A PACKAGE DEAL FOR NGN ATI PEDS PROCTORED EXAM
VERSIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRADE
ASSURED
Have grasp reflexes? - ANSWER: 1 month
Holds hands in open position - ANSWER: 2 month
No longer has grasp reflex- keeps hands loosely open - ANSWER: 3 month
Rolls back to side; places object in mouth - ANSWER: 4 mouth
Rolls from front to back; uses palmar grasp - ANSWER: 5 month
Rolls back to front ; holds bottle - ANSWER: 6 month
Bears full weight on feet; moves object from hand to hand - ANSWER: 7 month
Sits unsupported; begins using pincer grasp - ANSWER: 8 months
Pulls to a standing position; creeps on hands and knees instead of crawling; uses
crude pincer - ANSWER: 9 months
Changes from prone to sitting position; grasps rattle by its handle - ANSWER: 10
months
Walks while holding onto something; places objects into container - ANSWER: 11
months
Sits down from a standing position; will attempt to build a two tower however will
be unsuccessful - ANSWER: 12 months
Diaper dermatitis - ANSWER: Remove the soiled diaper. Clean urine from the
perineal area with a nonirritating cleanser. Expose the affected area to air. Use
superabsorbent disposable diapers to reduce skin exposure. apply skin barriers such
as Zinc oxide and do not wash it off with each diaper change.
Poisonous plant exposure - ANSWER: Cleanse exposed area with cold running water,
then soap and water shower. Clothes and shoes should be washed in hot water with
detergent. Apply calamine lotion, burrow solution compresses or oatmeal bath. Can
use corticosteroid gel. Oral corticosteroid can be used for sever reactions.
Seborrheic dermatitis - ANSWER: Gently scrubbing the scalp to remove scales and
crusted areas. Petrolatum, vegetable oil, or mineral oil can be helpful. Use a fine-
, tooth comb to remove the loosened crusts from hair. shampoo daily with
antiseborrheic dermatitis
Atopic Dermatitis - ANSWER: cannot be cured but can be well controlled.
-Keep skin hydrated with tepid baths then apply a moisturizer within 3 mins of
bathing. 2-3 baths may be given daily with one prior to bedtime
- Dress the child in cotton clothing, avoid wood and synthetic fabrics
- Avoid excessive heat and perspiration which can increase itching
- avoid irritants such as bubble baths, soaps, perfumes, fabric softeners
- wash skin folds and genital area frequently with water
Tacrolimus or pimecrolimus - ANSWER: Use at the start of an exacerbation of AD
when skin turns red and starts to itch
PKU (Phenylketouria): lacks the enzyme phenylalanine hydroxylase. - ANSWER: -
Mothers who have the disorder needs to adhere to strict dietary guidelines from 3
months before conception throughout pregnancy.
- Autosomal recessive trait.
- All newborns are screen of PKU by blood spot analysis after the newborn has
ingested a source of protein and usually within the first 2 days of birth. Immediate
identification and implementing a diet with low phenylalanine significantly decreases
the occurrence of cognitive impairment.
Nursing care of PKU - ANSWER: Physical assessment: frequent vomiting, growth
failure, musty odor to urine, heart defects, microcephaly
Tests: blood spot analysis performed after the newborn ingested a source of protein
and usually within 2 days of birth. Expected range in newborns is 0.5 -1.0.
Guthrie Test: detection of PKU
-Place newborn on a formula low in phenylalanine (intake should be
20-30mg/kg/day
- Goal is phenylalanine level between 2-8 mg/dL
- Closely monitor phenylalanine levels in newborns who are breastfeeding b/c breast
milk contains phenylalanine so exclusively breastfeeding might not be possible.
