MARYVILLE UNIVERSITY NURS 629 EXAM 4 ADVANCED HEALTH ASSESSMENT|QUESTIONS WITH CORRECT ANSWERS

Rovsing sign Correct Answer apply pressure to lower left abdomen. Pain felt on right side of abdomen when pressure released. + Ant/ Post Drawer sign Correct Answer assess for injury of ant/post cruciate ligament Osgood- Schlatter disease Correct Answer most common in later childhood and early adolescence. Painful swelling and tenderness of tibial tuberosity. Most common in children in sports. *initial TX is stretching. TX for sprained ankle Correct Answer apply cold for 20 min, off for 20-45 min. Repeat 1st 24-48hrs. Rest, elevate, and compress (RICE) Legg-calve perthes Correct Answer idiopathic osteonecrosis of femoral head. 4x more common in males. Hip pain, knee pain, and painless limp that is worse at end of day. Frog leg xray best to diagnose. Viral gastroenteritis Correct Answer Most common complication is dehydration.Tx is small, frequent amounts of oral rehydration solution. BG for 4y/o Correct Answer goal of 90-130 Suspected growth hormone deficiency Correct Answer short, slow growth. Childlike faces with prominent forehead. *Initial eval include TSH, BG (hypoglycemia), GI illness, CBC, sed rate, UA, growth factor. Initial eval in cases of isolated menarche Correct Answer *sexual abuse should be ruled out first Essentials for child’s mental health Correct Answer predictable home, childcare, school routines Migraine Correct Answer unilateral, pulsating, occasional photophobia. Iron deficiency anemia Correct Answer *Microcytic, hypochromic. Most common cause is poor dietary intake/ breastfeeding risk. Prevalence is 25% of children between ages 10-15 mos. Depression Comorbidities Correct Answer anxiety disorder, mixed anxiety/depression. ADHD, conduct/learning/oppositional defiant disorders. SAD, eating disorders, stress