NR602 Midterm Study Guide
Primary Care Nurse practitioner - ANS well childcare and prevention and or management of both
common pediatric acute illness and nay childhood diseases
Acute Care Nurse Practitioner - ANS treats acute, chronic, or critically I'll children. Unstable experiencing
life-threatening illness, medically fragile and tech-dependent answer is higher acuity
Pediatric Primary Care - ANS servces as the primary interface between the child/family and the health
system, except in the case of serious emergencies. the emphasis is on health promotion and protection,
and disease and/or disability prevention. It is designed to be a first contact point, not simply a point of
entry into the health system. It is also designed to be the "hub" of coordination, providing continuity, as
well as integrating subsequent care, regardless of where the care is delivered and who provides it. As
comprehensive, continuous, and person-centered care, this is the ideal place for the establishment of
the individual and family medical home.
Tertiary Care - ANS requires both speciliazed expertise and equipment. The goal improves survival and
quality of life.
1. disability limitation - early symptoms management
2. rehabilitation - late symptom management - ANS Goals of tertiary care
Quaternary care - ANS highly specialised expertise and highly unusual or specialized equipment
1. Acknowledge and respect the trusted relationship between provider and parent.
2. Communicate a strong shared commitment with the parent to the health and well-being of their
child.
,3. Listen to and query parents' reasons for refusing or delaying vaccines; not all vaccine-hesitant
individuals have the same concerns.
4. Be familiar with misconceptions and controversies regarding vaccines and be prepared to address
them (ex. thimerosal-free vaccines)
5. Emphasize the safety of vaccines, the extensive testing before licensure, and the post-licensure safety
surveillance programs. Explain the serious consequences of not vaccinating.
6. Educate the family about the safety of multiple vaccines to be given simultaneously. - ANS How to
encourange parents to get vaccines for their kids
1. 2 doses, starting age 12mo (after receiving 2 vaccines, efficacy is 98%)
2. rash, high fever 5-12 days after the vaccine
3. Do not give to pregnant women or 28 before becoming pregnant - ANS 1. dose info for MMR
2. side effects
3. precautions
intussusception - ANS Side effect and contraindication of rotavirus
1. 3 doses at age 0, 1-2 months, 6-18months
2. 20 years old
3. no - ANS Hepatitis B virus vaccine
, 1. how many dose series and at what age
2. immunogenicity last until what age?
3. is a routine booster recommended
1. ages 9-26
2. 2 doses at 6-12months apart for individuals who receive their first dose on or before 15years old
3. then 3 shots are needed - ANS HPV
1. what age is this given
2. how many doses and age
3. if started on or after 15th birthday what else is needed to be done
1. 11-21 years with booster at 16years old
2. high school and college - ANS Meningococcal vaccine
1. what age is it given
2. who are at the highest risk
1. children 2months-5years old; 2-6 years old with uncompleted vaccinations, and 6-18years old for
immunocompromised
Primary Care Nurse practitioner - ANS well childcare and prevention and or management of both
common pediatric acute illness and nay childhood diseases
Acute Care Nurse Practitioner - ANS treats acute, chronic, or critically I'll children. Unstable experiencing
life-threatening illness, medically fragile and tech-dependent answer is higher acuity
Pediatric Primary Care - ANS servces as the primary interface between the child/family and the health
system, except in the case of serious emergencies. the emphasis is on health promotion and protection,
and disease and/or disability prevention. It is designed to be a first contact point, not simply a point of
entry into the health system. It is also designed to be the "hub" of coordination, providing continuity, as
well as integrating subsequent care, regardless of where the care is delivered and who provides it. As
comprehensive, continuous, and person-centered care, this is the ideal place for the establishment of
the individual and family medical home.
Tertiary Care - ANS requires both speciliazed expertise and equipment. The goal improves survival and
quality of life.
1. disability limitation - early symptoms management
2. rehabilitation - late symptom management - ANS Goals of tertiary care
Quaternary care - ANS highly specialised expertise and highly unusual or specialized equipment
1. Acknowledge and respect the trusted relationship between provider and parent.
2. Communicate a strong shared commitment with the parent to the health and well-being of their
child.
,3. Listen to and query parents' reasons for refusing or delaying vaccines; not all vaccine-hesitant
individuals have the same concerns.
4. Be familiar with misconceptions and controversies regarding vaccines and be prepared to address
them (ex. thimerosal-free vaccines)
5. Emphasize the safety of vaccines, the extensive testing before licensure, and the post-licensure safety
surveillance programs. Explain the serious consequences of not vaccinating.
6. Educate the family about the safety of multiple vaccines to be given simultaneously. - ANS How to
encourange parents to get vaccines for their kids
1. 2 doses, starting age 12mo (after receiving 2 vaccines, efficacy is 98%)
2. rash, high fever 5-12 days after the vaccine
3. Do not give to pregnant women or 28 before becoming pregnant - ANS 1. dose info for MMR
2. side effects
3. precautions
intussusception - ANS Side effect and contraindication of rotavirus
1. 3 doses at age 0, 1-2 months, 6-18months
2. 20 years old
3. no - ANS Hepatitis B virus vaccine
, 1. how many dose series and at what age
2. immunogenicity last until what age?
3. is a routine booster recommended
1. ages 9-26
2. 2 doses at 6-12months apart for individuals who receive their first dose on or before 15years old
3. then 3 shots are needed - ANS HPV
1. what age is this given
2. how many doses and age
3. if started on or after 15th birthday what else is needed to be done
1. 11-21 years with booster at 16years old
2. high school and college - ANS Meningococcal vaccine
1. what age is it given
2. who are at the highest risk
1. children 2months-5years old; 2-6 years old with uncompleted vaccinations, and 6-18years old for
immunocompromised
