CHAPTERS WELL ELABORATED GRADED A+
,Contents
CHAPTER 1: HEALTH STATUS OF CHILDREN: GLOBAL AND NATIONAL PERSPECTIVES ........................4
CHAPTER 2. UNIQUE ISSUES IN PAEDIATRICS ...............................................................................5
CHAPTER 3. GENETICS AND CHILD HEALTH QUESTIONS..................................................................9
CHAPTER 4. ENVIRONMENTAL ISSUES QUESTIONS ........................................................................ 12
CHAPTER 5. CHILD AND FAMILY HEALTH ASSESSMENT QUESTIONS ........................................... 14
CHAPTER 6. CULTURAL CONSIDERATIONS FOR PEDIATRIC PRIMARY CARE QUESTIONS ............... 18
CHAPTER 7. CHILDREN WITH SPECIAL HEALTH CARE NEEDS ......................................................... 20
CHAPTER 8. DEVELOPMENTAL MANAGEMENT IN PEDIATRIC PRIMARY CARE QUESTIONS ........... 26
CHAPTER 9. DEVELOPMENTAL MANAGEMENT OF ......................................................................... 29
CHAPTER 10. DEVELOPMENTAL MANAGEMENT OF INFANTS QUESTIONS .................................... 32
CHAPTER 11. DEVELOPMENTAL MANAGEMENT OF EARLY CHILDHOOD QUESTIONS .................... 34
CHAPTER 12. DEVELOPMENTAL MANAGEMENT OF MIDDLE CHILDHOOD QUESTIONS .................... 38
CHAPTER 13. DEVELOPMENTAL MANAGEMENT OF ADOLESCENTS/YOUNG ADULTS QUESTIONS. 41
CHAPTER 14. INTRODUCTION TO HEALTH PROMOTION HEALTH ................................................ 45
CHAPTER 15. BEHAVIOURAL AND MENTAL HEALTH PROMOTION QUESTIONS ............................... 48
CHAPTER 16. BREASTFEEDING QUESTIONS ................................................................................... 52
CHAPTER 17. NUTRITION QUESTIONS........................................................................................... 55
CHAPTER 18. ELIMINATION QUESTIONS ........................................................................................ 58
CHAPTER 19. PHYSICAL ACTIVITY AND SPORTS QUESTIONS ...................................................... 62
CHAPTER 20. SLEEP QUESTIONS ................................................................................................... 67
CHAPTER 21. SEXUALITY SECTION QUESTIONS ............................................................................. 70
CHAPTER 22. IMMUNIZATIONS QUESTIONS ................................................................................. 73
CHAPTER 23. DENTAL HEALTH AND ORAL DISORDERS QUESTIONS ............................................ 81
CHAPTER 24. INTENTIONAL AND UNINTENTIONAL INJURIES: ......................................................... 85
CHAPTER 25. ACUTE/CHRONIC DISEASE MANAGEMENT AND PRINCIPLES OF DIAGNOSTIC
TESTING QUESTIONS .................................................................................................................... 90
CHAPTER 26. PRESCRIBING MEDICATIONS IN PEDIATRICS . QUESTIONS ..................................... 95
CHAPTER 27. COMPLEMENTARY AND INTEGRATIVE HEALTH IN PAEDIATRICS QUESTIONS ............. 97
CHAPTER 28. PEDIATRIC PAIN AND FEVER MANAGEMENT QUESTIONS ...................................... 99
CHAPTER 29. PERINATAL DISORDERS QUESTIONS ...................................................................... 102
CHAPTER 30. MENTAL HEALTH DISORDERS QUESTIONS ............................................................... 104
CHAPTER 31. INFECTIOUS DISEASES ............................................................................................ 110
