NSG 5442 Exam 3 resource guide Fall 2_2025-6
Content Included: Weeks 7-9
• CH 33 Cardiovascular
• CH 38 Hematologic disorders
• CH 42 GU
• CH 43 GYN
• CH 40 MSK
• CH 41 Neuro
• CH 29 Neurodivergent & Behavioral & Mental Health
• (21)
• (22)
• (25)
• (6)
• (7)
Cardiovascular Disorders CH33
I. Pediatric Cardiac assessment & screening
a. Location of cardiac listening areas related to murmurs
b. Signs of Cong. Heart dx
i. Cyanosis
ii. understand Infant Fatigue with Feeding as indicator
c.
II. Murmurs
a. Murmur evaluation-
i. Grading system & characteristics used to describe a
murmur
ii. Physiologic vs pathologic causes of murmurs
iii. Know location heard, systolic vs diastolic, grade, &
usual presentation with common murmurs
b. What is the most common CHD?
c. Which are cyanotic vs non cyanotic
i. Stills Murmur
ii. Atrial Septal Defect (ASD)
iii. Ventricular Septal Defect (VSD)
iv. Patent Ductus Arteriosus (PDA)-
1. What is the classic sound?
2. Non surgical treatement
v. Coaction of the Aorta (COA)-how are VS & physical signs
different?
vi. Transposition of the great vessels
vii. Tetralogy of Fallot -know the components What is a Tete
Spell & how can it be ameliorated?
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, viii. Pulmonic Stenosis
ix. Venous Hum
x. Mid-Systolic Click Harsh Holosystolic Murmur
xi.
III. Syncope with Exercise
IV. Rheumatic fever & Heart dx
a. Know Jones criteria
b. Risk factors for
V. Kawasaki’s Dx
a. clinical signs
b. cardiac sequelae
VI. Risk factors for Cardiac disease
a. Obesity
b. Pediatric Hypertension & Cardiac Complications
a. Criteria for diagnosing
V. Pediatric Chest Pain -differentials
Hematologic Disorders CH 38
I. Abnormalities of WBCs, RBCs, Platelets & Coagulation factors
II. Red Flags
III. Classification of Anemia
a. Size & Color MCV & MCH
b. Microcytic Anemia
c. Macrocytic Anemia
d. Normocytic anemia
e. Reticulocyte count, RDW-how do they affect diagnosis
f. RBC production, Maturation or Destruction
i. Examples of each
IV. What is the Mentzer Index?
V. Iron Deficiency Anemia-
a. Age to screen & Risk factors for
b. Clinical features
c. know initial treatment and diagnostics
d. Causes
VI. Transient Erythroblastopenia of Childhood
VII. G6PD Deficiency
VIII. Thalassemia Trait
IX. Sickle Cell Anemia Disease & Trait
a. Clinical manifestations & reason for crisis
b. Parent Education
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, X. Platelet & Coagulation disorders
a. Hemophilia A
b. Immune Thrombocytopenia
c. Hemophilia
d. Von Willebrand dx
XI. WBC Malignancies-clinical manifestations of each
a. Lymphoma Hodgkin’s vs Non HL
b. Leukemia
c. Late Effects of CH Cancers
Genitourinary Disorders CH 42
I. STD’s- Chlamydia and gonorrhea
II. Kidney stones- treatment
III. Hypospadius
IV. UTI’s treatment
GYN & REPRODUCTIVE HEALTH CH 43
V. Menstrual cramps
VI. Birth Controls
a. Side effects
VII.
Musculoskeletal Disorders CH 40
I. Hand Laceration
II.
Salter-Harris I Fracture
III. Nursemaid’s Elbow
IV. Duchenne Muscular Dystrophy
V. Osgood Schlatter
VI. Ankle sprain
VII. Bow legs- normal
VIII. Legg Calve Perthes
IX. Clubfoot
X. Lordosis
XI. Development dysplasia of the hip- diagnosis
Neurological Disorders CH 41
a. New onset seizures
b. Depression
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, a. Treatment
c. Daily Headaches
a. treatment
d. ADHD- diagnosis
e. PTSD
f. PHQ-9
g. VP shunt
Injury Prevention and Safety CH 21
a. Drowning Prevention – pg 302
a. Leading cause of death ages 1-4 - Drowning
b. Leading of death in adolescence
i. Males almost 10 times higher death rates compared
to females
c. Never leave young children unattended when they are
around water, including bathtubs, small/portable pools,
hot tubs/spas, above – and below- ground pools, and
natural water features like creeks and ponds. Do not
assume that drowning children make noise
d. Be attentive and avoid being distracted when watching
children around water. This included avoiding technology,
conversations with others, and alcohol or other
substances.
e. Every one should learn basic water skills (e.g., how to
float, basic swimming). Lessons can begin as early as age
one year old, but the evidence for lessons before that age
is lacking.
f. Fence off pools with a latched gate.
g. Use personal floatation devices whenever near or in
bodies of water.
h. Never leave unattended bucket of water or other liquids
around. A young child can down in as little as one inch of
standing water left in a bucket or container.
b. Toddler Mobility & Injury Prevention
a. Book
i. Constant supervision around water (pools, bathtubs,
lakes, etc.)
ii. Personal flotation devices (life jackets, not floaties)
iii. Swim lessons beginning by age 4
iv. Adequate fencing around pools
v. Do not leave child unattended near or inside of a
vehicle
b. ChatGPT
messages.downloaded_by
Content Included: Weeks 7-9
• CH 33 Cardiovascular
• CH 38 Hematologic disorders
• CH 42 GU
• CH 43 GYN
• CH 40 MSK
• CH 41 Neuro
• CH 29 Neurodivergent & Behavioral & Mental Health
• (21)
• (22)
• (25)
• (6)
• (7)
Cardiovascular Disorders CH33
I. Pediatric Cardiac assessment & screening
a. Location of cardiac listening areas related to murmurs
b. Signs of Cong. Heart dx
i. Cyanosis
ii. understand Infant Fatigue with Feeding as indicator
c.
