MVU NURS 629 REVIEW EXAM 1 QUESTIONS AND
ANSWERS SURE A+
✔✔Goiter - ✔✔commonly found on exam with hyperthyroidism
✔✔DM1 treatment goals - ✔✔achieve normal growth/development. Achieve optimal
glycemic control. + psychosocial adjustment to diabetes. Hgb A1C < 7.5
✔✔DM managament - ✔✔DM1= start on insulin. Check BG 6-10x/day. Monitor urine/
blood for ketones in prolonged hyperglycemia. Exercise moderate-vigorous & bone
strengthening 3x/week. BG goal during exercise 90-250 and have carbs available.
✔✔DM eye exams - ✔✔at 10y/o or puberty and on, initial dilated and comprehensive
eye exam after having DM for 3-5 yrs. F/u recommended in opthamol Q2 years pending
risk level
✔✔E coli - ✔✔most common cause of UTI in children
✔✔Red flags for sensory processing disorder - ✔✔overly sensitive to touch, noise,
smell; poor self-esteem; afraid of failing at new tasks; lethargic and slow; always on go;
impulsive; distractible/leaves tasks uncompleted; clumsy, slow, poor motor skills/
handwriting.
✔✔signs of normal cognition development in toddlers: - ✔✔emerging empathy,
understanding social rules, constructing narratives, reciprocity in play.
✔✔executive functions required for self-regulation - ✔✔Inhibition, Flexibility, Emotional
control
✔✔Education for febrile seizures - ✔✔Not actual seizure; best prevention is tylenol/
ibuprofen alternate Q4hr; hydrate & rest; seek emergency care if seizure lasting longer
than 5 minutes
, ✔✔Mgmt & TX reflux - ✔✔Keep breastfeeding; formula fed= 2 week trial of extensively
hydrolyzed formula or amino acid based to exclude CMA and thicken formula.
✔✔screening with known risk factors for DM2 recommended at 10y/o onset of puberty
and repeat= - ✔✔every other year
✔✔increased risk of DM - ✔✔impaired fasting BG (>100 but <125); impaired glucose tol
(2hr post prandial 140-199)
✔✔rates of UTI among uncircumcised infant boys are much higher than circumcised by
- ✔✔as much as 20%
✔✔most likely to be presentation of UTI in 20 month old? - ✔✔Fever
✔✔ideal method for obtaining urine sample for culture in 18 month female with
suspected uti? - ✔✔suprapubic aspiration
✔✔UA of 10 month old with UTI, NP knows - ✔✔20% of UA can be normal
✔✔child 2 months- 2 years with UTI, antibiotic therapy for - ✔✔7-14 days
✔✔12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper
~6hrs ago. Prepare to - ✔✔arrange for child to be admitted to hospt
✔✔preferred urinary tract imaging for 22 month old with 1st time febrile UTI - ✔✔Renal
bladder ultrasound (RBUS)
✔✔most compelling reason to get RBUS instead of voiding cystogram (VCUG)? -
✔✔noninvasive test
✔✔VCUG indicated - ✔✔if UTI recurrent
✔✔rehydrate child with moderate dehydration with - ✔✔oral rehydration. as effective as
IV fluid and less costly
✔✔when considering antidiarrheals and antimotility in young children with
gastroenteritis, NP knows - ✔✔these agents should be avoided.
✔✔most common cause of viral gastroenteritis - ✔✔Norovirus
✔✔to obtain most accurate hydration status, ask about - ✔✔time of last urination
ANSWERS SURE A+
✔✔Goiter - ✔✔commonly found on exam with hyperthyroidism
✔✔DM1 treatment goals - ✔✔achieve normal growth/development. Achieve optimal
glycemic control. + psychosocial adjustment to diabetes. Hgb A1C < 7.5
✔✔DM managament - ✔✔DM1= start on insulin. Check BG 6-10x/day. Monitor urine/
blood for ketones in prolonged hyperglycemia. Exercise moderate-vigorous & bone
strengthening 3x/week. BG goal during exercise 90-250 and have carbs available.
✔✔DM eye exams - ✔✔at 10y/o or puberty and on, initial dilated and comprehensive
eye exam after having DM for 3-5 yrs. F/u recommended in opthamol Q2 years pending
risk level
✔✔E coli - ✔✔most common cause of UTI in children
✔✔Red flags for sensory processing disorder - ✔✔overly sensitive to touch, noise,
smell; poor self-esteem; afraid of failing at new tasks; lethargic and slow; always on go;
impulsive; distractible/leaves tasks uncompleted; clumsy, slow, poor motor skills/
handwriting.
✔✔signs of normal cognition development in toddlers: - ✔✔emerging empathy,
understanding social rules, constructing narratives, reciprocity in play.
✔✔executive functions required for self-regulation - ✔✔Inhibition, Flexibility, Emotional
control
✔✔Education for febrile seizures - ✔✔Not actual seizure; best prevention is tylenol/
ibuprofen alternate Q4hr; hydrate & rest; seek emergency care if seizure lasting longer
than 5 minutes
, ✔✔Mgmt & TX reflux - ✔✔Keep breastfeeding; formula fed= 2 week trial of extensively
hydrolyzed formula or amino acid based to exclude CMA and thicken formula.
✔✔screening with known risk factors for DM2 recommended at 10y/o onset of puberty
and repeat= - ✔✔every other year
✔✔increased risk of DM - ✔✔impaired fasting BG (>100 but <125); impaired glucose tol
(2hr post prandial 140-199)
✔✔rates of UTI among uncircumcised infant boys are much higher than circumcised by
- ✔✔as much as 20%
✔✔most likely to be presentation of UTI in 20 month old? - ✔✔Fever
✔✔ideal method for obtaining urine sample for culture in 18 month female with
suspected uti? - ✔✔suprapubic aspiration
✔✔UA of 10 month old with UTI, NP knows - ✔✔20% of UA can be normal
✔✔child 2 months- 2 years with UTI, antibiotic therapy for - ✔✔7-14 days
✔✔12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper
~6hrs ago. Prepare to - ✔✔arrange for child to be admitted to hospt
✔✔preferred urinary tract imaging for 22 month old with 1st time febrile UTI - ✔✔Renal
bladder ultrasound (RBUS)
✔✔most compelling reason to get RBUS instead of voiding cystogram (VCUG)? -
✔✔noninvasive test
✔✔VCUG indicated - ✔✔if UTI recurrent
✔✔rehydrate child with moderate dehydration with - ✔✔oral rehydration. as effective as
IV fluid and less costly
✔✔when considering antidiarrheals and antimotility in young children with
gastroenteritis, NP knows - ✔✔these agents should be avoided.
✔✔most common cause of viral gastroenteritis - ✔✔Norovirus
✔✔to obtain most accurate hydration status, ask about - ✔✔time of last urination