,CHAPTER 32. COMMON GENETIC DISORDERS ............................................................................. 114
CHAPTER 33. ATOPIC, RHEUMATIC, AND IMMUNODEFICIENCY DISORDERS QUESTIONS ........... 117
CHAPTER 34. DERMATOLOGIC DISORDERS QUESTIONS ............................................................... 124
CHAPTER 35. EYE AND VISION DISORDERS QUESTIONS ............................................................. 131
CHAPTER 36. EAR AND HEARING DISORDERS QUESTIONS ........................................................... 136
CHAPTER 37. RESPIRATORY DISORDERS QUESTIONS ................................................................... 139
CHAPTER 38. CARDIOVASCULAR DISORDERS QUESTIONS ............................................................ 144
CHAPTER 40. GASTROINTESTINAL DISORDERS QUESTIONS ......................................................... 153
CHAPTER 41. GENITOURINARY DISORDERS QUESTIONS .............................................................. 157
CHAPTER 42. GYNAECOLOGIC DISORDERS QUESTIONS .............................................................. 162
CHAPTER 43. MUSCULOSKELETAL DISORDERS QUESTIONS ......................................................... 167
CHAPTER 44. INJURIES AND TOXIC EXPOSURES QUESTIONS ........................................................ 170
CHAPTER 45. ENDOCRINE AND METABOLIC DISORDERS QUESTIONS ........................................ 172
CHAPTER 46. NEUROLOGIC DISORDERS QUESTIONS ................................................................... 177
,CHAPTER 1: HEALTH STATUS OF CHILDREN: GLOBAL AND NATIONAL PERSPECTIVES
1. WHICH REGION GLOBALLY HAS THE HIGHEST INFANT MORTALITY RATE?
A. INDONESIA
B. SOUTHERN ASIA
C. SUB-SAHARAN AFRICA CORRECT
D. SYRIA
2. THE PRIMARY CARE PEDIATRIC NURSE PRACTITIONER UNDERSTANDS THAT, TO ACHIEVE THE
GREATEST WORLDWIDE
REDUCTION IN CHILD MORTALITY FROM PNEUMONIA AND DIARRHEA, WHICH INTERVENTIONS MOST
EFFECTIVE?
A. ANTIBIOTICS
B. OPTIMAL NUTRITION
C. VACCINATIONS CORRECT
D. WATER PURIFICATION
3. WHICH IS TRUE ABOUT THE HEALTH STATUS OF CHILDREN IN THE UNITED STATES?
.
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A. GLOBALISM HAS RELATIVELY LITTLE IMPACT ON CHILD HEALTH MEASURES IN THE
U.S.
B. OBESITY RATES AMONG 2TO5YEAROLDS HAVE SHOWN A RECENT SIGNIFICANT
DECREASE. CORRECT
.
C. THE RATE OF HOUSEHOLD POVERTY IS LOWER THAN IN OTHER ECONOMICALLY DEVELOPED
NATIONS.
D. YOUNG CHILDREN WHO ATTEND PRESCHOOL OR DAY CARE HAVE HIGHER FOOD INSECURITY.
4. THE PRIMARY CARE PEDIATRIC NURSE PRACTITIONER UNDERSTANDS THAT A MAJOR CHILD
HEALTH OUTCOME ASSOCIATED WITH WORLDWIDE CLIMATE CHANGE IS A. COST OF LIVING.
B. EDUCATION.
,C. NUTRITION. CORRECT
D. POLLUTION.
5. WHEN PROVIDING WELL CHILD CARE FOR AN INFANT IN THE FIRST YEAR OF LIFE, THE PRIMARY
CARE PEDIATRIC NURSE PRACTITIONER IS ADHERING TO THE MOST RECENT
AMERICAN ACADEMY OF
PAEDIATRICS RECOMMENDATIONS FOR PREVENTIVE PEDIATRIC HEALTH CARE GUIDELINES BY
A. FOCUSING LESS ON DEVELOPMENT AND MORE ON ILLNESS PREVENTION AND NUTRITION.
B. FOLLOWING GUIDELINES ESTABLISHED BY THE BRIGHT FUTURES PUBLICATION.
C. SCHEDULING WELL BABY VISITS TO COINCIDE WITH KEY DEVELOPMENTAL MILESTONES.
CORRECT
D. SEEING THE INFANT AT AGES 2, 4, 6, AND 12 MONTHS WHEN IMMUNIZATIONS ARE DUE.
CHAPTER 2. UNIQUE ISSUES IN PAEDIATRICS
1. A NURSE IS EXPLAINING THE THERAPEUTIC MILIEU TO A NEW NURSE.
THE BEST EXPLANATION OF THIS TERM WOULD BE:
1. THE PLACE WHERE THE CHILD IS RECEIVING CARE.
2. GROUP THERAPY.
3. PERSONAL INTERACTIONS BETWEEN PATIENTS AND STAFF. 4. ALL OF THE ABOVE ARE CORRECT.
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2. A 16-YEAR-OLD MALE HAS RECEIVED A PINK-SLIP FROM THE POLICE FOR INPATIENT PSYCHIATRIC
TREATMENT. THE TEEN HAS BEEN EXPRESSING THOUGHTS OF HANGING HIMSELF BECAUSE LIFE SUCKS.
