NR602 – PRIMARY CARE OF THE CHILDBEARING & CHILDREARING FAMILY PRACTICUM EXAM
STUDY GUIDE – MIDTERM (WEEKS 1-4) 100% CORRECT
Exam Format: Non-Cumulative exam
Question Type: Multiple Choice
Number of Questions: 75 Questions
Time Allotted: 1.2 minutes per question
Testing Timeframe: The exam will only be available starting on Wednesday Week 4 at 12:01 am
MT until Saturday Week 4 at 11:59 pm MT.
Exam Coverage
Content Areas:
· Week One: Primary Care Foundations in Pediatric and Women’s Health
o Nurse Practitioner Roles (Pediatric NP, Primary Care NP, Acute Care NP)
- Pediatric NP: provides primary care such as well-child care and prevention and or
management of both common pediatric acute illnesses and chronic conditions. Pediatric
primary care serves as the primary interface between the child/family and the health
system, except in the case of serious emergencies. Health promotion and protection,
disease and/or disability prevention.
- Acute care PNP provides care for acutely, critically, and chronically ill children who are
unstable, experiencing life-threatening illness, are medically fragile, and/or
technologically dependent.
o Tertiary Care
- Efforts limit the physical and social consequences of symptomatic disease. Requires both
specialized expertise and equipment. Represents the stage of recovery, disability or
death, preventing more disability or death. Disability limitation focuses on early
symptomatic disease and includes measures aimed at correcting the anatomic and/or
physiological components of disease, thus preventing or limiting the impairment or
disability caused by the disease. Rehabilitation focuses on late symptomatic disease.
Again, the goal is to restore the disabled persons to a useful and self-sufficient role in
, society through psychosocial, medical, and/or vocational services or by preventing total
disability and death.
o Quaternary Care
- requires highly specialized expertise and highly unusual or specialized equipment
o Immunizations
o Vaccines for Children (VIC)
- The inactivate vaccines include diphtheria-tetanus-pertussis, polio, Hib, hepatitis A,
hepatitis B, human papilloma virus, meningococcus, and pneumococcus. Common side
effects from the inactivated vaccines include mild to moderate fever and/or local
swelling, pain, and erythema usually within the first 24 to 72 hours
- DTaP vaccines are used for children younger than 7 years old; Tdap is given to those 7
years old or older.
- Only inactivated polio vaccine (IPV) is available for use in the United States;
seroconversion to each of the three serotypes of polio ranges from 99% to 100% after
three doses. Oral polio vaccine (OPV) is currently used for global eradication, but the
goal is to switch over to exclusive use of IPV once all global wild poliovirus has been
eradicated
- Of the six serotypes, Hib is the most virulent, accounting for pneumonia, bacteremia,
meningitis, epiglottitis, septic arthritis, cellulitis, otitis media, purulent pericarditis, and
other less common infections, notably in those younger than 4 years of age.
- Current guidelines include universal vaccination for those 1 to 18 years old and for other
subsets of the population. HAV is currently given as a two-dose series.
- Two recombinant HBV vaccines, composed of hepatitis B surface antigen (HBsAg)
protein, are licensed in the United States.
- A 2-dose HPV schedule is approved for individuals who receive their first dose on or
before 15 years of age, with a minimum of 5 months between the 2 doses
- MenACWY-CRM is currently recommended as part of the routine ACIP immunization
schedule for those 11 through 21 years old with a booster at age 16 years. (mengoccal
vaccine)
- PCV13 was licensed in 2010, succeeding PCV7, and is recommended for all children 2
through 59 months old; children 24 through 71 months old with uncompleted schedules
and underlying medical conditions (sickle cell disease, asplenia, chronic heart of lung
disease, diabetes mellitus, cerebrospinal fluid leak, cochlear implant, or other
immunocompromising disorders); and those 6 to 18 years old who have
immunocompromised disorders, asplenia, cerebrospinal fluid leak, or a cochlear
implant.
, Burns
- Superficial burns involve only the epidermis. The skin is erythematous, inflamed, and
painful, but there are no blisters. Superficial burns typically heal in 3 to 7 days, have little
risk of scarring, and require only symptomatic treatment. Sunburn is a common example
of a superficial burn.
