AANP Exam Review Questions With Complete Solution

AANP Exam Review Questions With Complete Solution A mother complains that her 3 mth old infant becomes constipated easily. Using suppositories makes her fussy and have diarrhea stools. What is your recommendation? - Encourage adding 1-2 tsp Karo syrup to bottle BID. Corn syrup will act as osmotic agent to increase water concentration of fecal material, stimulating peristalsis which causes a BM. A father brings his AA to the NP because he has an umbilical hernia and wants to know if that is normal at 3 y/o. The hernia is easily reducible and has not increased in size. How do you respond? - This is a normal finding in your child and will probably resolve by 5 y/o. In the AA population it may remain until age 7. UH is common is most populations up to 2 y/o. Functions of aging - Iron, folic acid, and Vit B-12 decreased absorption /p 80 y/o. Loss of muscle mass in both genders but more common in men. Increase of adipose tissue. Total body water decreases (increased risk for dehydration) and metabolism and O2 consumption decreases (decreased O2 demand). Benefits of hormone replacement therapy: - Decreases LDL; raises HDL. Unknown if it helps to prevent CAD. Exercise advice for 42 y/o newly diagnosed DM. - Snack prior to exercise; Exercise most days of the week, but not if BS 300 mg/dl (may worsen hyperglycemia due to insufficient insulin availability); improves CV fitness and increases insulin secretion and glucose utilization. Increases risk for hearing loss in child include: - intrauterine infection ; LBW 1500 grams; family history of hearing loss; use of ototoxic drugs; head trauma; viral meningitis; and hyperbilirubinemia. Cri du chat - AKA 5p- (5p minus) syndrome, is a chromosomal condition that results when a piece of chromosome 5 is missing. Symptoms: Cry that is high-pitched and sounds like a cat Downward slant to the eyes Low birth weight and slow growth Low-set or abnormally shaped ears Mental retardation (intellectual disability) Partial webbing or fusing of fingers or toes Single line in the palm of the hand Skin tags just in front of the ear