CMN 568||CMN 568 FINAL EXAM
QUESTION AND ANSWERS LATEST
REVIEW(Intro to Family NP)2024/25 A-
SOUTH ALABAMA
anticipatory guidance (CORRECT ANSWER) Patient/family
counseling which includes information, advice, and suggestions about
expected health-related life occurrences, health maintenance, and
preventive plans.
where should pediatric history information be obtained from?
(CORRECT ANSWER) both patient and parent; obtain as much as
possible from patient to give child a degree of control over a potentially
threatening situation
order of pediatric physical examination (CORRECT ANSWER) 1.
inspection first, from afar; examine skin color and work of breathing
before beginning exam; establish trust; allow child to sit in parents lap;
defer otoscopic exam until last
when should eyes and ears be examined? (CORRECT ANSWER)
during every health visit
3 components of vision assessment (CORRECT ANSWER) - visual
inspection of eyes/eyelids
,- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: (CORRECT ANSWER) - eye
history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: (CORRECT ANSWER) - eye
history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed
and record data as "corrected"
assessing newborn visual acuity (CORRECT ANSWER) should be able
to briefly track mother's face or brightly colored object within an hour
after birth (fixation reflex not developed for several weeks); dont talk
,while assessing vision, baby may look toward sound rather than visual
stimulus
when patient presents with eye condition (infection, injury, etc), what do
you check first? (CORRECT ANSWER) visual acuity; UNLESS there
is chemical injury to eye, then you should irrigate first and refer to
ophthalmologist; when there is decreased acuity, also refer to
ophthalmologist
what is the visual acuity of a newborn? (CORRECT ANSWER) 20/200-
20/400; acuity reaches adult level of 20/20 by age 5
when to refer child to ophthalmologist (CORRECT ANSWER) - 3-5yr:
if acuity is less than 20/40 in either eye, or if theres a difference in two
lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in
two lines in acuity between eyes
when to assess red reflex (CORRECT ANSWER) birth until the child
can read eye chart
when should you start to assess fixation and following? (CORRECT
ANSWER) 2 months; refer out if fixation and following are poor by 3
months
when to test corneal light reflex (hirschsbergs test)? (CORRECT
ANSWER) 3 months- 5 years; refer out for asymmetry in light reflex
, when to start cover testing for strabismus (CORRECT ANSWER) 6
months- 5 years
when to start a fundoscopic exam (CORRECT ANSWER) 3 years
when to start preliterate eye chart testing (CORRECT ANSWER) 3-4
years
minimal visual acuity at age 3-5 (CORRECT ANSWER) 20/40
minimal visual acuity greater than 6 years old (CORRECT ANSWER)
20/30
downs syndrome children have increased risk of what eye disorders?
(CORRECT ANSWER) refractive error, strabismus, cataracts
hearing screening after age 4 (CORRECT ANSWER) conventional
screening audiometry (raise your hand if you can hear the noise); each
ear tested and referred for discrepancy greater than 20 dB; hearing
screening should be part of attention problem workup
what percentage dose acute care visits account for in a primary care
office? (CORRECT ANSWER) 30%
QUESTION AND ANSWERS LATEST
REVIEW(Intro to Family NP)2024/25 A-
SOUTH ALABAMA
anticipatory guidance (CORRECT ANSWER) Patient/family
counseling which includes information, advice, and suggestions about
expected health-related life occurrences, health maintenance, and
preventive plans.
where should pediatric history information be obtained from?
(CORRECT ANSWER) both patient and parent; obtain as much as
possible from patient to give child a degree of control over a potentially
threatening situation
order of pediatric physical examination (CORRECT ANSWER) 1.
inspection first, from afar; examine skin color and work of breathing
before beginning exam; establish trust; allow child to sit in parents lap;
defer otoscopic exam until last
when should eyes and ears be examined? (CORRECT ANSWER)
during every health visit
3 components of vision assessment (CORRECT ANSWER) - visual
inspection of eyes/eyelids
,- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: (CORRECT ANSWER) - eye
history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: (CORRECT ANSWER) - eye
history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed
and record data as "corrected"
assessing newborn visual acuity (CORRECT ANSWER) should be able
to briefly track mother's face or brightly colored object within an hour
after birth (fixation reflex not developed for several weeks); dont talk
,while assessing vision, baby may look toward sound rather than visual
stimulus
when patient presents with eye condition (infection, injury, etc), what do
you check first? (CORRECT ANSWER) visual acuity; UNLESS there
is chemical injury to eye, then you should irrigate first and refer to
ophthalmologist; when there is decreased acuity, also refer to
ophthalmologist
what is the visual acuity of a newborn? (CORRECT ANSWER) 20/200-
20/400; acuity reaches adult level of 20/20 by age 5
when to refer child to ophthalmologist (CORRECT ANSWER) - 3-5yr:
if acuity is less than 20/40 in either eye, or if theres a difference in two
lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in
two lines in acuity between eyes
when to assess red reflex (CORRECT ANSWER) birth until the child
can read eye chart
when should you start to assess fixation and following? (CORRECT
ANSWER) 2 months; refer out if fixation and following are poor by 3
months
when to test corneal light reflex (hirschsbergs test)? (CORRECT
ANSWER) 3 months- 5 years; refer out for asymmetry in light reflex
, when to start cover testing for strabismus (CORRECT ANSWER) 6
months- 5 years
when to start a fundoscopic exam (CORRECT ANSWER) 3 years
when to start preliterate eye chart testing (CORRECT ANSWER) 3-4
years
minimal visual acuity at age 3-5 (CORRECT ANSWER) 20/40
minimal visual acuity greater than 6 years old (CORRECT ANSWER)
20/30
downs syndrome children have increased risk of what eye disorders?
(CORRECT ANSWER) refractive error, strabismus, cataracts
hearing screening after age 4 (CORRECT ANSWER) conventional
screening audiometry (raise your hand if you can hear the noise); each
ear tested and referred for discrepancy greater than 20 dB; hearing
screening should be part of attention problem workup
what percentage dose acute care visits account for in a primary care
office? (CORRECT ANSWER) 30%
