2025/l 2026l Update)l Primaryl Carel ofl thel
Childbearingl andl Childrearingl Familyl
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Chamberlain
Q:l Whatl arel majorl riskl factorsl forl Leadl Poisoning?
Answer:
-PICA
-Livingl nearl industriall plantl thatl releasesl lead
-Caregiverl workingl withl leadl basedl material
-Hobbies-ceramics,l stainedl glass,l fishl tackle
-Leadl basedl paint
-Herbal/folkl remedies
-Foodl storedl inl potteryl orl metall containers
Q:l S+Sl ofl Leadl Poisoning
Answer:
GIl upset
Anemia
Constipation
Impairedl hearing
Learningl disabilities
Delayedl growth
Mayl bel asymptomaticl
Severe:l Seizures,l coma,l increasedl ICP
,Q:l Leadl Poisoningl Dxl tests
Answer:
Lead
Freel Erythrocytel Protoporphyrinl (FEP)
Zincl Protoporphyrinl (ZPP)
Q:l Whol shouldl bel screenedl forl Leadl Poisoning
Answer:
Atl riskl childrenl 1-2y/o
Immigrantsl 3-6y/o
Q:l Treatmentl forl Leadl Poisoning
Answer:
Stopl exposure
Correctl dietl deficiencies
Monitorl BLL
Chelationl therapyl forl BLLl >45
Q:l Recommendedl Newbornl Screening
Answer:
Screenedl forl hearingl lossl byl 1l month
Asymmetricall redl reflex-referl tol ophthalmologist
,Q:l Whenl doesl newbornl digestionl fullyl function?
Answer:
3l months
Q:l Whatl isl involvedl inl al Well-Childl Visit?
Answer:
Anticipatoryl guidance
Screeningl forl Abuse
Privacy
Mandatoryl Reporting
Genderl Identityl Development
Q:l Whatl isl involvedl inl al Pediatricl Assessment?
Answer:
Pediatricl physicall exam
Growthl andl development
Developmentl milestonesl andl screenings
Tannerl stages
Commonl growthl andl developmentl problems
Q:l Mostl commonl causesl forl Hypothyroidism
Answer:
Chronicl lymphocyticl thyroiditisl (Hashimotol thyroiditis)
Drugl inducedl (iodine,l lithium,l thioamides,l resorcinol)
, Q:l S+Sl ofl Hypothyroidisml inl thel neonatall andl infantl pediatricl patient?
Answer:
Neonates:l
-prolongedl jaundice
-constipation
-umbilicall hernia
Infants:
-largel anteriorl andl posteriorl fontanelles
-macroglossial
-decreasedl musclel tone
-poorl feeders
-respiratoryl distress
-poorl peripherall circulationl withl cool,l cyanoticl skinl inl thel extremities.
Q:l S+Sl ofl hypothyroidisml inl thel olderl child?
Answer:
-delayedl growthl orl subnormall growthl velocity
-goiter
-weightl gain
-delayedl returnl ofl thel deepl tendonl reflexes
Centrall hypothyroidisml (thyroidl deficiencyl secondaryl tol pituitaryl orl hypothalamusl
dysfunction):
-poorl growth
-increasedl weightl forl height
-featuresl suggestivel ofl hypopituitarism,l suchl asl midlinel faciall orl eyel abnormalities.
Q:l S+Sl ofl Adrenall Insufficiencyl inl thel pediatricl patient
Answer:
-Dehydrationl andl hypotension