NR 603 WEEK 1 Exam Questions AND Correct Answers
- ✔✔may respond to lifestyle changes, such as alterations in diet and
exercise. These changes must be comprehensive and family based.
MNT. Referral to a registered pediatric dietician nutritionist is
essential, with the goals of weight loss and regulating nutritional
intake. A low-fat diet, self-monitoring of weight, and being physically
active.
- ✔✔one of the most commonly diagnosed disorders in childhood.
neurodevelopmental disorder because it has a clear neurologic base
with symptoms that can profoundly affect the behavior of individuals
across many settings in their lives.
- ✔✔symptoms: throughout the daily
nighttime awakenings: >1x/week (<4years old) or often 7x/week (>5
years)
SABA use for symptoms: several times per day
limitation of normal activity: extreme
lung function: FEV1<60%, FEV1/FVC<75% (5-11 years); FEVa/FVC
reduced by 5% (>12)
exacerbations requiring OCS: >2/6 months (0-4) >2/year (>5years)
recommendation: Step 3 (4 years), Step 3 or 4 (5-11 years), step 4 (>12
years)
,< 2 years old AOM treatment - ✔✔treatment with amoxicillin or
amoxicillin/clavulanate for 10 days
0-4 yrs and 15 -25 yrs - ✔✔HIGHEST RISK OF TBI
3 types of depression - ✔✔MDD, dysthymic disorder, adjustment
disorder
3 years - ✔✔A mature gait pattern is well established by ?
3-12 - ✔✔GCS score that warrants cranial CT
7 years - ✔✔the gait characteristics are similar to those of an adult
abdominal migraines - ✔✔symptoms include midline pain, nausea,
and vomiting with minimal or no headache. This rare and somewhat
controversial diagnosis can be suggestive of complex partial seizures
and may merit further evaluation.
acute otitis media - ✔✔acute infection of the middle ear ; requires the
presence of the following three components to diagnose AOM:
§Recent, abrupt onset of middle ear inflammation and effusion (ear
pain, irritability, otorrhea, and/or fever). confirmed by bulging TM,
limited or absent mobility by pneumatic otoscopy, air-fluid level
,behind TM, and/or otorrhea. Signs and symptoms of middle ear
inflammation confirmed by distinct TM erythema or ear pain (holding,
tugging, rubbing the ear)
acute otitis media - ✔✔infection of the middle ear; Suppurative
effusion of the middle ear
Acute pyelonephritis - ✔✔Oral therapy is equally as effective as
parenteral therapy in treating pyelonephritis and preventing kidney
damage.
acute suicidal intent - ✔✔plan, psychosis, risk of abuse, and unstable
behavior require immediate psychiatric evaluation.
Acyanotic congenital heart defects - ✔✔Left-to-right shunting
(increase Pulmonary blood flow)
Adam's Test - ✔✔Forward bending test for Scoliosis; looks for
asymmetry of the posterior chest wall on forward bending. This
position allows for evaluation of structural scoliosis. child bends at the
waist to a position of 90 degrees back flexion with straight legs, ankles
together, and arms hanging freely or with palms together (in a diving
position) but not touching the toes or floor. back is inspected for
asymmetry of the height of the curves on the two sides or rib hump;
the provider inspects the child's back by looking at it from the rear
, and side positions. The examiner should be seated in front of the child
to best visually scan each level of the spine
ADHD core symptoms - ✔✔inattention, hyperactivity, and impulsivity
occurring at a developmentally inappropriate level observed in at
least two settings (home, school, or work) with clear evidence of
clinical impairment in social, academic, or occupational functioning
ADHD hyperactivity/impulsivity - ✔✔Six or more of the following
symptoms have persisted for at least 6 months to a degree that is
inconsistent with developmental level that negatively impacts directly
on social and academic/occupational activities:
a. Often fidgets with or taps hands or feet or squirms in seat.
b. Often leaves seat in situations when remaining seated is expected
(e.g., leaves his or her place in the classroom, in the office or other
workplace, or in other situations that require remaining in place).
c. Often runs about or climbs in situations where it is inappropriate.
(Note: In adolescents or adults, may be limited to feeling restless.
d. Often unable to play or engage in leisure activities quietly.
e. Is often "on the go" acting as If "driven by a motor" (e.g., is unable
to be or uncomfortable with being still for extended time, as in
restaurants, meetings; may be experienced by others as being restless
or difficult to keep up with).
f. Often talks excessively.
