CMN 568 MODULE 1 EXAM STUDY GUIDE
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1. pediatric dose of acetaminophen - ANSWER ✔ 10-15 mg/kg/dose Q4-6H
(2 months and older)
2. pediatric dose of ibuprofen - ANSWER ✔ 5-10 mg/kg/dose Q6-8H (6
months and older)
3. Why is aspirin not used in pediatrics - ANSWER ✔ Reyes syndrome
4. diagnosis is warranted for: child younger than 6 mo who has not grown for 2
consecutive months OR child older than 6 mo who has not grown for 3
consecutive months - ANSWER ✔ failure to thrive
5. Head circumference is preserved, and the weight is depressed more than the
height
- most common types
- results from poverty, lack of caregiver understanding, poor caregiver
interactions, and abnormal feeding patterns - ANSWER ✔ Type 1
growth deficiency
6. Normal head circumference and proportionate diminution of height/weight
7. Associated with short stature, endocrinopathies, constitutional growth delay,
heart / renal disease, various forms of skeletal dysplasia - ANSWER ✔
Type 2 growth deficiency
8. All three parameters of growth (head circumference, weight, and height) are
lwoer than normal
,9. Associated with CNS abnormalities, chromosomal defects, in utero or
perinatal insults - ANSWER ✔ Type 3 growth deficiency
10.Acceptable weight gain for birth - 3 mo - ANSWER ✔ 20-30 g/day
11.Acceptable weight gain for 3-6 mo - ANSWER ✔ 15-20 g/day
12.Acceptable weight gain for 6-0 mo - ANSWER ✔ 10-15 g/day
13.Acceptable weight gain for 9-12 mo - ANSWER ✔ 6-11 g/day
14.Acceptable weight gain for 12-18 mo - ANSWER ✔ 5-8 g/day
15.Acceptable weight gain for 18-24 mo - ANSWER ✔ 3-7 g/day
16.Condition of white pupil; could be indicative of retinoblastoma (RB) or
retinal detachment - ANSWER ✔ Leukocoria
17.optical state of the eye determined by the shape of the cornea (shape of the
lens and length of the eye) - ANSWER ✔ Refractive errors
18.nearsightedness; objects nearby are in focus; those at a distance are blurred
19.Onset: typically around age 8 / may progress through adolescence -
ANSWER ✔ Myopia
20.farsightedness; can focus on near objects through the process of
accommodation if it is not excessive
21.if uncorrected, large amounts can lead to esotropia (crossed eyes) -
ANSWER ✔ Hyperopia
22.either the cornea or the crystalline lens is not perfectly spherical; the image
will not be sharply focused in one plane - ANSWER ✔ Astigmatism
23.High refractive errors or inequality of the refractive state between the two
eyes - ANSWER ✔ Amblyopia
,24.what to assess during newborn eye examination? - ANSWER ✔ clarity of
cornea, red reflex, and eyelid ptosis
25.Fever - ANSWER ✔ pyrogens raise in the hypothalamic set point
-most common cause: self-limiting (benign) viral illnesses
26.T/F: Infants <1 mo with fever should be managed as inpatients - ANSWER
✔ True
-need full sepsis workup
27.High fever - ANSWER ✔ >40.5C
-not harmful unless temp reaches at least 41.7C
28.Fever Etiology - ANSWER ✔ -Infants <1 mo: Group B strep, Ecoli
-Infants 1-3 mo: strep pneumoniae, H influenzae, and neisseria meningitidis
29.Non-Toxic fever appearance - ANSWER ✔ strong cry
CONSOLABLE
alert, easy to arouse
pink skin tone
good hydration, TEARS, moist mm
smiles, responsive
30.Toxic fever appearance - ANSWER ✔ Weak or high-pitched cry (blood
draw elicits no response)
INCONSOLABLE
Difficult to arouse
Pale, ashen, cyanotic, or mottled
Poor hydration
No smile, dull, wont alert to environment
31.Fever: SEE IMMEDIATELY - ANSWER ✔ -The child is less than 3
months of age with a fever > 100.4°F (38°C).