- • Partial-thickness burns involve the epidermis and the dermis to a variable degree. The
dermal appendages are always preserved and provide a source for regeneration.
- • Superficial partial-thickness burns are erythemic, very painful, mottled, moist, and
blistered. They usually heal in 7 to 14 days; scarring may occur.
- • Deep partial-thickness burns appear pale and yellow and are less painful and weepy
than superficial partial-thickness burns. Deep partial-thickness burns take longer to heal
(3 weeks), and are more likely to scar.
- • Full-thickness burns destroy the epidermis and dermis completely. The skin appears
whitish (a waxy white appearance) or leathery. The surface is dry and nontender. Fluid
losses can be profound with this burn. These usually require skin grafting, cause
permanent scarring, and take several weeks to heal.
- • Full-thickness burns with extension into deep tissue involve destruction and/or
extensive injury of muscle, fascia, nerves, tendons, vessels, and bone. They typically
require surgical intervention and skin grafting.
- A CBC may include elevated hematocrit secondary to fluid loss. Initial white blood cell
elevation is always secondary to an acute phase reaction, but may later indicate
infection.
- • A basic metabolic panel may reveal elevated potassium due to cell breakdown. Blood
urea nitrogen (BUN) and creatine kinase assess renal function, rhabdomyolysis, and
tissue perfusion.
- • A urinalysis and specific gravity help determine hydration status, and the presence of
myoglobin may suggest acute tubular necrosis secondary to muscle tissue destruction
and breakdown.
o Sudden Infant Death Syndrome (SIDS) Prevention
- 2016 AAP updated SIDA prevention; includes room sharing without bed sharing; use of a
pacifier; parental avoidance of illicit drugs, alcohol, and smoke; supine positioning on a
firm sleep surface; avoiding bumper pads and the use of bedding; and avoiding
overheating. Other protective factors against SIDS are breastfeeding and routine
immunizations.
- Infants to sleep in parents' room close to bed, but not in the same bed, for the first year
of life (or at least 6 months). Safe sleep devices include infant cribs, bedside sleepers,
STUDY GUIDE – MIDTERM (WEEKS 1-4) 100% CORRECT
Exam Format: Non-Cumulative exam
Question Type: Multiple Choice
Number of Questions: 75 Questions
Time Allotted: 1.2 minutes per question
Testing Timeframe: The exam will only be available starting on Wednesday Week 4 at 12:01 am
MT until Saturday Week 4 at 11:59 pm MT.
Exam Coverage
Content Areas:
· Week One: Primary Care Foundations in Pediatric and Women’s Health
o Nurse Practitioner Roles (Pediatric NP, Primary Care NP, Acute Care NP)
- Pediatric NP: provides primary care such as well-child care and prevention and or
management of both common pediatric acute illnesses and chronic conditions. Pediatric
primary care serves as the primary interface between the child/family and the health
system, except in the case of serious emergencies. Health promotion and protection,
disease and/or disability prevention.
- Acute care PNP provides care for acutely, critically, and chronically ill children who are
unstable, experiencing life-threatening illness, are medically fragile, and/or
technologically dependent.
o Tertiary Care
- Efforts limit the physical and social consequences of symptomatic disease. Requires both
specialized expertise and equipment. Represents the stage of recovery, disability or
death, preventing more disability or death. Disability limitation focuses on early
symptomatic disease and includes measures aimed at correcting the anatomic and/or
physiological components of disease, thus preventing or limiting the impairment or
disability caused by the disease. Rehabilitation focuses on late symptomatic disease.
Again, the goal is to restore the disabled persons to a useful and self-sufficient role in
, society through psychosocial, medical, and/or vocational services or by preventing total
disability and death.
o Quaternary Care
- requires highly specialized expertise and highly unusual or specialized equipment
o Immunizations
o Vaccines for Children (VIC)
- The inactivate vaccines include diphtheria-tetanus-pertussis, polio, Hib, hepatitis A,
hepatitis B, human papilloma virus, meningococcus, and pneumococcus. Common side
effects from the inactivated vaccines include mild to moderate fever and/or local
swelling, pain, and erythema usually within the first 24 to 72 hours
- DTaP vaccines are used for children younger than 7 years old; Tdap is given to those 7
years old or older.
