Midterm Exam: NR 602/ NR602 (Latest 2025/ 2026
Update) Primary Care of the Childbearing and
Childrearing Family Guide| Questions & Answers|
Grade A| 100% Correct (Verified Solutions)-
Chamberlain
NR602 Midterm
tertiary care
highly complex care and therapy services, requires both specialized expertise and equipment
primary care
generalist care
secondary care
care that requires specialized expertise
quaternary care
care requires highly specialized expertise and highly unusual or specialized equipment
primary prevention
two subcategories of ____ ____:
Health promotion - health maintenance and education efforts, including lifestyle
changes/choices, nutrition, and maintenance of safe environments
Specific prevention - involves actions targeted at specific diseases, such as immunizations, anti-
malarial prophylaxis, and environmental modifications (such as fluoride)
primary prevention
includes efforts that keep disease processes from becoming established by either eliminating the
causes or increasing individual resistance to disease
secondary prevention
,involves early diagnosis and prompt treatment, focusing on efforts that interrupt the disease
process before it becomes symptomatic or halting the disease process at its incipient stage to
prevent complications
screening, early detection, and prompt treatment
tertiary prevention
limit the physical and social consequences of symptomatic disease. The goal is to improve
survival and/or quality of life
inactivated vaccines
____ ____ have killed antigen, including only the protein remnants that induce antibody
responses.
Examples - diphtheria-tetanus-pertussis, polio, Hib, hepatitis A, hepatitis B, human papilloma
virus, meningococcus, and pneumococcus
live vaccines
____ ____ have an attenuated form of the virus, which induces immunity but does not produce
disease
prevention of SIDS
endorsement of room sharing without bed sharing; use of a pacifier; parental avoidance of illicit
drugs, alcohol, and smoke; supine positioning on a firm sleep surface; avoiding bumper pads and
the use of bedding; and avoiding overheating. Breastfeeding and routine immunization
lead poisoning symptoms
Many children do not demonstrate signs of acute toxicity until they have high levels
anemia, constipation, abdominal pain, impaired hearing, learning disabilities, delayed growth,
and/or hyperactivity
at higher levels - affects vitamin D metabolism, nerve conduction velocities, and hemoglobin
synthesis that can lead to myocardial excitability, increased intracranial pressure, seizures, coma,
and death
In all cases of lead toxicity (≥5 mcg/dL):
,• Inform caregiver of level of toxicity.
• Provide caregiver dietary and environmental education.
• Remove child from source of lead if known.
• Report to public health department.
• Initiate environmental investigation. Some health department may do this.
• Initiate lead hazard control/abatement.
• Follow up BLL every 3 months until BLL declines.
• Refer to social services as appropriat
chelation therapy
what treatment is recommended for lead levels higher than 45 mcg/dL
exposures to lead
• The child exhibits pica
• The child lives near a lead smelter, battery recycling plant, or other industry likely to release
lead
• A family member or caregiver works with lead-based materials
• Household members engage in hobbies that might include ceramics, stained glass, making own
fishing tackle
• Painted or unusual materials are burned in wood stoves or fireplaces
• The family uses complementary, herbal, or folk remedies
• Food is prepared or stored in imported pottery or metal containers or water obtained from
contaminated pipes
strategies to reduce exposure to lead
• Cover smaller peeling paint areas with sticky-backed paper.
• Damp-mop and damp-dust with household cleaners or lead-specific cleaning products (e.g.,
Ledizolv) twice weekly to decrease lead dust in the air; do not dry mop or sweep.
• Pick up and dispose of paint chips with a disposable rag or paper towel soaked in phosphate
cleaner.
• Run water until temperature changes to flush pipes of lead sediment.
, • Do not store or cook food in lead crystal or pottery that contains lead.
• Remove work clothes and wash hands before returning home if job is lead-related.
4
Screening for congenital hypothyroidism for all newborns within the first ____ days of life
ophthalmia neonatorum
Topical ocular prophylaxis of all newborns to prevent ____ ____.
antibiotic ointment and vitamin K injection (IM) for the prevention of classic and late onset
hemorrhagic disease.
