Early Childhood - Growth and Development Questions
with Detailed Verified Answers
what causes fifth disease erythema infectiosum Ans: ✓ ✓ ✓ Human parvovirus B19
describe the 1st stage of the fifth disease rash: Ans: ✓ ✓ ✓ "slapped cheek," disappears 1-4 days
describe the 2nd stage of the fifth disease rash: Ans: ✓ ✓ ✓ upper and lower extremities,
proximal-distal, may last 1 week or more
describe the 3rd stage of the fifth disease rash: Ans: ✓ ✓ ✓ rash reappears if irritated or
traumatized
fifth disease suppportive care Ans: ✓ ✓ ✓ analgesic
antipyretics
standard precautions
pregnant women-risk of fetal death w/ 1st trimester exposure
what is the cause of roseola erythema subitum Ans: ✓ ✓ ✓ human herpes virus type 6
roseola erythema subitum is most likely to occur between Ans: ✓ ✓ ✓ 6 mths - 3 yrs
how does a pt present with roseola erythema subitum Ans: ✓ ✓ ✓ high fever, precipitous drop,
then rash appears (first on trunk then face and extremities)
what is the cause of scarlet fever Ans: ✓ ✓ ✓ Group A beta-hemolytic streptococci
scarlet fever incubation period Ans: ✓ ✓ ✓ 2-4 days with range of 1-7 days
scarlet fever tx Ans: ✓ ✓ ✓ 24-48 hrs of abx therapy during incubation and clinical illness
how does a pt with scarlet fever present Ans: ✓ ✓ ✓ high fever, HA, vomiting, abd pain, malaise,
enanthema, exanthema
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enanthema Ans: ✓ ✓ ✓ enlarged tonsils, exudate, beefy red pharynx, strawberry tongue
exanthema Ans: ✓ ✓ ✓ rash appears w/in 12 hrs of prodromal phase, sandpaper-like, increased
density in groin/axilla
medication for scarlet fever Ans: ✓ ✓ ✓ IV -penicilin, erythromycin
med compliance is crucial
May give Bicillin IM if this is a concern
scarlet fever supportive care Ans: ✓ ✓ ✓ -Bedrest, analgesics, fluids
-Precautions: Droplet until 24 hrs after Antibiotic
what additional testing will need to be done for scarlet fever? Ans: ✓ ✓ ✓ return for throat culture
and urinalysis
what is the cause of conjunctivitis "pink eye" Ans: ✓ ✓ ✓ Viral, bacterial, allergic, foreign body
Only bacterial is considered contagious
conjunctivitis assessment characteristics Ans: ✓ ✓ ✓ itching, burning, scratchy eyelids, redness,
edema, discahrge
conjunctivitis nursing care - teaching Ans: ✓ ✓ ✓ -Infection control measures, medication regimen
-No school for 24 hours after therapy initiated (bacterial)
-Accumulated secretions wiped from inner canthus, downward, and away from other eye
what are the 2 types of stomatitis Ans: ✓ ✓ ✓ Aphthous ulcers and Herpetic gingivostomatitis
what is the cause of aphthous stomatitis and what is it Ans: ✓ ✓ ✓ traumatic injury
4-12 days
benign but painful
herpetic gingivostomatitis (herpes simplex type-1) primary infection Ans: ✓ ✓ ✓ fever, pharynx
erythemetous and edematous, vesicles erupt on mucosa, cervical lymphadenitis, 5-14 days
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