- ✔✔may respond to lifestyle changes, such as alterations in diet and
exercise. These changes must be comprehensive and family based.
MNT. Referral to a registered pediatric dietician nutritionist is
essential, with the goals of weight loss and regulating nutritional
intake. A low-fat diet, self-monitoring of weight, and being physically
active.
- ✔✔one of the most commonly diagnosed disorders in childhood.
neurodevelopmental disorder because it has a clear neurologic base
with symptoms that can profoundly affect the behavior of individuals
across many settings in their lives.
- ✔✔symptoms: throughout the daily
nighttime awakenings: >1x/week (<4years old) or often 7x/week (>5
years)
SABA use for symptoms: several times per day
limitation of normal activity: extreme
lung function: FEV1<60%, FEV1/FVC<75% (5-11 years); FEVa/FVC
reduced by 5% (>12)
exacerbations requiring OCS: >2/6 months (0-4) >2/year (>5years)
recommendation: Step 3 (4 years), Step 3 or 4 (5-11 years), step 4 (>12
years)
,< 2 years old AOM treatment - ✔✔treatment with amoxicillin or
amoxicillin/clavulanate for 10 days
0-4 yrs and 15 -25 yrs - ✔✔HIGHEST RISK OF TBI
3 types of depression - ✔✔MDD, dysthymic disorder, adjustment
disorder
3 years - ✔✔A mature gait pattern is well established by ?
3-12 - ✔✔GCS score that warrants cranial CT
7 years - ✔✔the gait characteristics are similar to those of an adult
abdominal migraines - ✔✔symptoms include midline pain, nausea,
and vomiting with minimal or no headache. This rare and somewhat
controversial diagnosis can be suggestive of complex partial seizures
and may merit further evaluation.
acute otitis media - ✔✔acute infection of the middle ear ; requires the
presence of the following three components to diagnose AOM:
§Recent, abrupt onset of middle ear inflammation and effusion (ear
pain, irritability, otorrhea, and/or fever). confirmed by bulging TM,
limited or absent mobility by pneumatic otoscopy, air-fluid level
,behind TM, and/or otorrhea. Signs and symptoms of middle ear
inflammation confirmed by distinct TM erythema or ear pain (holding,
tugging, rubbing the ear)
acute otitis media - ✔✔infection of the middle ear; Suppurative
effusion of the middle ear
Acute pyelonephritis - ✔✔Oral therapy is equally as effective as
parenteral therapy in treating pyelonephritis and preventing kidney
damage.
acute suicidal intent - ✔✔plan, psychosis, risk of abuse, and unstable
behavior require immediate psychiatric evaluation.
Acyanotic congenital heart defects - ✔✔Left-to-right shunting
(increase Pulmonary blood flow)
Adam's Test - ✔✔Forward bending test for Scoliosis; looks for
asymmetry of the posterior chest wall on forward bending. This
position allows for evaluation of structural scoliosis. child bends at the
waist to a position of 90 degrees back flexion with straight legs, ankles
together, and arms hanging freely or with palms together (in a diving
position) but not touching the toes or floor. back is inspected for
asymmetry of the height of the curves on the two sides or rib hump;
the provider inspects the child's back by looking at it from the rear
, and side positions. The examiner should be seated in front of the child
to best visually scan each level of the spine
ADHD core symptoms - ✔✔inattention, hyperactivity, and impulsivity
occurring at a developmentally inappropriate level observed in at
least two settings (home, school, or work) with clear evidence of
clinical impairment in social, academic, or occupational functioning
ADHD hyperactivity/impulsivity - ✔✔Six or more of the following
symptoms have persisted for at least 6 months to a degree that is
inconsistent with developmental level that negatively impacts directly
on social and academic/occupational activities:
a. Often fidgets with or taps hands or feet or squirms in seat.
b. Often leaves seat in situations when remaining seated is expected
(e.g., leaves his or her place in the classroom, in the office or other
workplace, or in other situations that require remaining in place).
c. Often runs about or climbs in situations where it is inappropriate.
(Note: In adolescents or adults, may be limited to feeling restless.
d. Often unable to play or engage in leisure activities quietly.
e. Is often "on the go" acting as If "driven by a motor" (e.g., is unable
to be or uncomfortable with being still for extended time, as in
restaurants, meetings; may be experienced by others as being restless
or difficult to keep up with).
f. Often talks excessively.