APGAR
Activity (muscle tone)
Pulse heart rate (bpm)
Grimace - reflex irritability (response of skin stimulation to feet)
Appearance (skin color)
Respiration (respiratory effort)
APGAR scoring
sepsis
If a foul-smelling discharge or rapidly expanding erythema appears around the umbilicus, the
newborn should be evaluated immediately for
30 to 60 breaths/min.
normal newborn respiratory rate
100-190 bpm.
normal newborn heart rate
10
Daily weight measurement with losses of up to ___% in the first 2-3 days are normal.
positives for male circumcision
Update) Primary Care of the Childbearing and
Childrearing Family Guide| Questions & Answers|
Grade A| 100% Correct (Verified Solutions)-
Chamberlain
NR602 Midterm
tertiary care
highly complex care and therapy services, requires both specialized expertise and equipment
primary care
generalist care
secondary care
care that requires specialized expertise
quaternary care
care requires highly specialized expertise and highly unusual or specialized equipment
primary prevention
two subcategories of ____ ____:
Health promotion - health maintenance and education efforts, including lifestyle
changes/choices, nutrition, and maintenance of safe environments
Specific prevention - involves actions targeted at specific diseases, such as immunizations, anti-
malarial prophylaxis, and environmental modifications (such as fluoride)
primary prevention
includes efforts that keep disease processes from becoming established by either eliminating the
causes or increasing individual resistance to disease
secondary prevention
,involves early diagnosis and prompt treatment, focusing on efforts that interrupt the disease
process before it becomes symptomatic or halting the disease process at its incipient stage to
prevent complications
screening, early detection, and prompt treatment
tertiary prevention
limit the physical and social consequences of symptomatic disease. The goal is to improve
survival and/or quality of life
inactivated vaccines
____ ____ have killed antigen, including only the protein remnants that induce antibody
responses.
Examples - diphtheria-tetanus-pertussis, polio, Hib, hepatitis A, hepatitis B, human papilloma
virus, meningococcus, and pneumococcus
live vaccines
____ ____ have an attenuated form of the virus, which induces immunity but does not produce
disease
prevention of SIDS
endorsement of room sharing without bed sharing; use of a pacifier; parental avoidance of illicit
drugs, alcohol, and smoke; supine positioning on a firm sleep surface; avoiding bumper pads and
the use of bedding; and avoiding overheating. Breastfeeding and routine immunization
lead poisoning symptoms
Many children do not demonstrate signs of acute toxicity until they have high levels
anemia, constipation, abdominal pain, impaired hearing, learning disabilities, delayed growth,
and/or hyperactivity
at higher levels - affects vitamin D metabolism, nerve conduction velocities, and hemoglobin
synthesis that can lead to myocardial excitability, increased intracranial pressure, seizures, coma,
and death
In all cases of lead toxicity (≥5 mcg/dL):
,• Inform caregiver of level of toxicity.
• Provide caregiver dietary and environmental education.
• Remove child from source of lead if known.
• Report to public health department.
• Initiate environmental investigation. Some health department may do this.
• Initiate lead hazard control/abatement.
• Follow up BLL every 3 months until BLL declines.
• Refer to social services as appropriat
chelation therapy
what treatment is recommended for lead levels higher than 45 mcg/dL
exposures to lead
• The child exhibits pica
• The child lives near a lead smelter, battery recycling plant, or other industry likely to release
lead
• A family member or caregiver works with lead-based materials
• Household members engage in hobbies that might include ceramics, stained glass, making own
fishing tackle
• Painted or unusual materials are burned in wood stoves or fireplaces
• The family uses complementary, herbal, or folk remedies
• Food is prepared or stored in imported pottery or metal containers or water obtained from
contaminated pipes
strategies to reduce exposure to lead
• Cover smaller peeling paint areas with sticky-backed paper.
• Damp-mop and damp-dust with household cleaners or lead-specific cleaning products (e.g.,
Ledizolv) twice weekly to decrease lead dust in the air; do not dry mop or sweep.
• Pick up and dispose of paint chips with a disposable rag or paper towel soaked in phosphate
cleaner.
• Run water until temperature changes to flush pipes of lead sediment.
, • Do not store or cook food in lead crystal or pottery that contains lead.
• Remove work clothes and wash hands before returning home if job is lead-related.
4
Screening for congenital hypothyroidism for all newborns within the first ____ days of life
ophthalmia neonatorum
Topical ocular prophylaxis of all newborns to prevent ____ ____.
antibiotic ointment and vitamin K injection (IM) for the prevention of classic and late onset
hemorrhagic disease.
APGAR
Activity (muscle tone)
Pulse heart rate (bpm)
Grimace - reflex irritability (response of skin stimulation to feet)
Appearance (skin color)
Respiration (respiratory effort)
APGAR scoring
sepsis
If a foul-smelling discharge or rapidly expanding erythema appears around the umbilicus, the
newborn should be evaluated immediately for
30 to 60 breaths/min.
normal newborn respiratory rate
100-190 bpm.
normal newborn heart rate
10
Daily weight measurement with losses of up to ___% in the first 2-3 days are normal.
positives for male circumcision