-Fever is >40.6C
-The child of any age has a fever > 104°F (40°C).
-The child with fever is crying inconsolably, lethargic, has a stiff neck, dyspnea,
dysuria, or has had a seizure.
, -The child with fever also has a chronic health condition, SCD, HIV,
splenectomy, takes long-term steroids, or is undergoing chemotherapy.
32.Fever: SEE WITHIN 24 HR - ANSWER ✔ -Child is 3-6mo (unless fever
occurs within 48 hrs of DTAP immunization)
-Fever excessed 40C
-Burning or pain w urination
-Fever has been present >24 hrs without obvious cause or site of infection
-Fever subsided for >24 hrs and then returned
-Fever present >72 hrs
33.Pediatric Temperature Measurements - ANSWER ✔ 1. Rectal: MOST
accurate reflection of core body temp (preferred >1 yr)
2. Oral
3. Axillary
4. Forehead
5. Tympanic: Not accurate < 3 mo
34.Red Flags for serious illness - ANSWER ✔ Skin: Petechiae, rashes=
meningits, meningococcemia
Head/Neck: Sunken or bulging fontanelles; nuchal rigidity= dehydration,
increased ICP (meningitis)
Ears: Bulging TM/AOM, mastoiditis
Chest: Increased WOB, tachypnea, wheezing, rales, rhonchi, stridor=
pneumonia
Heart: Murmurs= bacterial endocarditis
Abdomen: Tender, distention= peritonitis, appendicitis
Musculoskeletal: refusal to bear weight or use extremity, erythema, warmth
over joint= septic arthritis, osteomyelitis
35.positive kernig sign - ANSWER ✔ When the patient is lying with the thigh
flexed on the abdomen, the leg cannot be completely extended.
-sign of meningeal irritation
36.Positive Brudzinski sign - ANSWER ✔ passive flexion of the neck
produces neck pain and increased rigidity
-sign of meningeal irritation
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. pediatric dose of acetaminophen - ANSWER ✔ 10-15 mg/kg/dose Q4-6H
(2 months and older)
2. pediatric dose of ibuprofen - ANSWER ✔ 5-10 mg/kg/dose Q6-8H (6
months and older)
3. Why is aspirin not used in pediatrics - ANSWER ✔ Reyes syndrome
4. diagnosis is warranted for: child younger than 6 mo who has not grown for 2
consecutive months OR child older than 6 mo who has not grown for 3
consecutive months - ANSWER ✔ failure to thrive
5. Head circumference is preserved, and the weight is depressed more than the
height
- most common types
- results from poverty, lack of caregiver understanding, poor caregiver
interactions, and abnormal feeding patterns - ANSWER ✔ Type 1
growth deficiency
6. Normal head circumference and proportionate diminution of height/weight
7. Associated with short stature, endocrinopathies, constitutional growth delay,
heart / renal disease, various forms of skeletal dysplasia - ANSWER ✔
Type 2 growth deficiency
8. All three parameters of growth (head circumference, weight, and height) are
lwoer than normal
,9. Associated with CNS abnormalities, chromosomal defects, in utero or
perinatal insults - ANSWER ✔ Type 3 growth deficiency
10.Acceptable weight gain for birth - 3 mo - ANSWER ✔ 20-30 g/day
11.Acceptable weight gain for 3-6 mo - ANSWER ✔ 15-20 g/day
12.Acceptable weight gain for 6-0 mo - ANSWER ✔ 10-15 g/day
13.Acceptable weight gain for 9-12 mo - ANSWER ✔ 6-11 g/day
14.Acceptable weight gain for 12-18 mo - ANSWER ✔ 5-8 g/day
15.Acceptable weight gain for 18-24 mo - ANSWER ✔ 3-7 g/day
16.Condition of white pupil; could be indicative of retinoblastoma (RB) or
retinal detachment - ANSWER ✔ Leukocoria
17.optical state of the eye determined by the shape of the cornea (shape of the
