PedsCE PNP-PC Exam Practice | Questions with 100% Correct Answers | Verified | Latest Update 2024

The most likely cause of bilateral purulent conjunctivitis in a 1-day old infant is a. Gonorrheal opthalmia b. Chlamydia infection c. Symphilitic opthalmia d. Adenovirus infection - a. Gonorrheal ophthalmia Rationale: Gonorrehea usually appears in the first 3-5 days of life. Chlamydia is between days 5-14. The other 2 are less common in neonates. Most common causes of conjunctivitis in newborn includes, Chlamydia, Gonorrhea, HSV, and chemical induced conjunctivitis. (Burns) Which of the following circumstances is most suggestive of excessive stress in a family with a chronically ill child? a. The father takes a second job to meet financial responsibilities b. The mother provides the majority of the care for the child c. The parents stop participation in a support group d. A sibling exhibits decline in school performance - c. The parents stop participation in a support group Rationale: Chronic illness takes a significant stress on the family. It can result in changes in roles as well as the sibling feeling unloved or left out in some way. Can also result in depression/anxiety of parents and other family members. Positive social networks are a positive influence on parents and the PNP should be concerned if the family is withdrawing from supportive social networks. This could indicate depression or extreme stress on the family unit. (Burns) An otherwise healthy 2-year old boy is brought to the emergency room with a four-week history of wheezing and persistent cough. Prior to the start of these symptoms, the parent recalls a coughing event which resolved spontaneously. Of the following the most likely diagnosis is: