NR602–Primary Care of Childbearing & Childrearing Family
Exam Study Guide – Midterm (Weeks 1-4)
1. Week One: Primary Care Foundations in Pediatric and Women’s Health
a. Nurse Practitioner Roles (Pediatric NP, Primary Care NP, Acute Care NP)
i. Pediatric NP=early focus on health promotion, protection, and disease
prevention remains the mainstay
1. serves as the primary interface between the child/family and the
health system, except in the case of serious emergencies.
ii. key difference between primary care PNP and an acute care PNP is
not the site where they practice, but the acuity of the patient for
whom they are caring
iii. Primary care PNPs, much like those in the early days with Dr. Ford,
provide primary care, which includes well-childcare and the
prevention and/or management of both common pediatric acute
illnesses and chronic conditions.
iv. In contrast, acute care PNPs provide care for acutely, critically, and
chronically ill children who are unstable, experiencing life-threatening
illness, are medically fragile and/or technologically dependent
b. Tertiary Care/Quaternary Care
i. Primary care is generalist care
1. more person- rather than disease-centered
2. continuous, relationship-oriented care over time, rather than
being a series of limited disease-based interactions
3. health promotion and protection, and disease and/or disability
prevention.
4.
ii. Secondary care requires specialized expertise
iii. tertiary care requires both specialized expertise and equipment
iv. quaternary care requires highly specialized expertise and highly
unusual or specialized equipment
c. Immunizations
i. Pediatric Vaccinations
ii. What is the recommendation(s) for human papillomavirus (HPV)
vaccine?
iii. What population(s) at-risk for contracting meningococcal infection?
d. Vaccines for Children (VIC)
i. What vaccines are contraindicated in pregnancy or those planning to
become pregnant?
e. Sudden Infant Death Syndrome (SIDS) Prevention
f. Lead Poisoning
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
1
, vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
g. Infant sleeping position
h. Primary, Secondary, Tertiary Prevention
i. Burn
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
j. Immunity
i.
2. Week Two: Pediatric Well-Child Assessment and Growth and Development
Milestones
a. Newborn assessment (including eye screenings)
b. Newborn digestive system and nutrition
c. Well-Child Visits
d. Anticipatory guidance
e. Screening for abuse
f. Privacy and mandatory reporting
g. Gender identity development
h. Pediatric Assessment
i. should be included in your history questions?
i. Pediatric What physical exam
i. What should be included in your physical exam?
j. Growth and development
k. Development milestones and screenings (motor skills, weight)
l. Tanner stages
m. Puberty in male vs female
n. Common growth and development health problems (developmental delays)
o. Endocrine/Metabolic (Adrenal insufficiency, Hypothyroidism)
i. Adrenal insufficiency
1. Pharmacologic management
2. Physical assessment findings
3. Differential diagnoses
4. Patient education and follow-up recommendations
5. Clinical decision-making using evidence-based guidelines
6. Know the condition, signs/symptoms including subjective
findings, Physical exam findings (Think 3 Ps (Patho, Physical
exam, Pharmacology)
ii. Hypothyroidism
1. Pharmacologic management
2. Physical assessment findings
3. Differential diagnoses
4. Patient education and follow-up recommendations
2
, 5. Clinical decision-making using evidence-based guidelines
6. Know the condition, signs/symptoms including subjective
findings, Physical exam findings (Think 3 Ps (Patho, Physical
exam, Pharmacology)
7. What is s/sx of hypothyroidism in pediatric clients
8. What is the process of screening pediatric clients for
endocrine/metabolic disorders?
p. Adolescent sexuality, gender identity and gender expression
q. HEEADSS
r. Non-suicidal self-injury (NSSI)
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
s. Gender dysphoria
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
t. Fetal alcohol spectrum disorder
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
u. Genetic testing
i. When is further genetic testing warranted in children?
v. Down’s Syndrome
i. What are possible complications for a person with Down’s syndrome?
ii. Pharmacologic management
iii. Physical assessment findings
iv. Differential diagnoses
v. Patient education and follow-up recommendations
vi. Clinical decision-making using evidence-based guidelines
vii. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
w. Fragile X
3
Exam Study Guide – Midterm (Weeks 1-4)
1. Week One: Primary Care Foundations in Pediatric and Women’s Health
a. Nurse Practitioner Roles (Pediatric NP, Primary Care NP, Acute Care NP)
i. Pediatric NP=early focus on health promotion, protection, and disease
prevention remains the mainstay
1. serves as the primary interface between the child/family and the
health system, except in the case of serious emergencies.
