Peds exam 4
Toddler w/ Type 1 DM – include in plan of care → Choose which finger to use
(age-appropriate independence)
ADHD manifestation → Difficulty taking turns
Teen w/ Type 2 DM, exercise teaching error → “Check urine for protein prior to exercising”
(not required)
Priority DM child → Not eaten since insulin given (risk for hypoglycemia)
Sick child w/ Type 1 DM → Schedule appointment/monitor closely (never skip insulin
completely; continue monitoring)
Autism spectrum disorder → Impaired communication
Precocious puberty teaching → Early development of secondary sexual characteristics
Greatest risk for Type 2 DM → Overweight Caucasian + gestational DM mother (strongest
risk combo)
Down syndrome finding needing follow-up → Enlarged orbital sockets (not typical)
Levothyroxine infant teaching → Give in small amount of water before bottle
Skin condition (image) → Impetigo (classic honey-crusted lesions)
Cause of contact dermatitis needing correction → Pollen (does not cause contact dermatitis)
Animal bite prevention correct → Keep child away from pet when eating
Impetigo care → Apply bactericidal ointment
Minor burn care → Cover w/ non-adherent gauze
Priority patient → 10-year-old who has acute lymphocytic leukemia (ALL) and has a morning
hemoglobin (Hgb) level of 7.5 g/dL
Tinea pedis teaching → Well-ventilated shoes
Acne teaching → Avoid abrasive cleansers
Toddler w/ Type 1 DM – include in plan of care → Choose which finger to use
(age-appropriate independence)
ADHD manifestation → Difficulty taking turns
Teen w/ Type 2 DM, exercise teaching error → “Check urine for protein prior to exercising”
(not required)
Priority DM child → Not eaten since insulin given (risk for hypoglycemia)
Sick child w/ Type 1 DM → Schedule appointment/monitor closely (never skip insulin
completely; continue monitoring)
Autism spectrum disorder → Impaired communication
Precocious puberty teaching → Early development of secondary sexual characteristics
Greatest risk for Type 2 DM → Overweight Caucasian + gestational DM mother (strongest
risk combo)
Down syndrome finding needing follow-up → Enlarged orbital sockets (not typical)
Levothyroxine infant teaching → Give in small amount of water before bottle
Skin condition (image) → Impetigo (classic honey-crusted lesions)
Cause of contact dermatitis needing correction → Pollen (does not cause contact dermatitis)
Animal bite prevention correct → Keep child away from pet when eating
Impetigo care → Apply bactericidal ointment
Minor burn care → Cover w/ non-adherent gauze
Priority patient → 10-year-old who has acute lymphocytic leukemia (ALL) and has a morning
hemoglobin (Hgb) level of 7.5 g/dL
Tinea pedis teaching → Well-ventilated shoes
Acne teaching → Avoid abrasive cleansers
