor fit" between child and adult can cause later social adjustment
issues
◉ Otitis Media signs and symptoms/ treatment
Answer: Accurate diagnosis
Rapid onset of otalgia, middle ear effusion
Confirmed with pneumatic otoscopy/tympanogram
signs of middle ear inflammation
Pain management
Antipyretics/analgesics
Distraction, oil application, external heat/cold
Initial observation versus antibiotics
Appropriate antibiotic choice
•Amoxicillin
,•Augmentin
Preventive measures
Plan for recurrence
•Referral if indicated
◉ Pressure-Equalizing Tubes
Answer: Clinical practice guidelines - refer if recurrent AOM 3
times/6 months or 4 times/year
◉ otits externa signs and symptoms
Answer: Diffuse inflammation of external ear canal (EAC); may
involve pinna, TM
Simple infection - edema, discharge, erythema
Furuncles or small abscesses in hair follicles
Impetigo or infection in superficial epidermis
Most frequently by retained moisture in EAC
Usually acidic environment changes to neutral or
basic
Chlorine kills normal ear flora
Regular cleaning removes the cerumen barrier
Soap, local trauma, sweating, allergy, stress can
, contribute
P. aeruginosa, S. aureus most common; may be polybacterial
◉ otitis externa treatment
Answer: inflammation of the outer ear
Eardrops: cipro; acetic acid drops might be effective in mild
episodes; antibiotics with steroid otic drops are the treatment of
choice. Symptoms should be improved in 7 days but can take up to 2
weeks.
Avoid ototoxic drops if risk of perforation
Systemic antibiotics not used unless severe
Thorough patient education about drops
Use a wick if significant swelling
Avoid cleaning, manipulating, getting water into ear - no swimming
