NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum -
NR 602 Week 4 Midterm Study Guide (Exam Points)
- ✔✔may respond to lifestyle changes, such as alterations in diet and exercise.
These changes must be comprehensive and family based. MNT. Referral to a
registered pediatric dietician nutritionist is essential, with the goals of weight
loss and regulating nutritional intake. A low-fat diet, self-monitoring of weight,
and being physically active.
- ✔✔one of the most commonly diagnosed disorders in childhood.
neurodevelopmental disorder because it has a clear neurologic base with
symptoms that can profoundly affect the behavior of individuals across many
settings in their lives.
- ✔✔symptoms: throughout the daily
nighttime awakenings: >1x/week (<4years old) or often 7x/week (>5 years)
SABA use for symptoms: several times per day
limitation of normal activity: extreme
lung function: FEV1<60%, FEV1/FVC<75% (5-11 years); FEVa/FVC reduced by 5%
(>12)
exacerbations requiring OCS: >2/6 months (0-4) >2/year (>5years)
recommendation: Step 3 (4 years), Step 3 or 4 (5-11 years), step 4 (>12 years)
< 2 years old AOM treatment - ✔✔treatment with amoxicillin or
amoxicillin/clavulanate for 10 days
0-4 yrs and 15 -25 yrs - ✔✔HIGHEST RISK OF TBI
,3 types of depression - ✔✔MDD, dysthymic disorder, adjustment disorder
3 years - ✔✔A mature gait pattern is well established by ?
3-12 - ✔✔GCS score that warrants cranial CT
7 years - ✔✔the gait characteristics are similar to those of an adult
abdominal migraines - ✔✔symptoms include midline pain, nausea, and
vomiting with minimal or no headache. This rare and somewhat controversial
diagnosis can be suggestive of complex partial seizures and may merit further
evaluation.
acute otitis media - ✔✔acute infection of the middle ear ; requires the presence
of the following three components to diagnose AOM:
§Recent, abrupt onset of middle ear inflammation and effusion (ear pain,
irritability, otorrhea, and/or fever). confirmed by bulging TM, limited or absent
mobility by pneumatic otoscopy, air-fluid level behind TM, and/or otorrhea.
Signs and symptoms of middle ear inflammation confirmed by distinct TM
erythema or ear pain (holding, tugging, rubbing the ear)
acute otitis media - ✔✔infection of the middle ear; Suppurative effusion of the
middle ear
Acute pyelonephritis - ✔✔Oral therapy is equally as effective as parenteral
therapy in treating pyelonephritis and preventing kidney damage.
,acute suicidal intent - ✔✔plan, psychosis, risk of abuse, and unstable behavior
require immediate psychiatric evaluation.
Acyanotic congenital heart defects - ✔✔Left-to-right shunting (increase
Pulmonary blood flow)
Adam's Test - ✔✔Forward bending test for Scoliosis; looks for asymmetry of the
posterior chest wall on forward bending. This position allows for evaluation of
structural scoliosis. child bends at the waist to a position of 90 degrees back
flexion with straight legs, ankles together, and arms hanging freely or with
palms together (in a diving position) but not touching the toes or floor. back is
inspected for asymmetry of the height of the curves on the two sides or rib
hump; the provider inspects the child's back by looking at it from the rear and
side positions. The examiner should be seated in front of the child to best
visually scan each level of the spine
ADHD core symptoms - ✔✔inattention, hyperactivity, and impulsivity occurring
at a developmentally inappropriate level observed in at least two settings
(home, school, or work) with clear evidence of clinical impairment in social,
academic, or occupational functioning
ADHD hyperactivity/impulsivity - ✔✔Six or more of the following symptoms
have persisted for at least 6 months to a degree that is inconsistent with
developmental level that negatively impacts directly on social and
academic/occupational activities:
a. Often fidgets with or taps hands or feet or squirms in seat.
b. Often leaves seat in situations when remaining seated is expected (e.g.,
leaves his or her place in the classroom, in the office or other workplace, or in
other situations that require remaining in place).
, c. Often runs about or climbs in situations where it is inappropriate. (Note: In
adolescents or adults, may be limited to feeling restless.
d. Often unable to play or engage in leisure activities quietly.
e. Is often "on the go" acting as If "driven by a motor" (e.g., is unable to be or
uncomfortable with being still for extended time, as in restaurants, meetings;
may be experienced by others as being restless or difficult to keep up with).
f. Often talks excessively.
g. Often blurts out an answer before a question has been completed (e.g.,
completes people's sentences; cannot wait turn in conversation).
h. Often has difficulty waiting his or her turn (e.g., while waiting in line).
i. Often interrupts or intrudes on others (e.g., butts into conversations, games,
or activities; may start using other people's things without asking or receiving
permission; for adolescents and adults, may intrude into or take over what
others are doing).
ADHD inattention - ✔✔Six (or more) of the following symptoms have persisted
at least 6 months to a degree that is inconsistent with developmental level and
that negatively impacts directly on social and academic/occupational activities:
a. Often fails to give close attention to details or makes careless mistakes in
schoolwork, at work, or during other activities (e.g., overlooks or misses details,
work is inaccurate)
b. Often has difficulty sustaining attention in tasks or play activities (e.g., has
difficulty remaining focused during lectures, conversations, or lengthy reading.
c. Often does not seem to listen when spoken to directly (e.g., mind seems
elsewhere, even in the absence of any obvious distraction.
d. Often does not follow through on instructions and fails to finish schoolwork,
chores, or duties in the workplace (e.g., starts tasks but quickly loses focus and
is easily sidetracked).
