Final Exam: NR602/ NR 602 Primary Care of the Childbearing and Childrearing
Family Practicum Final Exam Review | COMPLETE GUIDE Questions and Verified
... [Show More] Answers| Newly Updated 2023/ 2024- Chamberlain
QUESTION
CF Newborn Screening
Answer:
1. IRT/Guthrie Card
if elevated
obtain...
2. sweat Cl- test/gene analysis
if +, refer to pulmonology
QUESTION
Abnormal CF screening results according to # gene mutations
Answer:
elevated IRT with
0 mutations: monitor for s/s CF (if + or + fam hx, contact specialist)
1 mutation: sweat test up to 6 mo...
<29 mmol - unlikely
30-59 mmol - ?CF
>60 mmol - dx of CF and referral
2+ mutations: dx of CF and referral
QUESTION
TX recs for CF
Answer:
salt supplements/salt food
growth goal: >/= 50th% wt for length
inform clinic if weight loss or unable to gain
increase dietary fat
refer to GI/pulm for s/s
ABX initiated at lower threshold
no CF to CF pt interactions! - lethal infection risk
QUESTION
Basics about Lead Poisoning
Answer:
REPORTABLE
causes microcytic, hypochromic anemia & basophilic stippling
highly toxic to bones, nervous system & solid organs
age 2-3 highest prevalence, in summer mos
no s/s until toxic levels!
QUESTION
Lead Poisoning screening recs
Answer:
ALL CHILDREN 12-24 months x 1
if under 6 and not screened, screen once
QUESTION
AAP lead poisoning screening recs
Answer:
minimum lead exposure risk assessment at ages
6,9,12,15,18,24 mos
3-6 yo Q1 x yr
QUESTION
Risks for Lead Poisoning in Children
Answer:
home/buildings built before 1950 kid is in regularly
recent home/building renos w/i 6 m
sibiling/playmate with hx lead poisoning
anemia/low iron
plastic vinyl/mini blinds
eating paint chips, dirt, soil, crayons
folk remedies
exposure to welders, auto mechanics, battery recycling plants &/or industrial buildings
living w/i 50 ft of heavily traveled road
lead/copper pipes
pottery ware/crystal leaded cookware
QUESTION
if + lead level (level & tx rec)
Answer:
normal <5 mcg/dL
if <5 - repeat!
if >69 - chelation
QUESTION
bacterial conjunctivitis assessment
Answer:
erythema
chemosis
matter in eyelashes
pruritis
burning
mucupuruleng drg
worse in winter mos
QUESTION
bacterial conjunctivitis treatment
Answer:
neonates: erythro ointment 0.5%
>/= 1 yo: 4th gen cephalo/fluoroquinolone
warm soaks TID until clear
no school/daycare until tx begins
QUESTION
viral conjunctivitis assessment
Answer:
erythma
chemosis
bl tearing
QUESTION
HSV/HZV conjunctivitis assessment findings
Answer:
regular viral conjunctivitis s/s plus...
u/L w/ photophobia & fever
worse in spring & fall
QUESTION
Treatment of viral conjunctivitis
Answer:
refer to opthalmo if HSV or + photophobia
supportive cares (QID cool compresses)
QUESTION [Show Less]