- Only inactivated polio vaccine (IPV) is available for use in the United States;
seroconversion to each of the three serotypes of polio ranges from 99% to 100% after
three doses. Oral polio vaccine (OPV) is currently used for global eradication, but the
goal is to switch over to exclusive use of IPV once all global wild poliovirus has been
eradicated
- Of the six serotypes, Hib is the most virulent, accounting for pneumonia, bacteremia,
meningitis, epiglottitis, septic arthritis, cellulitis, otitis media, purulent pericarditis, and
other less common infections, notably in those younger than 4 years of age.
- Current guidelines include universal vaccination for those 1 to 18 years old and for other
subsets of the population. HAV is currently given as a two-dose series.
- Two recombinant HBV vaccines, composed of hepatitis B surface antigen (HBsAg)
protein, are licensed in the United States.
- A 2-dose HPV schedule is approved for individuals who receive their first dose on or
before 15 years of age, with a minimum of 5 months between the 2 doses
- MenACWY-CRM is currently recommended as part of the routine ACIP immunization
schedule for those 11 through 21 years old with a booster at age 16 years. (mengoccal
vaccine)
- PCV13 was licensed in 2010, succeeding PCV7, and is recommended for all children 2
through 59 months old; children 24 through 71 months old with uncompleted schedules
and underlying medical conditions (sickle cell disease, asplenia, chronic heart of lung
disease, diabetes mellitus, cerebrospinal fluid leak, cochlear implant, or other
immunocompromising disorders); and those 6 to 18 years old who have
immunocompromised disorders, asplenia, cerebrospinal fluid leak, or a cochlear
implant.
, Burns
- Superficial burns involve only the epidermis. The skin is erythematous, inflamed, and
painful, but there are no blisters. Superficial burns typically heal in 3 to 7 days, have little
risk of scarring, and require only symptomatic treatment. Sunburn is a common example
of a superficial burn.
- • Partial-thickness burns involve the epidermis and the dermis to a variable degree. The
dermal appendages are always preserved and provide a source for regeneration.
- • Superficial partial-thickness burns are erythemic, very painful, mottled, moist, and
blistered. They usually heal in 7 to 14 days; scarring may occur.
- • Deep partial-thickness burns appear pale and yellow and are less painful and weepy
than superficial partial-thickness burns. Deep partial-thickness burns take longer to heal
(3 weeks), and are more likely to scar.
- • Full-thickness burns destroy the epidermis and dermis completely. The skin appears
whitish (a waxy white appearance) or leathery. The surface is dry and nontender. Fluid
losses can be profound with this burn. These usually require skin grafting, cause
permanent scarring, and take several weeks to heal.
- • Full-thickness burns with extension into deep tissue involve destruction and/or
extensive injury of muscle, fascia, nerves, tendons, vessels, and bone. They typically
require surgical intervention and skin grafting.
- A CBC may include elevated hematocrit secondary to fluid loss. Initial white blood cell
elevation is always secondary to an acute phase reaction, but may later indicate
infection.
- • A basic metabolic panel may reveal elevated potassium due to cell breakdown. Blood
urea nitrogen (BUN) and creatine kinase assess renal function, rhabdomyolysis, and
tissue perfusion.
- • A urinalysis and specific gravity help determine hydration status, and the presence of
myoglobin may suggest acute tubular necrosis secondary to muscle tissue destruction
and breakdown.
o Sudden Infant Death Syndrome (SIDS) Prevention
- 2016 AAP updated SIDA prevention; includes room sharing without bed sharing; use of a
pacifier; parental avoidance of illicit drugs, alcohol, and smoke; supine positioning on a
firm sleep surface; avoiding bumper pads and the use of bedding; and avoiding
overheating. Other protective factors against SIDS are breastfeeding and routine
immunizations.
- Infants to sleep in parents' room close to bed, but not in the same bed, for the first year
of life (or at least 6 months). Safe sleep devices include infant cribs, bedside sleepers,