II. Murmurs
a. Murmur evaluation-
i. Grading system & characteristics used to describe a
murmur
ii. Physiologic vs pathologic causes of murmurs
iii. Know location heard, systolic vs diastolic, grade, &
usual presentation with common murmurs
b. What is the most common CHD?
c. Which are cyanotic vs non cyanotic
i. Stills Murmur
ii. Atrial Septal Defect (ASD)
iii. Ventricular Septal Defect (VSD)
iv. Patent Ductus Arteriosus (PDA)-
1. What is the classic sound?
2. Non surgical treatement
v. Coaction of the Aorta (COA)-how are VS & physical signs
different?
vi. Transposition of the great vessels
vii. Tetralogy of Fallot -know the components What is a Tete
Spell & how can it be ameliorated?
messages.downloaded_by
, viii. Pulmonic Stenosis
ix. Venous Hum
x. Mid-Systolic Click Harsh Holosystolic Murmur
xi.
III. Syncope with Exercise
IV. Rheumatic fever & Heart dx
a. Know Jones criteria
b. Risk factors for
V. Kawasaki’s Dx
a. clinical signs
b. cardiac sequelae
VI. Risk factors for Cardiac disease
a. Obesity
b. Pediatric Hypertension & Cardiac Complications
a. Criteria for diagnosing
V. Pediatric Chest Pain -differentials
Hematologic Disorders CH 38
I. Abnormalities of WBCs, RBCs, Platelets & Coagulation factors
II. Red Flags
III. Classification of Anemia
a. Size & Color MCV & MCH
b. Microcytic Anemia
c. Macrocytic Anemia
d. Normocytic anemia
e. Reticulocyte count, RDW-how do they affect diagnosis
f. RBC production, Maturation or Destruction
i. Examples of each
IV. What is the Mentzer Index?
V. Iron Deficiency Anemia-
a. Age to screen & Risk factors for
b. Clinical features
c. know initial treatment and diagnostics
d. Causes
VI. Transient Erythroblastopenia of Childhood
VII. G6PD Deficiency
VIII. Thalassemia Trait
IX. Sickle Cell Anemia Disease & Trait
a. Clinical manifestations & reason for crisis
b. Parent Education
messages.downloaded_by
, X. Platelet & Coagulation disorders
a. Hemophilia A
b. Immune Thrombocytopenia
c. Hemophilia
d. Von Willebrand dx
XI. WBC Malignancies-clinical manifestations of each
a. Lymphoma Hodgkin’s vs Non HL
b. Leukemia
c. Late Effects of CH Cancers
Genitourinary Disorders CH 42
I. STD’s- Chlamydia and gonorrhea
II. Kidney stones- treatment
III. Hypospadius
IV. UTI’s treatment
GYN & REPRODUCTIVE HEALTH CH 43
V. Menstrual cramps
VI. Birth Controls
a. Side effects
VII.
Musculoskeletal Disorders CH 40
I. Hand Laceration
II.
Salter-Harris I Fracture
III. Nursemaid’s Elbow
IV. Duchenne Muscular Dystrophy
V. Osgood Schlatter
VI. Ankle sprain
VII. Bow legs- normal
VIII. Legg Calve Perthes
IX. Clubfoot
X. Lordosis
XI. Development dysplasia of the hip- diagnosis
Neurological Disorders CH 41
a. New onset seizures
b. Depression
messages.downloaded_by
, a. Treatment
c. Daily Headaches
a. treatment
d. ADHD- diagnosis
e. PTSD
f. PHQ-9
g. VP shunt
Injury Prevention and Safety CH 21
a. Drowning Prevention – pg 302
a. Leading cause of death ages 1-4 - Drowning
b. Leading of death in adolescence
i. Males almost 10 times higher death rates compared
to females
c. Never leave young children unattended when they are
around water, including bathtubs, small/portable pools,
hot tubs/spas, above – and below- ground pools, and
natural water features like creeks and ponds. Do not
assume that drowning children make noise
d. Be attentive and avoid being distracted when watching
children around water. This included avoiding technology,
conversations with others, and alcohol or other
substances.
e. Every one should learn basic water skills (e.g., how to
float, basic swimming). Lessons can begin as early as age
one year old, but the evidence for lessons before that age
is lacking.
f. Fence off pools with a latched gate.
g. Use personal floatation devices whenever near or in
bodies of water.
h. Never leave unattended bucket of water or other liquids
around. A young child can down in as little as one inch of
standing water left in a bucket or container.
b. Toddler Mobility & Injury Prevention
a. Book
i. Constant supervision around water (pools, bathtubs,
lakes, etc.)
ii. Personal flotation devices (life jackets, not floaties)
iii. Swim lessons beginning by age 4
iv. Adequate fencing around pools
v. Do not leave child unattended near or inside of a
vehicle
b. ChatGPT
messages.downloaded_by
