NURS 602 (APPB) MIDTERM STUDY GUIDE
LATEST UPDATED AND ACCURATE.
Primary care PNPs
well-child care and the prevention and/or management of both common pediatric
acute illnesses and chronic conditions
Acute care PNPs
● provide care for acutely, critically, and chronically ill children who are unstable,
experiencing life-threatening illness, are medically fragile and/or technologically
dependent.
● is not the site where they practice, but the acuity of the patient for whom they
are caring
Tertiary Care
● requires both specialized expertise and equipment
Quaternary Care
● requires highly specialized expertise and highly unusual or specialized
equipment
SIDS:
● Bedsharing with infants greatly increases the risk of SIDS.
Meningococcal
● MenACYWY-D: at 12 months and 16 yrs old booster
● MenB-4C, MenB-FHbp 11-12 yrs and booster at 16 years
Cath up immunizations
??
Abrasions
,● red streaking. Assess circulation, sensation, motion, ****function of surrounding
area
Puncture wound
Ultrasound is best for evaluation of radiolucent foreign objects including wood and
plastic.
Lacerations
● PE: neurovascular (pulses, motor function, sensation to distal laceration),
ROM, do edges approximate
Poison
● management: Basic life support focuses on airway, breathing, and circulation•
Ocular: copious saline lavage• Skin: copious water rinse or gentle soap and water•
Gastrointestinal: dilution; gastric emptying; activated charcoal administration;
catharsis; whole bowel irrigation (after consulting poison control)
Infant Development 1-3 Months Old:
Digestive system fully functional at age of 3 months
MIgraine HA
● include at least 2 of the following: unilateral location, pulsating quality, moderate
to severe pain with an increase during exertion, nausea/vomiting, photophobia, or
phonophobia. HA lasts 4-72hrs
Infant Development 4-5 Months Old
● Roll from back to side first, then prone to supine
● visually follow their parent by turning their head
● squeals, coo and add vowel and consonant sound. Start to laugh. Locate sounds
● seek out environmental objects like mirrors, their hands. smile, mouth objects,
eye-to-hand control
Infant Development 6-8 Months Old
● roll back to abd., sit erect, crawl, bounce. , reach for items and transfer objects
from hand to hand
● like to feed themselves
, Infant Development 9-12 Months Old
● pull to stand, walking while holding furniture or held
● wave bye-bye
Precocious puberty:
● occurs when signs of puberty emerge earlier than 8-years-old for girls and 9-
years-old for boys
Hepatoviruses--> Hepatitis A
● Preicteric phase: Malaise, nausea, anorexia, vomiting, digestive complaints, fever
rarely higher than 102
Icteric phase:Jaundice appears shortly after symptom onset, Urine darkens, and
stools become clay colored.posterior cervical adenopathy, Mild hepatomegaly
Roseola Infantum (Exanthem Subitum) or sixth disease: HHV-6 and HHV-7
rose-colored maculopapular rash, 2 to 3 mm in diameter, appears. fades on
pressure.
Varicella
● Scarlet fever: begins after flu like sx caused by GAS
● 1st day rash: papular rash, similar in appearance to sandpaper, associated w/
throat pain/pharingitis, flushed cheeks, increased density of neck,transverse lines
/pastia sign, increased density in groin
● day 3: strawberry tongue, +blanching test
Non-Group A or B Streptococci
Penicillin G is the drug of choice with modification based on culture sensitivities
● Penicillin G is the drug of choice with modification based on culture
sensitivities
● Scarlet fever: begins after flu like sx caused by GAS
LATEST UPDATED AND ACCURATE.
Primary care PNPs
well-child care and the prevention and/or management of both common pediatric
acute illnesses and chronic conditions
Acute care PNPs
● provide care for acutely, critically, and chronically ill children who are unstable,
experiencing life-threatening illness, are medically fragile and/or technologically
dependent.
● is not the site where they practice, but the acuity of the patient for whom they
are caring
Tertiary Care
● requires both specialized expertise and equipment
Quaternary Care
● requires highly specialized expertise and highly unusual or specialized
equipment
SIDS:
● Bedsharing with infants greatly increases the risk of SIDS.
Meningococcal
● MenACYWY-D: at 12 months and 16 yrs old booster
● MenB-4C, MenB-FHbp 11-12 yrs and booster at 16 years
Cath up immunizations
??
Abrasions
,● red streaking. Assess circulation, sensation, motion, ****function of surrounding
area
Puncture wound
Ultrasound is best for evaluation of radiolucent foreign objects including wood and
plastic.
Lacerations
● PE: neurovascular (pulses, motor function, sensation to distal laceration),
ROM, do edges approximate
Poison
● management: Basic life support focuses on airway, breathing, and circulation•
Ocular: copious saline lavage• Skin: copious water rinse or gentle soap and water•
Gastrointestinal: dilution; gastric emptying; activated charcoal administration;
catharsis; whole bowel irrigation (after consulting poison control)
Infant Development 1-3 Months Old:
Digestive system fully functional at age of 3 months
MIgraine HA
● include at least 2 of the following: unilateral location, pulsating quality, moderate
to severe pain with an increase during exertion, nausea/vomiting, photophobia, or
phonophobia. HA lasts 4-72hrs
Infant Development 4-5 Months Old
● Roll from back to side first, then prone to supine
● visually follow their parent by turning their head
● squeals, coo and add vowel and consonant sound. Start to laugh. Locate sounds
● seek out environmental objects like mirrors, their hands. smile, mouth objects,
eye-to-hand control
Infant Development 6-8 Months Old
● roll back to abd., sit erect, crawl, bounce. , reach for items and transfer objects
from hand to hand
● like to feed themselves
, Infant Development 9-12 Months Old
● pull to stand, walking while holding furniture or held
● wave bye-bye
Precocious puberty:
● occurs when signs of puberty emerge earlier than 8-years-old for girls and 9-
years-old for boys
Hepatoviruses--> Hepatitis A
● Preicteric phase: Malaise, nausea, anorexia, vomiting, digestive complaints, fever
rarely higher than 102
Icteric phase:Jaundice appears shortly after symptom onset, Urine darkens, and
stools become clay colored.posterior cervical adenopathy, Mild hepatomegaly
Roseola Infantum (Exanthem Subitum) or sixth disease: HHV-6 and HHV-7
rose-colored maculopapular rash, 2 to 3 mm in diameter, appears. fades on
pressure.
Varicella
● Scarlet fever: begins after flu like sx caused by GAS
● 1st day rash: papular rash, similar in appearance to sandpaper, associated w/
throat pain/pharingitis, flushed cheeks, increased density of neck,transverse lines
/pastia sign, increased density in groin
● day 3: strawberry tongue, +blanching test
Non-Group A or B Streptococci
Penicillin G is the drug of choice with modification based on culture sensitivities
● Penicillin G is the drug of choice with modification based on culture
sensitivities
● Scarlet fever: begins after flu like sx caused by GAS
