Burns - Chapter 30 - Ear Problems Exam

The parent of a 4monthold infant is concerned that the infant cannot hear. Which test will the primary care pediatric nurse practitioner order to evaluate potential hearing loss in this infant? A. Acoustic reflectometry B. Audiometry C. Auditory brainstem response (ABR) D. Evoked otooacoustic emission (EOAE) testing - ANSWER-C. Auditory brainstem response (ABR) The primary care pediatric nurse practitioner obtains a tympanogram on a child that reveals a sharp peak of 180 mm H2O. What does this value indicate? A. A normal tympanic membrane B. Middle ear effusion C. Negative ear pressure D. Tympanic membrane perforation - ANSWER-C. Negative ear pressure . An 18monthold child with no previous history of otitis media awoke during the night with right ear pain. The primary care pediatric nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, bulging tympanic membrane. A tympanogram reveals of peak of +150 mm H2O. What is the recommended treatment for this child? A. Amoxicillin 80 to 90 mg/kg/day in two divided doses B. An analgesic medication and watchful waiting C. Ceftriaxone 50 to 75 mg/kg/dose IM given once D. Ototopical antibiotic drops twice daily for 5 days - ANSWER-B. An analgesic medication and watchful waiting A 7monthold infant has had two prior acute ear infections and is currently on the 10th day of therapy with amoxicillinclavulanate after a failed course of amoxicillin. The primary care pediatric nurse practitioner