lens and length of the eye) - ANSWER ✔ Refractive errors
18.nearsightedness; objects nearby are in focus; those at a distance are blurred
19.Onset: typically around age 8 / may progress through adolescence -
ANSWER ✔ Myopia
20.farsightedness; can focus on near objects through the process of
accommodation if it is not excessive
21.if uncorrected, large amounts can lead to esotropia (crossed eyes) -
ANSWER ✔ Hyperopia
22.either the cornea or the crystalline lens is not perfectly spherical; the image
will not be sharply focused in one plane - ANSWER ✔ Astigmatism
23.High refractive errors or inequality of the refractive state between the two
eyes - ANSWER ✔ Amblyopia
,24.what to assess during newborn eye examination? - ANSWER ✔ clarity of
cornea, red reflex, and eyelid ptosis
25.Fever - ANSWER ✔ pyrogens raise in the hypothalamic set point
-most common cause: self-limiting (benign) viral illnesses
26.T/F: Infants <1 mo with fever should be managed as inpatients - ANSWER
✔ True
-need full sepsis workup
27.High fever - ANSWER ✔ >40.5C
-not harmful unless temp reaches at least 41.7C
28.Fever Etiology - ANSWER ✔ -Infants <1 mo: Group B strep, Ecoli
-Infants 1-3 mo: strep pneumoniae, H influenzae, and neisseria meningitidis
29.Non-Toxic fever appearance - ANSWER ✔ strong cry
CONSOLABLE
alert, easy to arouse
pink skin tone
good hydration, TEARS, moist mm
smiles, responsive
30.Toxic fever appearance - ANSWER ✔ Weak or high-pitched cry (blood
draw elicits no response)
INCONSOLABLE
Difficult to arouse
Pale, ashen, cyanotic, or mottled
Poor hydration
No smile, dull, wont alert to environment
31.Fever: SEE IMMEDIATELY - ANSWER ✔ -The child is less than 3
months of age with a fever > 100.4°F (38°C).
-Fever is >40.6C
-The child of any age has a fever > 104°F (40°C).
-The child with fever is crying inconsolably, lethargic, has a stiff neck, dyspnea,
dysuria, or has had a seizure.
, -The child with fever also has a chronic health condition, SCD, HIV,
splenectomy, takes long-term steroids, or is undergoing chemotherapy.
32.Fever: SEE WITHIN 24 HR - ANSWER ✔ -Child is 3-6mo (unless fever
occurs within 48 hrs of DTAP immunization)
-Fever excessed 40C
-Burning or pain w urination
-Fever has been present >24 hrs without obvious cause or site of infection
-Fever subsided for >24 hrs and then returned
-Fever present >72 hrs
33.Pediatric Temperature Measurements - ANSWER ✔ 1. Rectal: MOST
accurate reflection of core body temp (preferred >1 yr)
2. Oral
3. Axillary
4. Forehead
5. Tympanic: Not accurate < 3 mo
34.Red Flags for serious illness - ANSWER ✔ Skin: Petechiae, rashes=
meningits, meningococcemia
Head/Neck: Sunken or bulging fontanelles; nuchal rigidity= dehydration,
increased ICP (meningitis)
Ears: Bulging TM/AOM, mastoiditis
Chest: Increased WOB, tachypnea, wheezing, rales, rhonchi, stridor=
pneumonia
Heart: Murmurs= bacterial endocarditis
Abdomen: Tender, distention= peritonitis, appendicitis
Musculoskeletal: refusal to bear weight or use extremity, erythema, warmth
over joint= septic arthritis, osteomyelitis
35.positive kernig sign - ANSWER ✔ When the patient is lying with the thigh
flexed on the abdomen, the leg cannot be completely extended.
-sign of meningeal irritation
36.Positive Brudzinski sign - ANSWER ✔ passive flexion of the neck
produces neck pain and increased rigidity
-sign of meningeal irritation