ii. key difference between primary care PNP and an acute care PNP is
not the site where they practice, but the acuity of the patient for
whom they are caring
iii. Primary care PNPs, much like those in the early days with Dr. Ford,
provide primary care, which includes well-childcare and the
prevention and/or management of both common pediatric acute
illnesses and chronic conditions.
iv. In contrast, acute care PNPs provide care for acutely, critically, and
chronically ill children who are unstable, experiencing life-threatening
illness, are medically fragile and/or technologically dependent
b. Tertiary Care/Quaternary Care
i. Primary care is generalist care
1. more person- rather than disease-centered
2. continuous, relationship-oriented care over time, rather than
being a series of limited disease-based interactions
3. health promotion and protection, and disease and/or disability
prevention.
4.
ii. Secondary care requires specialized expertise
iii. tertiary care requires both specialized expertise and equipment
iv. quaternary care requires highly specialized expertise and highly
unusual or specialized equipment
c. Immunizations
i. Pediatric Vaccinations
ii. What is the recommendation(s) for human papillomavirus (HPV)
vaccine?
iii. What population(s) at-risk for contracting meningococcal infection?
d. Vaccines for Children (VIC)
i. What vaccines are contraindicated in pregnancy or those planning to
become pregnant?
e. Sudden Infant Death Syndrome (SIDS) Prevention
f. Lead Poisoning
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
1
, vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
g. Infant sleeping position
h. Primary, Secondary, Tertiary Prevention
i. Burn
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
j. Immunity
i.
2. Week Two: Pediatric Well-Child Assessment and Growth and Development
Milestones
a. Newborn assessment (including eye screenings)
b. Newborn digestive system and nutrition
c. Well-Child Visits
d. Anticipatory guidance
e. Screening for abuse
f. Privacy and mandatory reporting
g. Gender identity development
h. Pediatric Assessment
i. should be included in your history questions?
i. Pediatric What physical exam
i. What should be included in your physical exam?
j. Growth and development
k. Development milestones and screenings (motor skills, weight)
l. Tanner stages
m. Puberty in male vs female
n. Common growth and development health problems (developmental delays)
o. Endocrine/Metabolic (Adrenal insufficiency, Hypothyroidism)
i. Adrenal insufficiency
1. Pharmacologic management
2. Physical assessment findings
3. Differential diagnoses
4. Patient education and follow-up recommendations
5. Clinical decision-making using evidence-based guidelines
6. Know the condition, signs/symptoms including subjective
findings, Physical exam findings (Think 3 Ps (Patho, Physical
exam, Pharmacology)
ii. Hypothyroidism
1. Pharmacologic management
2. Physical assessment findings
3. Differential diagnoses
4. Patient education and follow-up recommendations
2
, 5. Clinical decision-making using evidence-based guidelines
6. Know the condition, signs/symptoms including subjective
findings, Physical exam findings (Think 3 Ps (Patho, Physical
exam, Pharmacology)
7. What is s/sx of hypothyroidism in pediatric clients
8. What is the process of screening pediatric clients for
endocrine/metabolic disorders?
p. Adolescent sexuality, gender identity and gender expression
q. HEEADSS
r. Non-suicidal self-injury (NSSI)
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
s. Gender dysphoria
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
t. Fetal alcohol spectrum disorder
i. Pharmacologic management
ii. Physical assessment findings
iii. Differential diagnoses
iv. Patient education and follow-up recommendations
v. Clinical decision-making using evidence-based guidelines
vi. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
u. Genetic testing
i. When is further genetic testing warranted in children?
v. Down’s Syndrome
i. What are possible complications for a person with Down’s syndrome?
ii. Pharmacologic management
iii. Physical assessment findings
iv. Differential diagnoses
v. Patient education and follow-up recommendations
vi. Clinical decision-making using evidence-based guidelines
vii. Know the condition, signs/symptoms including subjective findings,
Physical exam findings (Think 3 Ps (Patho, Physical exam,
Pharmacology)
w. Fragile X
3
