AHN 548 Exam 1 Questions with 100% Correct
Answers Latest Versions 2025 Top Rated A+
3 meds for infant withdrawal symptoms?
(1) phenobarb 16mg/kg loading dose, then 2.5 mg/kg BID (2) morphine 0.1-0.5
mg/kg/dose q 6-12 hours; (3) methadone 0.05-0.1 mg/kg q6h!
Infants with respiratory distress need what to rule out PNA? 2 correct answers.. 1
is diagnostic
Xray and Blood Cultures. May give broad spectrum ABX until bacterial dx is eliminated
The most common presenting sign in the (lol) most common primary Intraocular
malignancy of childhood?
Leukocoria
Which vaccine can cause intussusception?
Rotavirus
What is the most critical aspect of fluid management in the premature infant?
Monitoring
For a baby 5 days old or older, how many wet diapers a day signifies adequate
urine output?
6-8/ day and 4 BMs, 8-10 feedings/day
What type of injectable, local anesthetic can be used for circumcision block?
LIDO without epi (none in fingers, nose, ears, toes, & penis)
Palmar grasp.. gone by __?
4 months
Moro reflex.. gone by __?
3 months
Tonic neck reflex disappears by __?
8 months
What is a hyphema?
Blood in anterior chamber of eye.. R/t trauma or ocular Sx
Brushfield spots or speckling in newborn with __?
Trisomy 21.. seen in eyes
What is the best way to assess nostril patency in a newborn?
Putting back of a chilled metal object under the nostrils & checking for "fog" or unilateral
occlusion
In hypoplastic left heart and critical aortic stenosis, pulses are diminished where?
ALL SITES!
In aortic coarctation and interrupted aortic arch, pulses are diminished where?
Lower extremities
A markedly scaphoid stomach plus respiratory distress suggests.. ?
Diaphragmatic hernia
Purulent nasal discharge at birth points to what condition?
Congenital syphilis
Near and farsightedness are refractive/ ocular errors and strabismus is a
refractive/ocular ?
, Near & far are refractive.. Stabismus is ocular.
What type of NTDs does AFP not detect?
Meningomyelocele and closed forms of NTDs and skin covered lesions
Rabies prophylaxis wise- If a bat is found indoors, what should happen now?
Give Rig.
At what age does object permanence develop?
9 months
Treatment for Endometriosis?
Combined hormonal contraception. GYN referral
Symptoms of a spontaneous miscarriage or ectopic pregnancy?
Acute pelvic pain w/ vag bleed after missed menstral.
How is intrauterine pregnancy detected?
Ultrasound of pelvis or transvaginal.
If US detects ectopic pregnancy.. what is primary concern?
Rupture; OB/ Sx consult
Dysfunctional uterine bleeding has many causes.. Think of a few!
STI (cervicitis or PID), ectopic pregnancy/ miscarriage, bleeding d/o's, endocrine d/o's
(↑/↓ thyroid, ↑prolactin, adrenal insuff., PCOS), ovarian cysts or tumors, cervical polyps,
trauma, foreign body, Chronic conditions (IBS, SLE, liver, renal), Leukemia, Meds
(Anticoags or contraceptive meds [mirena/ nexplanon])
What is included in physical exam for pt w/ dysfunctional uterine bleeding (DUB)?
BP/ HR (orthostats)?Skin color (pallor/ r/f anemia)? Murmur?, Tachycardic? ABD organ
enlrgment? External trauma? Congenital abnormalities?
Acute tx of DUB?
If hgb >12, oral iron, NSAIDs with menses, and oral contraceptives. <12 hgb, oral
contraceptives to stop bleeding. Less than 7, r/f hemodynamic instability. Admit to
hospital. Blood transfusions, pain meds, anti-emetics, ect..
How do you manage dysfunctional uterine bleeding?
Monitoring and follow up 3 mos for mild. Iron supplements & oral contraceptives for at
risk group with Hgb 9-12 normally. <9 will receive Iron IV supplements as needed, serial
Hct, and hormone therapy via oral contraceptive mgmt.
Treating PMS and PMDD..?
↑ exercise, ↓ smoking, ↓ stress. psych consult for therapy as needed, ↑ Calcium intake,
SSRI's like Prozac, Paxil, Zoloft, Celexa.
SSRI's do what for PMS and PMDD? Think symptom mgmt.
DECREASE - depression, anxiety, irritability, anger, mood swings, breast tenderness,
bloating, headache, and joint and muscle pain.
To dx PMS.. must have what?
1+ disabling physical or psychological symptom documented for at least 2 consecutive
menstrual cycles w/ in luteal phase and resolution with menses, results in functional
impairment, not the result of some other underlying disorder
PMDD Dx r/t?
5 physical symptoms with at least 1 affective symptom occurring in the majority of
cycles during the preceding year.
