Advanced health assessment 500 exam 1
Annular rash is - ANS Circular rash
\Characteristics of erythema toxicum neonatoram - ANS Erythematous macules and
pustules that may be present at birth or occur in 24-48hrs, palms & soles usually spared;
self limiting and resolve without intervention (emreports)
\Differential dx of miliaria - ANS Scabies, herpes, candida, acne, staph; bacterial culture if
suspected (emreports)
\Examine lesions for: - ANS Color, size of individual or group, location, pattern,
morphology (primary/secondary/vascular) week 5 ppt
\health screening 11-12yrs - ANS height, weight, BMI, vision, hearing, dental, cholesterol
screening, annual H&H for menstruating females, UA & STD screening for sexually active
males and females, injury prevention (week 3 ppt)
\health screening 6-10yrs - ANS height, weight, BMI, vision, hearing, dental (week 3 ppt)
\Health screening for 12 months - ANS Same as 9 months may as TB if at risk
\health screening for 15/18 months - ANS length, weight, vision, and developmental
(week 3 ppt)
\Health screening for 1month - ANS Length, weight, HC, vision, hearing, metabolic
\Health screening for 2, 4, 6 months - ANS Length, weight, HC, vision, hearing,
developmental
\health screening for 2yrs - ANS height, weight, BMI, vision, hearing, H&H, lead level, UA
if indicated (week 3 ppt)
\health screening for 3yrs - ANS height, weight, BMI, vision, hearing, language, dental,
H&H, lead level, &UA if indicated (week 3 ppt)
\Health screening for 9 months - ANS Length, weight, HC, vision, hearing, development,
H&h, lead level if at risk
\how do you tx chicken pox - ANS antiviral acyclovir (week 4 ppt)
\how old when anterior fontanel closes - ANS 12-18months (week 1 ppt)
\how old when posterior fontanel closes - ANS 2 months (week 1 ppt)
\how to assess head/skull - ANS palpate sutures/fontanels/fractures/swelling; assess
head control (week 1 ppt)
\how to assess readiness for toilet training - ANS voluntary sphincter control, stay dry for
2hrs, fine motor skills to remove clothes, curiosity about adults/siblings toileting,
inpatient with wet diapers (week 3 ppt)
\how to test corneal light reflex - ANS have child look at an object, position a penlight
resting on the object at eye level with the child and the examiner at eye level with the
child, the light from penlight should be symmetrical in each child's pupil (week 1 ppt)
\how to test for hip dysplasia - ANS with child supine & knees flexed bilaterally, grasp
thigh and adduct while applying downward pressure; if you feel a clunk its positive for
dysplasia (week 1 ppt)
\how to test for scoliosis - ANS use Adam's forward bend test; greater than 5 degrees
curve needs further eval (week 1 ppt)
, \how to test relight reflex - ANS use ophthalmascope set to 0, place at 15-25 degree angle
lateral to eye and back 12inchs; look for symmetry and brightness (week 1 ppt)
\how to treat tinea capitis - ANS griseofulvin; selenium shampoo (week 4 ppt)
\incubation and contagiousness of pertussis/whooping cough - ANS incubation for 6-21
days but usually 7-10; most contagious during catarrhal stage/inflammation membranes
before onset of sypmptoms (week 4 ppt)
\is review of systems subj or obj - ANS subjective only; physical exam is obj. (week 2 ppt)
\manifestations of measles/rubeola - ANS usually begins around ears & hairline,
concentrated mostly on face & trunk-koplik spots; treat symptoms, its a virus (week 4
ppt)
\manifesting of mumps - ANS incubation period in 14-21 days; most contagious right
before and after swelling begins; tx symptoms-its a virus (week 4 ppt)
\meningococcal booster - ANS most people who had 1st vaccine at or after 16yr don't
need a booster unless at
\motor behavior at 3yrs - ANS walking, running, jumping, ride a tricycle, walks on tiptoe,
balances on one foot, builds tower on 9-10 cubes, copies circle (week 3 ppt)
