NR602 APPB MIDTERM EXAM
What is the recommendation for HPV Vaccine? - ANS: Recommended for routine vaccination at age 11
or 12 years. (Vaccination can be started at age 9.)
ACIP also recommends vaccination for everyone through age 26 years if not adequately vaccinated
when younger.
What population is at risk for meningococcal infection? - ANS: rates of disease are highest in children
younger than 1 year old, with a second peak in adolescence. Among adolescents and young adults,
those 16 through 23 years old have the highest rates of disease.
What vaccines are contraindicated in pregnancy? - ANS: live vaccines (HPV, MMR, varicella)
What are possible complications for a person with Downs Syndrome? - ANS: Heart Defects-->Congenital
Heart Disease
Vision Problems-->Cataracts
Hypothyroidism
GI Defects
Sleep apnea
Obesity
Spinal problems-->Atlantoaxial Instability
Low IQ quotient
When is further genetic testing warranted in children? - ANS: if a child experiences developmental
disabilities or delay of motor, speech, or cognitive function. Children with structural birth defects, either
single-organ defects or multiple major and/or minor anomalies that are present in different org ANS:
,What is retinoblastoma? - ANS: intraocular tumor that develops in the retina; the most common tumor
in childhood
What are the signs/symptoms of Retinoblastoma? - ANS: Abnormal Red Reflex
Strabismus is most common.
Decreased visual acuity.
Uni- or bilateral white pupil (leukocoria), described often as an intermittent "glow, glint, gleam, or glare"
by parents, is usually seen in low-light settings or noted in photographs taken with a flash (e.g., cat's eye
reflex).
abnormal red reflex
When should should children be screened for Retinoblastoma? - ANS: All infants and children should
have a red reflex exam before discharge from the newborn nursery and thereafter at every health
maintenance visit.
What are risk factors for Retinoblastoma? - ANS: RB1 Gene Mutation and some evidence regarding HPV
infections.
What are the S/S of Hypothyroidism in children? - ANS: Slowing of height - an important early sign of
condition in children
Pubertal development that may be delayed in adolescents
Lethargy
Weight Gain
Cold Intolerance
Constipation
What is the process of screening for pediatric clients for endocrine and metabolic disorders? - ANS: All
states in the United States require newborn screening for a variety of genetic and metabolic disorders,
as well as selected congenital abnormalities, although the RUSP screening tests performed vary from
, state to state. Newborns should be screened based on state law. Typically, they are screened before
discharge and if an initial screen was before 24 hours of life rescreening should be done by 14 days old.
Is imaging warranted in a pediatric client with Asthma? - ANS: Chest radiography should be performed
in children with recurrent wheezing or a single episode of unexplained wheezing that does not respond
to bronchodilators.
When should the second dose of HPV vaccine take place? - ANS: 6-12 months after the first dose
What is GABHS? - ANS: group a beta-hemolytic streptococcus (Strep throat)
What is the first line ABX for dog and cat bites? - ANS: Amoxicillin clavulanate for 7-10 days
Treatment of GABHS pharyngitis - ANS: Penicillin V or Amoxicillin for 10 days. Amoxicillin 500mg PO BID
X 10 days
What are characteristics of fetal alcohol spectrum disorder? - ANS: Poor prenatal and postnatal growth
Hypotonia, poor coordination
Cardiac defects (e.g., VSD, ASD)
Narrow eyes, microphthalmia, large epicanthal folds, microcephaly, small upper jaw, smooth groove in
the upper lip, thin upper lip
Simian creases common
Tertiary Care - ANS: intensive care, subacute care
highly complex care and therapy services from practitioners in a hospital or overnight facility
quaternary care - ANS: extension of tertiary care, extremely specialized services (e.g. burn units and tr
ANS:plant surgery) available typically only on a regional basis.
What is the recommendation for HPV Vaccine? - ANS: Recommended for routine vaccination at age 11
or 12 years. (Vaccination can be started at age 9.)
ACIP also recommends vaccination for everyone through age 26 years if not adequately vaccinated
when younger.
What population is at risk for meningococcal infection? - ANS: rates of disease are highest in children
younger than 1 year old, with a second peak in adolescence. Among adolescents and young adults,
those 16 through 23 years old have the highest rates of disease.
What vaccines are contraindicated in pregnancy? - ANS: live vaccines (HPV, MMR, varicella)
What are possible complications for a person with Downs Syndrome? - ANS: Heart Defects-->Congenital
Heart Disease
Vision Problems-->Cataracts
Hypothyroidism
GI Defects
Sleep apnea
Obesity
Spinal problems-->Atlantoaxial Instability
Low IQ quotient
When is further genetic testing warranted in children? - ANS: if a child experiences developmental
disabilities or delay of motor, speech, or cognitive function. Children with structural birth defects, either
single-organ defects or multiple major and/or minor anomalies that are present in different org ANS:
,What is retinoblastoma? - ANS: intraocular tumor that develops in the retina; the most common tumor
in childhood
What are the signs/symptoms of Retinoblastoma? - ANS: Abnormal Red Reflex
Strabismus is most common.
Decreased visual acuity.
Uni- or bilateral white pupil (leukocoria), described often as an intermittent "glow, glint, gleam, or glare"
by parents, is usually seen in low-light settings or noted in photographs taken with a flash (e.g., cat's eye
reflex).
abnormal red reflex
When should should children be screened for Retinoblastoma? - ANS: All infants and children should
have a red reflex exam before discharge from the newborn nursery and thereafter at every health
maintenance visit.
What are risk factors for Retinoblastoma? - ANS: RB1 Gene Mutation and some evidence regarding HPV
infections.
What are the S/S of Hypothyroidism in children? - ANS: Slowing of height - an important early sign of
condition in children
Pubertal development that may be delayed in adolescents
Lethargy
Weight Gain
Cold Intolerance
Constipation
What is the process of screening for pediatric clients for endocrine and metabolic disorders? - ANS: All
states in the United States require newborn screening for a variety of genetic and metabolic disorders,
as well as selected congenital abnormalities, although the RUSP screening tests performed vary from
, state to state. Newborns should be screened based on state law. Typically, they are screened before
discharge and if an initial screen was before 24 hours of life rescreening should be done by 14 days old.
Is imaging warranted in a pediatric client with Asthma? - ANS: Chest radiography should be performed
in children with recurrent wheezing or a single episode of unexplained wheezing that does not respond
to bronchodilators.
When should the second dose of HPV vaccine take place? - ANS: 6-12 months after the first dose
What is GABHS? - ANS: group a beta-hemolytic streptococcus (Strep throat)
What is the first line ABX for dog and cat bites? - ANS: Amoxicillin clavulanate for 7-10 days
Treatment of GABHS pharyngitis - ANS: Penicillin V or Amoxicillin for 10 days. Amoxicillin 500mg PO BID
X 10 days
What are characteristics of fetal alcohol spectrum disorder? - ANS: Poor prenatal and postnatal growth
Hypotonia, poor coordination
Cardiac defects (e.g., VSD, ASD)
Narrow eyes, microphthalmia, large epicanthal folds, microcephaly, small upper jaw, smooth groove in
the upper lip, thin upper lip
Simian creases common
Tertiary Care - ANS: intensive care, subacute care
highly complex care and therapy services from practitioners in a hospital or overnight facility
quaternary care - ANS: extension of tertiary care, extremely specialized services (e.g. burn units and tr
ANS:plant surgery) available typically only on a regional basis.