True or false? Ovarian cysts occur with normal ovulation?
Answers Latest Versions 2025 Top Rated A+
3 meds for infant withdrawal symptoms?
(1) phenobarb 16mg/kg loading dose, then 2.5 mg/kg BID (2) morphine 0.1-0.5
mg/kg/dose q 6-12 hours; (3) methadone 0.05-0.1 mg/kg q6h!
Infants with respiratory distress need what to rule out PNA? 2 correct answers.. 1
is diagnostic
Xray and Blood Cultures. May give broad spectrum ABX until bacterial dx is eliminated
The most common presenting sign in the (lol) most common primary Intraocular
malignancy of childhood?
Leukocoria
Which vaccine can cause intussusception?
Rotavirus
What is the most critical aspect of fluid management in the premature infant?
Monitoring
For a baby 5 days old or older, how many wet diapers a day signifies adequate
urine output?
6-8/ day and 4 BMs, 8-10 feedings/day
What type of injectable, local anesthetic can be used for circumcision block?
LIDO without epi (none in fingers, nose, ears, toes, & penis)
Palmar grasp.. gone by __?
4 months
Moro reflex.. gone by __?
3 months
Tonic neck reflex disappears by __?
8 months
What is a hyphema?
Blood in anterior chamber of eye.. R/t trauma or ocular Sx
Brushfield spots or speckling in newborn with __?
Trisomy 21.. seen in eyes
What is the best way to assess nostril patency in a newborn?
Putting back of a chilled metal object under the nostrils & checking for "fog" or unilateral
occlusion
In hypoplastic left heart and critical aortic stenosis, pulses are diminished where?
ALL SITES!
In aortic coarctation and interrupted aortic arch, pulses are diminished where?
Lower extremities
A markedly scaphoid stomach plus respiratory distress suggests.. ?
Diaphragmatic hernia
Purulent nasal discharge at birth points to what condition?
Congenital syphilis
Near and farsightedness are refractive/ ocular errors and strabismus is a
refractive/ocular ?
, Near & far are refractive.. Stabismus is ocular.
What type of NTDs does AFP not detect?
Meningomyelocele and closed forms of NTDs and skin covered lesions
Rabies prophylaxis wise- If a bat is found indoors, what should happen now?
Give Rig.
At what age does object permanence develop?
9 months
Treatment for Endometriosis?
Combined hormonal contraception. GYN referral
Symptoms of a spontaneous miscarriage or ectopic pregnancy?
Acute pelvic pain w/ vag bleed after missed menstral.
How is intrauterine pregnancy detected?
Ultrasound of pelvis or transvaginal.
If US detects ectopic pregnancy.. what is primary concern?
Rupture; OB/ Sx consult
Dysfunctional uterine bleeding has many causes.. Think of a few!
STI (cervicitis or PID), ectopic pregnancy/ miscarriage, bleeding d/o's, endocrine d/o's
(↑/↓ thyroid, ↑prolactin, adrenal insuff., PCOS), ovarian cysts or tumors, cervical polyps,
trauma, foreign body, Chronic conditions (IBS, SLE, liver, renal), Leukemia, Meds
(Anticoags or contraceptive meds [mirena/ nexplanon])
What is included in physical exam for pt w/ dysfunctional uterine bleeding (DUB)?
BP/ HR (orthostats)?Skin color (pallor/ r/f anemia)? Murmur?, Tachycardic? ABD organ
enlrgment? External trauma? Congenital abnormalities?
Acute tx of DUB?
If hgb >12, oral iron, NSAIDs with menses, and oral contraceptives. <12 hgb, oral
contraceptives to stop bleeding. Less than 7, r/f hemodynamic instability. Admit to
hospital. Blood transfusions, pain meds, anti-emetics, ect..
How do you manage dysfunctional uterine bleeding?
Monitoring and follow up 3 mos for mild. Iron supplements & oral contraceptives for at
risk group with Hgb 9-12 normally. <9 will receive Iron IV supplements as needed, serial
Hct, and hormone therapy via oral contraceptive mgmt.
Treating PMS and PMDD..?
↑ exercise, ↓ smoking, ↓ stress. psych consult for therapy as needed, ↑ Calcium intake,
SSRI's like Prozac, Paxil, Zoloft, Celexa.
SSRI's do what for PMS and PMDD? Think symptom mgmt.
DECREASE - depression, anxiety, irritability, anger, mood swings, breast tenderness,
bloating, headache, and joint and muscle pain.
To dx PMS.. must have what?
1+ disabling physical or psychological symptom documented for at least 2 consecutive
menstrual cycles w/ in luteal phase and resolution with menses, results in functional
impairment, not the result of some other underlying disorder
PMDD Dx r/t?
5 physical symptoms with at least 1 affective symptom occurring in the majority of
cycles during the preceding year.
True or false? Ovarian cysts occur with normal ovulation?
