NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum - NR 602 Week 4 Midterm Study Guide (Exam Points) with correct answers 20252026

NR 602 Primary Care Of The Childbearing And
Childrearing Family Practicum - NR 602 Week
4 Midterm Study Guide (Exam Points) with
correct answers 2025>2026


Strabismusv-
vvcorrectvanswersvcrossedveyes;vavdefectvinvInvocularvalignment,vorvthevpositionvofvtheveyesvinvrelati


onvtoveachvother;vItvisvcommonlyvcalledvlazyveye.vAndvstrabismus,vthevvisualvaxesvarevnotvparallelvb
ecausevthevmusclesvofvtheveyesvarevnotvcoordinated;vWhenvoneveyevisvdirectedvstraightvahead,vthe
vothervdeviates




Retinoblastomav-
vvcorrectvanswersvtumorvarisingvfromvavdevelopingvretinalvcell;vintraocularvtumorvthatvdevelopsvinvt


hevretina.vAlthoughvitvisvrare,vthisvmalignantvretinalvtumorvisvthevmostvcommonvtumorvinvchildhoo
dv(somev4%vofvcancersvinvchildrenvyoungervthanv15vyearsvofvage)



Retinoblastomavclinicalvfindingsv-vvcorrectvanswersvstrabismusvisvthevmostvcommonvfinding

therevisvavdecreasedvvisualvacuityvuni-
vorvbilateralvwhitevpupilv(leukocoria),vdescribedvoftenvasvanvintermittentv"glow,vglint,vgleam,vorvglar


e"vbyvparents,visvusuallyvseenvinvlowvlightvsettingsvorvnotedvinvphotographsvtakenvwithvavflashvi.e.v(c
at'sveyevreflex);vothervsymptomsvincludevanvabnormalvredvreflex,vnystagmus,vglaucoma,vorbitalvCel
lulitisvandvphotophobia,vhyphema,vhypopyonv(plusvanvanteriorvChambervofveye);vSignsvofvglobalvru
pturevorvalsovpossible



leukocoriav-vvcorrectvanswersvconditionvofvwhitevpupil

,Bulbarvorvpalpebralvconjunctivalvinfectionv-
vvcorrectvanswersvavcommonvpresentation,vwhichvcanvbevunilateralvorvbilateral




conjunctivalvinfectionvdifferentialvdiagnosisv-
vvcorrectvanswersvallergy,vconjunctivitis,vinfection,vforeignvbody,vchemicalvexposure,vorvsystemicvinf


lammatoryvdisease,virritationvofvthevconjunctivavorvcornea,vandvcongenitalvglaucoma.



conjunctivalvinfectionvdrainagev-vvcorrectvanswersvwateryvdischarge;vpurulent/mucoidvdischarge



wateryvdischargev-
vvcorrectvanswersvcanvoccurvwithvallergies,vnasolacrimalvobstruction,vforeignvbodies,vviralvinfection


,vandviritis.



Purulentvorvmucoidvdischargev-
vvcorrectvanswersvnotedvwithvchronicvdacrocystitisvorvnasolacrimalvobstruction.




Dacrocystitisv-vvcorrectvanswersvinflammationvofvthevtearvsac



Advancedvallergicvconjunctivitisv-vvcorrectvanswersvhavevsomevmucoidvproduction.

Tovdifferentiate,vmicroscopicvinvestigationvofvdischargevmayvleadvtovothervclues



photophobiav-
vvcorrectvanswersvsensitivityvtovlight;vsymptomvcommonvofvtraumavandvinvinfantsvwithvglaucomavor


vretinalvdisease.vOthervnon-eyevrelatedvcausesvofvthisvincludevmigrainesvandvmeningitis.




leukocoriav-
vvcorrectvanswersvseriousvfindingvandvdemandsvimmediatevreferralvtovthevpediatricvophthalmologi


st.vwhitevpupil

,causesvofvleukocoriav-
vvcorrectvanswersvretinalvdetachment,vcataract,vretinalvdysplasia,vretinopathyvofvprematurity,vandvi


nvnewbornsvretinoblastomavAllvnewbornsvshouldvhavevavfundoscopicvexaminationvwithinv24vhour
svofvbirthvandvyearlyvonvphysicalvexaminations.