THE NURSING STAFF SHOULD CONSIDER PLACING THE CHILD:
1. WITH PEERS.
2. IN AN AREA WHERE HE CAN BE WATCHED ONE-ON-ONE.
3. WITH A ROOMMATE THAT IS EXPRESSING THE SAME CONCERNS. 4. IN AN AREA CLOSE TO AN
EXTERNAL DOOR. ANS:2
3. LEARNING DISABILITIES IN CHILDREN HAVE SCIENTIFICALLY BEEN LINKED TO:
1. POOR NUTRITION.
2. THE ENVIRONMENT IN WHICH THE CHILD LIVES.
3. GENETICS.
,4. WATCHING MORE THAN FOUR HOURS OF TELEVISION A DAY.
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4. A MENTAL HEALTH NURSE HAS ASSESSED A CHILD AND DETERMINED THAT THE CHILD EXHIBITS
BEHAVIOURAL CHALLENGES.
WHEN THE SCHOOL NURSE EXPLAINS THIS TO A TEACHER, THE BEST DESCRIPTION WOULD-BE: .
1. THE CHILD MAY EXHIBIT PHYSICAL OUTBURSTS.
2. THE CHILD MAY EXHIBIT VIOLENCE TOWARD OTHERS.
3. THE CHILD MAY BE DEFIANT OR HAVE TANTRUMS. 4. THE CHILD WILL NEED SPECIAL
INTERVENTIONS FOR LEARNING.
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5. A CHILD THAT HAS NOT EXHIBITED ENURESIS IN FOUR YEARS HAS EXHIBITED THIS BEHAVIOR
PATTERN FOR THE LAST WEEK.
THE REASON A CHILD MAY REVERT BACK TO THIS BEHAVIOR PATTERN IS BECAUSE OF:
1. HALLUCINATIONS.
2. BEHAVIORAL CHALLENGES.
3. DELUSIONS.
4. STRESS
S. ANS:
4
6. AN 18-YEAR-OLD MALE HAS CALLED THE CRISIS LINE FOR HELP. THE CRISIS NURSE RECOGNIZES THE
INTERVENTION NEEDS MAY CONSIST OF ALL OF THE FOLLOWING EXCEPT:
1. DISCUSSING THE INDIVIDUALS EVERYDAY ACTIVITIES.
2. RECOGNIZING THAT THE PATIENT MAY BE IN A CATHARSIS STATE.
3. EXPRESSING EMPATHY TOWARD THE CALLER. 4. AVOIDING ENTROPY.
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7. AN 8-YEAR-OLD BOY WITH A HISTORY OF HALLUCINATIONS AND VIOLENT BEHAVIOR HAS BEEN PLACE
IN A SECLUSION ROOM
AT THE HOSPITAL BECAUSE HE HAS BEEN HURTING OTHERS. THE NURSE CHECKS ON THE PATIENT AND
REALIZES SHE MUST TAKE HIM OUT OF THE SECLUSION ROOM WHEN:
1. HE IS CRYING TO BE RELEASED.
2. HE STATES, I WILL BE A GOOD BOY NOW. .
,3. HE STARTS HEADBUTTING THE WINDOW.
4. HE COMPLAINS THAT HIS PARENTS WILL FILE A LAWSUIT.
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8. A CHILD HAS BEEN EXHIBITING THE MACDONALD TRIAD. THESE BEHAVIORS INCLUDE:
1. ENURESIS, PUSHING OTHERS, AND PYROMANIA.
2. SWINGING A CAT BY THE TAIL, BED-WETTING, AND LIGHTING PAPER ON FIRE IN THE TRASH
CAN.
