FNP 1 Family Practice One Final
Pediatrics
Mild dehydration in infants findings
- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Normal
Eyes: Normal
Skin: Normal
Pulse: Normal
Urine Output: Mildly reduced
Pediatrics
Moderate dehydration in infants findings
- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Sunken
,Eyes: Sunken
Skin: Cool
Pulse: Increased
Urine Output: Markedly reduced
Pediatrics
Severe dehydration in infants findings
- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Markedly sunken
Eyes: Markedly sunken
Skin: Cool, Mottled
Pulse: Increased, weak
Urine Output: Little to no urine output
Pediatrics
,iron storage - correct answer - depleted by age 4-6 months requiring supplementation through
iron-fortified cereals, pureed meats, and iron-rich vegetables (spinach, lentils, beans, tofu);
- Iron supplementation 1mg/kg/day full term/breastfed babies.
Pediatrics (Infants and Children under 12)
iron storage: screening - correct answer Screenings should occur at 12 and 24 months
Pediatrics (Infants and Children under 12)
iron storage: dietary recommendations - correct answer - Limit cow's milk to 20 oz per day as
excess milk decreases iron absorption
Pediatrics (Infants and Children under 12)
iron storage: iron supplementation - correct answer - Ferrous sulfate 3-6 mg/kg/day
(elemental iron)
- Give every other day with orange juice (to enhance absorption
Pediatrics (Adolescents 12 and over)
iron storage - correct answer - Screen menstruating females at 12 years old
- Encourage at least 3 servings of iron-rich foods daily
Supplementation:
- Ferrous sulfate 65-130 mg elemental iron every other day for 3 months
- Recheck CBC 3 months after treatment
Pediatrics
, Lead Intoxication: True or False
Lead intoxication is more common in children with iron deficiency anemia (IDA) due to
increased GI absorption of lead when iron levels are low - correct answer True
Pediatrics
Lead Intoxication: True or False
Lead and iron share the same GI transporter, so low iron leads to decreased lead absorption -
correct answer FALSE
Lead and iron share the same GI transporter, so low iron leads to increased lead absorption
Pediatrics
Lead Intoxication: Common sources of lead exposure - correct answer - Lead based paint chips
(esp in older homes)
- Water contamination (lead pipes)
- Parental occupational exposure (e.g., machine shops, construction)
- Eating utensils and bowls containing lead
Pediatrics
Lead Intoxication: True or False
Children with pica won't lead-containing substances - correct answer FALSE
Pediatrics
Mild dehydration in infants findings
- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Normal
Eyes: Normal
Skin: Normal
Pulse: Normal
Urine Output: Mildly reduced
Pediatrics
Moderate dehydration in infants findings
- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Sunken
,Eyes: Sunken
Skin: Cool
Pulse: Increased
Urine Output: Markedly reduced
Pediatrics
Severe dehydration in infants findings
- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Markedly sunken
Eyes: Markedly sunken
Skin: Cool, Mottled
Pulse: Increased, weak
Urine Output: Little to no urine output
Pediatrics
,iron storage - correct answer - depleted by age 4-6 months requiring supplementation through
iron-fortified cereals, pureed meats, and iron-rich vegetables (spinach, lentils, beans, tofu);
- Iron supplementation 1mg/kg/day full term/breastfed babies.
Pediatrics (Infants and Children under 12)
iron storage: screening - correct answer Screenings should occur at 12 and 24 months
Pediatrics (Infants and Children under 12)
iron storage: dietary recommendations - correct answer - Limit cow's milk to 20 oz per day as
excess milk decreases iron absorption
Pediatrics (Infants and Children under 12)
iron storage: iron supplementation - correct answer - Ferrous sulfate 3-6 mg/kg/day
(elemental iron)
- Give every other day with orange juice (to enhance absorption
Pediatrics (Adolescents 12 and over)
iron storage - correct answer - Screen menstruating females at 12 years old
- Encourage at least 3 servings of iron-rich foods daily
Supplementation:
- Ferrous sulfate 65-130 mg elemental iron every other day for 3 months
- Recheck CBC 3 months after treatment
Pediatrics
, Lead Intoxication: True or False
Lead intoxication is more common in children with iron deficiency anemia (IDA) due to
increased GI absorption of lead when iron levels are low - correct answer True
Pediatrics
Lead Intoxication: True or False
Lead and iron share the same GI transporter, so low iron leads to decreased lead absorption -
correct answer FALSE
Lead and iron share the same GI transporter, so low iron leads to increased lead absorption
Pediatrics
Lead Intoxication: Common sources of lead exposure - correct answer - Lead based paint chips
(esp in older homes)
- Water contamination (lead pipes)
- Parental occupational exposure (e.g., machine shops, construction)
- Eating utensils and bowls containing lead
Pediatrics
Lead Intoxication: True or False
Children with pica won't lead-containing substances - correct answer FALSE