complications: bizarre behaviors, head banging, arm biting, cognitive impairment,
disorientation, spasticity
Administration of Aminoglycosides: - ANSWER: Gentamicin, neomycin, tobramycin
- Ototoxicity, nephrotoxicity, intense neuromuscular blockade (respiratory
depression, muscle weakness)
- Do not mix penicillin and no concurrent use with loop diuretics
- Gentamicin and streptomycin are parenteral, Neomycin also has oral and topical
formulations; tobramycin also has inhalation formulation
- once a day dosing, only obtain a trough level; divided doses, peak is 30 mins after
admin and obtain trough levels right before the next dose
VERSIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRADE
ASSURED
Have grasp reflexes? - ANSWER: 1 month
Holds hands in open position - ANSWER: 2 month
No longer has grasp reflex- keeps hands loosely open - ANSWER: 3 month
Rolls back to side; places object in mouth - ANSWER: 4 mouth
Rolls from front to back; uses palmar grasp - ANSWER: 5 month
Rolls back to front ; holds bottle - ANSWER: 6 month
Bears full weight on feet; moves object from hand to hand - ANSWER: 7 month
Sits unsupported; begins using pincer grasp - ANSWER: 8 months
Pulls to a standing position; creeps on hands and knees instead of crawling; uses
crude pincer - ANSWER: 9 months
Changes from prone to sitting position; grasps rattle by its handle - ANSWER: 10
months
Walks while holding onto something; places objects into container - ANSWER: 11
months
Sits down from a standing position; will attempt to build a two tower however will
be unsuccessful - ANSWER: 12 months
Diaper dermatitis - ANSWER: Remove the soiled diaper. Clean urine from the
perineal area with a nonirritating cleanser. Expose the affected area to air. Use
superabsorbent disposable diapers to reduce skin exposure. apply skin barriers such
as Zinc oxide and do not wash it off with each diaper change.
Poisonous plant exposure - ANSWER: Cleanse exposed area with cold running water,
then soap and water shower. Clothes and shoes should be washed in hot water with
detergent. Apply calamine lotion, burrow solution compresses or oatmeal bath. Can
use corticosteroid gel. Oral corticosteroid can be used for sever reactions.
Seborrheic dermatitis - ANSWER: Gently scrubbing the scalp to remove scales and
crusted areas. Petrolatum, vegetable oil, or mineral oil can be helpful. Use a fine-
, tooth comb to remove the loosened crusts from hair. shampoo daily with
antiseborrheic dermatitis
Atopic Dermatitis - ANSWER: cannot be cured but can be well controlled.
-Keep skin hydrated with tepid baths then apply a moisturizer within 3 mins of
bathing. 2-3 baths may be given daily with one prior to bedtime
- Dress the child in cotton clothing, avoid wood and synthetic fabrics
- Avoid excessive heat and perspiration which can increase itching
- avoid irritants such as bubble baths, soaps, perfumes, fabric softeners
- wash skin folds and genital area frequently with water
Tacrolimus or pimecrolimus - ANSWER: Use at the start of an exacerbation of AD
when skin turns red and starts to itch
PKU (Phenylketouria): lacks the enzyme phenylalanine hydroxylase. - ANSWER: -
Mothers who have the disorder needs to adhere to strict dietary guidelines from 3
months before conception throughout pregnancy.
- Autosomal recessive trait.
- All newborns are screen of PKU by blood spot analysis after the newborn has
ingested a source of protein and usually within the first 2 days of birth. Immediate
identification and implementing a diet with low phenylalanine significantly decreases
the occurrence of cognitive impairment.
Nursing care of PKU - ANSWER: Physical assessment: frequent vomiting, growth
failure, musty odor to urine, heart defects, microcephaly
Tests: blood spot analysis performed after the newborn ingested a source of protein
and usually within 2 days of birth. Expected range in newborns is 0.5 -1.0.
Guthrie Test: detection of PKU
-Place newborn on a formula low in phenylalanine (intake should be
20-30mg/kg/day
- Goal is phenylalanine level between 2-8 mg/dL
- Closely monitor phenylalanine levels in newborns who are breastfeeding b/c breast
milk contains phenylalanine so exclusively breastfeeding might not be possible.
complications: bizarre behaviors, head banging, arm biting, cognitive impairment,
disorientation, spasticity
Administration of Aminoglycosides: - ANSWER: Gentamicin, neomycin, tobramycin
- Ototoxicity, nephrotoxicity, intense neuromuscular blockade (respiratory
depression, muscle weakness)
- Do not mix penicillin and no concurrent use with loop diuretics
- Gentamicin and streptomycin are parenteral, Neomycin also has oral and topical
formulations; tobramycin also has inhalation formulation
- once a day dosing, only obtain a trough level; divided doses, peak is 30 mins after
admin and obtain trough levels right before the next dose
