EXAMS STUDY GUIDE
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1
NR 602 Final Exam Study Guide
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Week 5 gd
Pediatrics
• Unit II - Child Development
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o Chapter 34 - Dermatologic Disorders gd gd gd gd
o Chapter 35 - Eye and Vision Disorders gd gd gd gd gd gd
o Chapter 36 - Ear and Hearing Disorders gd gd gd gd gd gd
o Chapter 37 - Respiratory Disorders gd gd gd gd
Lieberthal, A. S., Carroll, A. E., Chonmaitree, T., Ganiats, T. G., Hoberman, A., Jackson, M. A., ... & Schwartz, R. H. (2013). The
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diagnosis and management of acute otitis media. Pediatrics, 131(3), e964-e999. https://chamberlain-on-worldcat-
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org.chamberlainuniversity.idm.oclc.org/oclc/8588117369
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Week 6 gd
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
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• Chapter 38 - Cardiovascular Disorders gd gd gd gd
• Chapter 39 - Hematologic Disorders gd gd gd gd
• Chapter 46 - Neurologic Disorders gd gd gd gd
• Chapter 43 - Musculoskeletal Disorders gd gd gd gd
, G. C., Tulloh, L. E., & Tulloh, R. R. (2016). Kawasaki disease incidence in children and adolescents: an observational
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study in primary care. The British Journal of General Practice: The Journal of The Royal College of General
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Practitioners, 66(645), e271-e276. doi:10.3399/bjgp16X684325 (Links to an external site.)
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tin-Hermoso, M. R., Berger, S., Bhatt, A. B., Richerson, J. E., Morrow, R., Freed, M. D., & Beekman, R. H. (2017). The
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care of children with congenital heart disease in their primary medical home. Pediatrics, 140(5), e20172607.
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https://chamberlain- on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/7285161978
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Week 7 gd
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
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• Chapter 18 - Elimination gd gd gd
• Chapter 40 - Gastrointestinal Disorders gd gd gd gd
• Chapter 41 - Genitourinary Disorders gd gd gd gd
• Chapter 45 - Endocrine and Metabolic Disorders
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• Chapter 33 - Atopic, Rheumatic, and Immunodeficiency Disorders
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Week 8 gd
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
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, • Chapter 15 - Behavioral and Mental Health Promotion
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• Chapter 24 - Injury Prevention and Child Maltreatment
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• Chapter 30 - Neurodevelopmental, Behavioral, and Mental Health Disorders
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Eye disorders
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• USPSTF recommendations for vision screening for children 6 months to 5 years of age
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note that screening tests have reasonable accuracy in identifying strabismus, amblyopia,
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and refractive errors in children 3 to 5 years of age.
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• Refractive errors are the most common visual disorders seen in children
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o Myopia, or nearsightedness, exists when the axial length of the eye is increased
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in relation to the eye’s optical power. As a result, light from a distant object is
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focused in gd gd
front of the retina rather than directly on it. A myopic child sees close objects clearly
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but distant objects are blurry.
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▪ Myopia may be present at birth however more likely to develop between 6 and gd gd gd gd gd gd gd gd gd gd gd gd
9 years of age, with increased prevalence after the adolescent growth spurt.
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Mild hyperopia is normal in a young child and should decrease rapidly
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between 7 and 14 years of age. gd gd gd gd gd gd gd
o Hyperopia, or farsightedness, exists when the visual image is focused behind gd gd gd gd gd gd gd gd gd gd
the retina. As a result, distant objects are seen clearly but close objects are
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blurry. gd
o Astigmatism exists when the curvature of the cornea or the lens is uneven; thus gd gd gd gd gd gd gd gd gd gd gd gd gd
the retina cannot appropriately focus light from an object regardless of the distance,
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which makes vision blurry close up and far away. Rarely, astigmatism can be
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caused by an alteration in the corneal sphere caused by a soft tissue mass on the
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inner aspect of the eyelid, such as a chalazion or hemangioma.
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o Anisometropia is a different refractive error in each eye. It may consist of gd gd gd gd gd gd gd gd gd gd gd gd
any combination of refractive errors discussed earlier, or it may occur with
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aphakia. gd
• Amblyopia usually a unilateral deficit in which there is defective development of the
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visual pathways needed to attain central vision
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o Clear focused images fail to reach the brain, resulting in reduced or permanent loss
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of vision. gd gd
o The condition is labeled (or typed) according to the structural or refractive problem
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that is causing the poor visual image to reach the brain: deprivational, or obstruction
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of vision (e.g., caused by ptosis, cataract, nystagmus), strabismic (caused by
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strabismus or lazy eye), or refractive (myopia, hyperopia, astigmatism, anisometropia).
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Diagnosis of amblyopia prevents permanent loss of vision in the affected eye.
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o clinical findings: gd
▪ Squinting, tendency to cover or close one eye when concentrating gd gd gd gd gd gd gd gd gd
▪ Abnormal vision, cover/uncover, and/or fundoscopic exam gd gd gd gd gd
▪ Pain in or around eyes and/or headaches (rare) gd gd gd gd gd gd gd
▪ Fatigue, dizziness gd
▪ Developmental delay gd
▪ Family history of refractive errors, strabismus, or amblyopia gd gd gd gd gd gd gd
o Management:
▪ Refer to an ophthalmologist or optometrist for prescription corrective lenses.
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School-age children and teenagers should participate in the selection of
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frames; contact lenses may be considered.
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▪ Once a refractive error has been determined or if a child is wearing gd gd gd gd gd gd gd gd gd gd gd gd
glasses, annual evaluations are recommended.
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▪ Moderate amblyopia usually responds to 2 hours of daily patching or gd gd gd gd gd gd gd gd gd gd
weekend atropine (produces cycloplegia of nonamblyopic eye).
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▪ Untreated or inadequately treated amblyopia in young childhood results gd gd gd gd gd gd gd gd
in irreversible and lifelong visual loss
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• Strabismus defect in ocular alignment, or the position of the eyes in relation to each other;
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it is commonly called lazy eye.
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o strabismus may be hereditary or the result of various eye diseases (e.g.,gd gd gd gd gd gd gd gd gd gd gd
neuroblastoma), trauma, systemic or neurologic dysfunction that paralyzes
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, the
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