Final Exam: NU661/ NU 661 (Latest 2026/ 2027
Update) Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct (Verified
Answers)- Regis
COLIC
Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management
Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management
Commercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S
Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or riding in a
car over bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
, Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
McBurney point/sign
Pain w/ palpation and release; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding
positive psoas sign
retract R thigh while on left side; illicit pain consistent with appendicitis
Positive Rovsing Sign
Pain RLQ w/ pressure and release of LLQ; R/O appendicitis
Positive Obturator Sign
Supine; bend R leg and rotate inward; illicit pain in RLQ
Intusscuception
Anterograde intestine into proximal bowel; Most common cause of for Pediatric GI obstruction
S/S of intussusception
S/S of intussuception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
Management of Intussusception
Therapeutic Air Contrast Enema under fluoroscopy
Failure to Thrive (FTT)
The most common cause is nutritional deficiency without an underlying medical condition
(greater than 80%).
Update) Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct (Verified
Answers)- Regis
COLIC
Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management
Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management
Commercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S
Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or riding in a
car over bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
, Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
McBurney point/sign
Pain w/ palpation and release; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding
positive psoas sign
retract R thigh while on left side; illicit pain consistent with appendicitis
Positive Rovsing Sign
Pain RLQ w/ pressure and release of LLQ; R/O appendicitis
Positive Obturator Sign
Supine; bend R leg and rotate inward; illicit pain in RLQ
Intusscuception
Anterograde intestine into proximal bowel; Most common cause of for Pediatric GI obstruction
S/S of intussusception
S/S of intussuception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
Management of Intussusception
Therapeutic Air Contrast Enema under fluoroscopy
Failure to Thrive (FTT)
The most common cause is nutritional deficiency without an underlying medical condition
(greater than 80%).
