PMHNP Tessy Questions Complete Solution

Reflexes expected at 1 month - Moro until 4 months, Palmer until 4 months, Plantar until 8 months, Babinski (2 years is disease) Signs of fetal alcohol syndrome - small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention specialist Rhett Syndrome - a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the child usually develops normally until about 6 to 18 months of age at which characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and disinterest in play activities EPS types - Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours), Parkinson’s (weeks), Akathisia (days) Where do EPS originate - nigrostiatal tract. How does tegretol interact with cipro - cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box warning Tegretol side effects - Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch with Cipro and erythro Nuchal rigidity - stiffness in cervical neck area, meningitis ACE inhibitors - -pril, CHF Signs of serotonin syndrome - -shivering -anxiety -diaphoresis -hyperthermia Shits and Shivers Diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability, encephalopathy, restlessness, sweating