3. PLAYING WITH OTHER CHILDREN, LAUGHING, AND CONVERSING WITH ADULTS. 4. PLAYING
WITH A CAMPFIRE, WATCHING TELEVISION, AND SEEKING ADULT ATTENTION.
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9. A TEENAGER DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER SHOULD HAVE DISCHARGE
PLANNING INSTRUCTIONS OF:
1. A CONSISTENT CAREGIVER.
2. MONITORING OF MEDIA, SUCH AS THE INTERNET, TELEVISION, AND VIDEO GAMES.
3. OBTAINING SUPPORT FROM FAMILY AND FRIENDS.
4. SEEKING MEDICAL ATTENTION WHEN THE TEENAGER FEELS GOOD.
ANS:3
10. A MENTAL HEALTH NURSE IS TEACHING THE MOTHER OF A CHILD WITH EXECUTIVE FUNCTIONING
ISSUES WAYS TO HELP HER CHILD. INTERVENTIONS THE MOTHER SHOULD USE INCLUDE:
1. PLACING VISUAL AIDS ON THE BATHROOM MIRROR SO THAT THE CHILD WILL FOLLOW THE
MORNING ROUTINE.
2. GIVE THE CHILD A CHOICE IN FOODS TO EAT.
3. ALLOWING THE CHILD TO ASK FOR HELP WHEN NEEDED. 4. REMINDING THE CHILD TO BE NICE
TO OTHERS. ANS:1
.
11. ELLIE, A 9-YEAR-OLD GIRL, WAS ADOPTED BY A FAMILY AT THE AGE OF 4 AFTER SEVERAL YEARS OF
SEVERE NEGLECT BY HER BIRTH FAMILY. THE ADOPTIVE FAMILY HAS-BEEN REPORTING THAT ELLIE IS
ANGRY A LOT, MANIPULATIVE WITH HER
TEACHERS, AND DOES NOT SEEK POSITIVE ATTENTION. THE NURSE WORKING WITH ELLIE WILL NEED
TO:
1. PROVIDE EDUCATION ON DECREASING STIMULI IN THE HOME ENVIRONMENT THAT TRIGGERS
THE ANGER.
, 2. REALIZE ELLIE MAY HAVE ATTACHMENT ISSUES RELATED TO HER PREVIOUS HISTORY AND WILL
NEED TO ENCOURAGE THE FAMILY TO BE ACTIVE IN HER CARE.
3. SUPPORT THE FAMILY IN THE DECISION-MAKING PROCESS OF CONTINUING TO LET ELLIE LIVE IN
THE HOME.
4. DISCUSS INPATIENT THERAPY TO DECREASE ELLIES MANIPULATIVE BEHAVIOR PATTERNS.
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12. AN INFANT DISPLAYS DEPRESSION BY:
1. SMILING AT STRANGERS.
2. BONDING TO SOMEONE OTHER THAN THE IMMEDIATE FAMILY.
3. CRYING MORE THAN AN AVERAGE INFANT.
4. LOOKS AWAY WHEN AN ADULT ATTEMPTS TO PLAY WITH THE INFANT.
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13. A FATHER REPORTS THAT HIS ADOLESCENT DAUGHTER HAS GOTTEN GOOD GRADES UP UNTIL THE
LAST QUARTER OF SCHOOL.
SHE HAS BEEN HANGING OUT BY HERSELF AND DOES NOT WANT TO TALK TO HIM ANYMORE.
THE MENTAL HEALTH NURSE SHOULD:
1. REALIZE THAT THIS IS A NATURAL PART OF GROWING UP.
2. PERFORM A MENTAL HEALTH SCREENING TO CHECK FOR DEPRESSION.
3. ATTEMPT TO GET THE ADOLESCENT TO DISCUSS WHY SHE DOES NOT LIKE HER FATHER
ANYMORE.
4. LET THE ADOLESCENT TALK WHEN SHE IS READY.
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14. A TEEN SHOULD BE CHECKED FOR DEPRESSION AT PHYSICIAN VISIT(S).
1. EVERY .
2. ONE
3. MONTHLY 4. BIYEARLY
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15. WHEN USING THE SAD FACES DEPRESSION SCREEN, ITIS IMPORTANT TO ASSESS:
1. ANHEDONIA.
2. SUICIDAL IDEATIONS.