\motor behavior at 4yrs - ANS skips and hops on one foot, catches ball, uses scissors,
lace shoes, copies square, 3-part stick figure (week 3 ppt)
\motor behavior at 5yrs - ANS skips on alternate feet, jumps rope, learns to skate/swim,
ties shoelaces, uses pencils well, prints a few letters, 9-part stick figure (week 3 ppt)
\normal head circumference - ANS should be equal to chest circumference up to 1-2yrs;
chest >head if >2yrs (week 1 ppt)
\Nummular rash is - ANS Coin-like rash
\nursing care for immunizations - ANS mild illness and low grade fever not
contraindication; longer needle=fewer local reactions (week 4 ppt)
\to what age do we measure head circumference - ANS up to 24-36months old or if head
size is questionnable like shunts or premature births (week 1 ppt)
\treatment for diphtheria - ANS iv diphtheria antitoxin & antibiotics (week 4 ppt)
\treatment of pertussis/whooping cough - ANS tx with erythromycin (week 4 ppt)
\what age to expect infant to grasp a toy - ANS 1 month no; 1 yr yes (week 2 ppt)
\what ages is FLACC used for - ANS 2months - 7yrs/non-verbal (week 1 ppt)
\what are abnormalities of the red light reflex exam - ANS dark spots in the red reflex,
blunted reflex on one side, lack of red reflex, or the presence of white reflex all indicate
referral to ophthalmology (week 1 ppt)
\what are pediculous bugs - ANS lice; don't jump like fleas; tx with pyrethrins or
premthrin; non-chemical repeated combing or olive oil under shower cap, boil combs &
brushes; place non-washable items in ziplock bag for 2 weeks (week 4 ppt)
\what are the 5 Ps - ANS Partners, Prevention of pregnancy, Protection from STDs,
Practices, Past Hx of STDs (week 2 ppt)
\what are the parts of general survey - ANS apparent state of health, LOC, signs of
distress, Skin color or obvious lesions, dress/grooming/personal hygiene (week 2 ppt)
\what are the signs that if positive may indicate hip dysplasia - ANS ortolani's & barlows;
galeazzi's, gluteal folds (week 1 ppt)
Annular rash is - ANS Circular rash
\Characteristics of erythema toxicum neonatoram - ANS Erythematous macules and
pustules that may be present at birth or occur in 24-48hrs, palms & soles usually spared;
self limiting and resolve without intervention (emreports)
\Differential dx of miliaria - ANS Scabies, herpes, candida, acne, staph; bacterial culture if
suspected (emreports)
\Examine lesions for: - ANS Color, size of individual or group, location, pattern,
morphology (primary/secondary/vascular) week 5 ppt
\health screening 11-12yrs - ANS height, weight, BMI, vision, hearing, dental, cholesterol
screening, annual H&H for menstruating females, UA & STD screening for sexually active
males and females, injury prevention (week 3 ppt)
\health screening 6-10yrs - ANS height, weight, BMI, vision, hearing, dental (week 3 ppt)
\Health screening for 12 months - ANS Same as 9 months may as TB if at risk
\health screening for 15/18 months - ANS length, weight, vision, and developmental
(week 3 ppt)
\Health screening for 1month - ANS Length, weight, HC, vision, hearing, metabolic
\Health screening for 2, 4, 6 months - ANS Length, weight, HC, vision, hearing,
developmental
\health screening for 2yrs - ANS height, weight, BMI, vision, hearing, H&H, lead level, UA
if indicated (week 3 ppt)
\health screening for 3yrs - ANS height, weight, BMI, vision, hearing, language, dental,
H&H, lead level, &UA if indicated (week 3 ppt)
\Health screening for 9 months - ANS Length, weight, HC, vision, hearing, development,
H&h, lead level if at risk
\how do you tx chicken pox - ANS antiviral acyclovir (week 4 ppt)
\how old when anterior fontanel closes - ANS 12-18months (week 1 ppt)
\how old when posterior fontanel closes - ANS 2 months (week 1 ppt)
\how to assess head/skull - ANS palpate sutures/fontanels/fractures/swelling; assess
head control (week 1 ppt)
\how to assess readiness for toilet training - ANS voluntary sphincter control, stay dry for