NR 602 Week 4 Midterm Study Guide (Exam Points)
- ✔✔may respond to lifestyle changes, such as alterations in diet and exercise.
These changes must be comprehensive and family based. MNT. Referral to a
registered pediatric dietician nutritionist is essential, with the goals of weight
loss and regulating nutritional intake. A low-fat diet, self-monitoring of weight,
and being physically active.
- ✔✔one of the most commonly diagnosed disorders in childhood.
neurodevelopmental disorder because it has a clear neurologic base with
symptoms that can profoundly affect the behavior of individuals across many
settings in their lives.
- ✔✔symptoms: throughout the daily
nighttime awakenings: >1x/week (<4years old) or often 7x/week (>5 years)
SABA use for symptoms: several times per day
limitation of normal activity: extreme
lung function: FEV1<60%, FEV1/FVC<75% (5-11 years); FEVa/FVC reduced by 5%
(>12)
exacerbations requiring OCS: >2/6 months (0-4) >2/year (>5years)
recommendation: Step 3 (4 years), Step 3 or 4 (5-11 years), step 4 (>12 years)
< 2 years old AOM treatment - ✔✔treatment with amoxicillin or
amoxicillin/clavulanate for 10 days
0-4 yrs and 15 -25 yrs - ✔✔HIGHEST RISK OF TBI
,3 types of depression - ✔✔MDD, dysthymic disorder, adjustment disorder
3 years - ✔✔A mature gait pattern is well established by ?
3-12 - ✔✔GCS score that warrants cranial CT
7 years - ✔✔the gait characteristics are similar to those of an adult
abdominal migraines - ✔✔symptoms include midline pain, nausea, and
vomiting with minimal or no headache. This rare and somewhat controversial
diagnosis can be suggestive of complex partial seizures and may merit further
evaluation.
acute otitis media - ✔✔acute infection of the middle ear ; requires the presence
of the following three components to diagnose AOM:
§Recent, abrupt onset of middle ear inflammation and effusion (ear pain,
irritability, otorrhea, and/or fever). confirmed by bulging TM, limited or absent
mobility by pneumatic otoscopy, air-fluid level behind TM, and/or otorrhea.
Signs and symptoms of middle ear inflammation confirmed by distinct TM
erythema or ear pain (holding, tugging, rubbing the ear)
acute otitis media - ✔✔infection of the middle ear; Suppurative effusion of the
middle ear
Acute pyelonephritis - ✔✔Oral therapy is equally as effective as parenteral
therapy in treating pyelonephritis and preventing kidney damage.
,acute suicidal intent - ✔✔plan, psychosis, risk of abuse, and unstable behavior
require immediate psychiatric evaluation.
Acyanotic congenital heart defects - ✔✔Left-to-right shunting (increase
Pulmonary blood flow)
Adam's Test - ✔✔Forward bending test for Scoliosis; looks for asymmetry of the
posterior chest wall on forward bending. This position allows for evaluation of
structural scoliosis. child bends at the waist to a position of 90 degrees back
flexion with straight legs, ankles together, and arms hanging freely or with
palms together (in a diving position) but not touching the toes or floor. back is
inspected for asymmetry of the height of the curves on the two sides or rib
hump; the provider inspects the child's back by looking at it from the rear and
side positions. The examiner should be seated in front of the child to best
visually scan each level of the spine
ADHD core symptoms - ✔✔inattention, hyperactivity, and impulsivity occurring
at a developmentally inappropriate level observed in at least two settings
(home, school, or work) with clear evidence of clinical impairment in social,
academic, or occupational functioning
ADHD hyperactivity/impulsivity - ✔✔Six or more of the following symptoms
have persisted for at least 6 months to a degree that is inconsistent with
developmental level that negatively impacts directly on social and
academic/occupational activities:
a. Often fidgets with or taps hands or feet or squirms in seat.
b. Often leaves seat in situations when remaining seated is expected (e.g.,
leaves his or her place in the classroom, in the office or other workplace, or in
other situations that require remaining in place).
, c. Often runs about or climbs in situations where it is inappropriate. (Note: In
adolescents or adults, may be limited to feeling restless.
d. Often unable to play or engage in leisure activities quietly.
e. Is often "on the go" acting as If "driven by a motor" (e.g., is unable to be or
uncomfortable with being still for extended time, as in restaurants, meetings;
may be experienced by others as being restless or difficult to keep up with).
f. Often talks excessively.
g. Often blurts out an answer before a question has been completed (e.g.,
completes people's sentences; cannot wait turn in conversation).
h. Often has difficulty waiting his or her turn (e.g., while waiting in line).
i. Often interrupts or intrudes on others (e.g., butts into conversations, games,
or activities; may start using other people's things without asking or receiving
permission; for adolescents and adults, may intrude into or take over what
others are doing).
ADHD inattention - ✔✔Six (or more) of the following symptoms have persisted
at least 6 months to a degree that is inconsistent with developmental level and
that negatively impacts directly on social and academic/occupational activities:
a. Often fails to give close attention to details or makes careless mistakes in
schoolwork, at work, or during other activities (e.g., overlooks or misses details,
work is inaccurate)
b. Often has difficulty sustaining attention in tasks or play activities (e.g., has
difficulty remaining focused during lectures, conversations, or lengthy reading.
c. Often does not seem to listen when spoken to directly (e.g., mind seems
elsewhere, even in the absence of any obvious distraction.
d. Often does not follow through on instructions and fails to finish schoolwork,
chores, or duties in the workplace (e.g., starts tasks but quickly loses focus and
is easily sidetracked).