ophthalmiavneonatorumv-
vvcorrectvanswersvconjunctivitisvofvthevnewborn.vEtiology:vchlamydia,vstaphylococcusvaureus,vgono


rrhea,vHSVv(silvervnitratevreactionvoccursvonv10%vofvneontes).vClinicalvfindings:verythema,vchemos
is,vpurulentvexudatevwithvgonorrhea.vClearvtovmucoidvexudatevwithvchlamydia.vDiagnosisvthroughv
gramvstainvtovrulevoutvgonorrheavandvchlamydia.



ophthalmiavneonatorumvmanagementv-
vvcorrectvanswersvsalinevirrigationvtovtheveyesvuntilvexudatevisvgone;vfollowvwithverythromycinvoint


ment.vN.vgonorrohea:vceftriaxonevIMvorvIV.vChlamydia:



ceftriaxonevIMvorvIV.vChlamydia:v-
vvcorrectvanswersvophthalmiavneonatorumvmanagementvx/tvN.vgonorrohea:




ErythromycinvorvpossiblyvazithromycinvPOv-
vvcorrectvanswersvophthalmiavneonatorumvmanagementvd/tvChlamydia:




AntiviralsvIVvorvPOv-vvcorrectvanswersvOphthalmiavneonatorumvmanagementvd/tvHSV



Bacterialvconjunctivitisv-vvcorrectvanswersvpinkeye;vveryvcontagious



Bacterialvconjunctivitisv-vvcorrectvanswersvinvneonatesv5-
14vdays,vpreschoolers,vsexuallyvactivevteens:vHaemphilusvinfluenzav(Mostvcommonvorganism),vstr
eptococcusvpneumoniae,vS.vAureus,vN.vgonorrohea.vErythema,vchemosis,vitching,vburning,vmucop
urulentvexudate,vmattervinvtheveyelashesv-

, worsevinvthevmorning,vcausingveyelashesvtovbevshut;vworsevinvwinter;vDxvthroughvculturesv(requir
v


edvinvneonates),vr/ovpharyngitis,vAOM,vURI,vseborrhea



chemosisv-vvcorrectvanswersvedemavofvthevconjunctiva



Bacterialvconjunctivitisvneonatevtreatmentv-
vvcorrectvanswersvErythromycinv0.5%vophthalmicvointment




Bacterialvconjunctivitisv>1vyearvtreatmentv-
vvcorrectvanswersvfourthvgenerationvfluoroquinolone.vIfvconcurrentvAOM:vtreatvaccordinglyvforvAO


M.vWarmvsoaksvtoveyesvTID;vdon'tvsharevtowelsvorvpillows;vnovschoolvorvworkvuntilvtreatmentvbegi
ns



ChronicvBacterialvConjunctivitisv-
vvcorrectvanswersvLastsvmorevthanv3vweeksvandvunresponsivevtovtreatment



MostvcommonvorgvisvStaphylococcusvAureus.vGramvnegativevorgsvinclude:

-moraxellavlacunata,vserratiavmarcescens,vecoli,vklebsiellavpneumoniae,vproteus.

Teens:vChlamydia

Erythema,vchemosis,vitching,vburning,vmucopurulwntvexudate,vmattervinvtheveyelashes;vforeignvb
ody;vDxvbyvgramvstainvculturevtovr/ovdacryostenosis,vblepharitis,vcornealvulcers,vtrachoma



ChronicvBacterialvConjunctivitisvtreatmentv-
vvcorrectvanswersvdependsvonvpriorvtreatment,vlabvresults,vandvdifferentialvdiagnosis.vReviewvcom


pliancevofvpreviousvdrugvchoices;vconsultvophthalmologist



Inclusionvconjunctivitisv-vvcorrectvanswersvoccursvinvneonatesv5-
14vdaysvoldvandvsexuallyvactivevteenagers:vcausedvbyv:vChlamydiavtrachomatis;vErythema,vchemosi
s,vitching,vburning,vmucopurulntvexudatevorvclearvdrainage,vpalpebralvfollicles.vCultures:vELISA,vPC
Rvr/ovsexualvactivity