2hrs, fine motor skills to remove clothes, curiosity about adults/siblings toileting,
inpatient with wet diapers (week 3 ppt)
\how to test corneal light reflex - ANS have child look at an object, position a penlight
resting on the object at eye level with the child and the examiner at eye level with the
child, the light from penlight should be symmetrical in each child's pupil (week 1 ppt)
\how to test for hip dysplasia - ANS with child supine & knees flexed bilaterally, grasp
thigh and adduct while applying downward pressure; if you feel a clunk its positive for
dysplasia (week 1 ppt)
\how to test for scoliosis - ANS use Adam's forward bend test; greater than 5 degrees
curve needs further eval (week 1 ppt)
, \how to test relight reflex - ANS use ophthalmascope set to 0, place at 15-25 degree angle
lateral to eye and back 12inchs; look for symmetry and brightness (week 1 ppt)
\how to treat tinea capitis - ANS griseofulvin; selenium shampoo (week 4 ppt)
\incubation and contagiousness of pertussis/whooping cough - ANS incubation for 6-21
days but usually 7-10; most contagious during catarrhal stage/inflammation membranes
before onset of sypmptoms (week 4 ppt)
\is review of systems subj or obj - ANS subjective only; physical exam is obj. (week 2 ppt)
\manifestations of measles/rubeola - ANS usually begins around ears & hairline,
concentrated mostly on face & trunk-koplik spots; treat symptoms, its a virus (week 4
ppt)
\manifesting of mumps - ANS incubation period in 14-21 days; most contagious right
before and after swelling begins; tx symptoms-its a virus (week 4 ppt)
\meningococcal booster - ANS most people who had 1st vaccine at or after 16yr don't
need a booster unless at
\motor behavior at 3yrs - ANS walking, running, jumping, ride a tricycle, walks on tiptoe,
balances on one foot, builds tower on 9-10 cubes, copies circle (week 3 ppt)
\motor behavior at 4yrs - ANS skips and hops on one foot, catches ball, uses scissors,
lace shoes, copies square, 3-part stick figure (week 3 ppt)
\motor behavior at 5yrs - ANS skips on alternate feet, jumps rope, learns to skate/swim,
ties shoelaces, uses pencils well, prints a few letters, 9-part stick figure (week 3 ppt)
\normal head circumference - ANS should be equal to chest circumference up to 1-2yrs;
chest >head if >2yrs (week 1 ppt)
\Nummular rash is - ANS Coin-like rash
\nursing care for immunizations - ANS mild illness and low grade fever not
contraindication; longer needle=fewer local reactions (week 4 ppt)
\to what age do we measure head circumference - ANS up to 24-36months old or if head
size is questionnable like shunts or premature births (week 1 ppt)
\treatment for diphtheria - ANS iv diphtheria antitoxin & antibiotics (week 4 ppt)
\treatment of pertussis/whooping cough - ANS tx with erythromycin (week 4 ppt)
\what age to expect infant to grasp a toy - ANS 1 month no; 1 yr yes (week 2 ppt)
\what ages is FLACC used for - ANS 2months - 7yrs/non-verbal (week 1 ppt)
\what are abnormalities of the red light reflex exam - ANS dark spots in the red reflex,
blunted reflex on one side, lack of red reflex, or the presence of white reflex all indicate
referral to ophthalmology (week 1 ppt)
\what are pediculous bugs - ANS lice; don't jump like fleas; tx with pyrethrins or
premthrin; non-chemical repeated combing or olive oil under shower cap, boil combs &
brushes; place non-washable items in ziplock bag for 2 weeks (week 4 ppt)
\what are the 5 Ps - ANS Partners, Prevention of pregnancy, Protection from STDs,
Practices, Past Hx of STDs (week 2 ppt)
\what are the parts of general survey - ANS apparent state of health, LOC, signs of
distress, Skin color or obvious lesions, dress/grooming/personal hygiene (week 2 ppt)
\what are the signs that if positive may indicate hip dysplasia - ANS ortolani's & barlows;
galeazzi's, gluteal folds (week 1 ppt)
