MVU NURS 629 EXAM 4 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam)
Clinical manifestation of physiological jaundice - CORERECT ANSWER *Usually
... [Show More] within first 2-4 days of life
*Not lasting longer than first 2 weeks of onset
*Due to fast breakdown of RSCs
*Liver immature and poor dietary intake.
Clinical manifestation of breast fed jaundice - CORERECT ANSWER *Usually within first few weeks to month of life
*Secondary to poor intake
what to assess for Determining hydration status - CORERECT ANSWER *skin turgor
*mucous membranes
*peripheral pulses
*tears
*capillary filling
Clinical s/s of dehydration - CORERECT ANSWER *sunken ant fontanel
*tachycardia
*decreased urinary output
*decreased B/P
What is the most common cause of acute stomach pain - CORERECT ANSWER gastroenteritis
What is the most common complication in children with gastroenteritis? - CORERECT ANSWER dehydration
What is the initial treatment in Osgood Schlatter disease - CORERECT ANSWER stretching
Recommended treatment for a Sprained ankel - CORERECT ANSWER Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48 hrs)
What type of X-ray is best for diagnosing Legg-Calve-Perth? - CORERECT ANSWER Frog leg
How to perform Rovsing sign? - CORERECT ANSWER apply pressure to left lower abdomen
What is considered a positive sign with Rovsing exam - CORERECT ANSWER pain in right side when pressure is released from left side
What assessment would indicate an injury to the ACL or PCL? - CORERECT ANSWER a positive Ant/Post drawer sign
Ideal glucose level for 4 yr old? - CORERECT ANSWER 90-130
What should be the initial evaluation of suspected growth hormone deficiency? - CORERECT ANSWER *Thyroid function
*screen for hypoglycemia
*possible GI illnesses
Initial evaluation in cases of isolated menarche? - CORERECT ANSWER Sexual abuse should be ruled out first
essentials for child's mental health? - CORERECT ANSWER *predictable home, childcare, school routine
What is the most common type of seizure in a child? - CORERECT ANSWER Febrile seizure
Unilateral, pulsating headache with occasional photophobia - CORERECT ANSWER migraine
microcytic hypochromic anemia - CORERECT ANSWER iron deficiency anemia
Most common causes of iron def anemia in child and infant - CORERECT ANSWER poor dietary intake and breast feeding
risk factor for depression in child? - CORERECT ANSWER separation anxiety
Comorbidities of depression? - CORERECT ANSWER anxiety, learning, conduct, and eating disorders
Depression DX must have 1 of what 3 characteristics? - CORERECT ANSWER depressed mood, diminished interest, significant wt loss/gain, insomnia, fatigue, worthlessness, thoughts of death
Most common somatic complaints of depression? - CORERECT ANSWER HA & stomachache
What depression screening tool is used in ages 11 and up? - CORERECT ANSWER Pt Health Questionnaire Depression Screening (PHQ-9)
Signs of PTSD in pre-school age children - CORERECT ANSWER extreme temper tantrums
Clinical Manifestations of Slipped Capital femoral epiphysis - CORERECT ANSWER *Limping
*knee or hip pain
*pain worse with activity
*loss of internal rotation, abduction, extension
What should a child be instructed to do if Slipped capital femoral epiphysis is suspected - CORERECT ANSWER Keep Non-Wt bearing until surgical consult
What is the most common type of scoliosis? - CORERECT ANSWER Idiopathic (multi-gene dominant no clear cause)
First drug of choice in children with UTI - CORERECT ANSWER Bactrim then Augmentin
•number 1 cause of acute abdominal pain - CORERECT ANSWER gastroenteritis
Symptoms of appendicitis - CORERECT ANSWER *periumbilical pain that moves to the RLQ.
*Aggravated by movement or coughing.
*vomiting
*elevated WBCs
What may commonly be found on exam with hyperthyroidism - CORERECT ANSWER Goiter
Most common organism in UTI in children - CORERECT ANSWER E Coli
Red flags for Sensory Processing Disorder in adolescents? - CORERECT ANSWER *Overly sensitive to touch, noise, smell, people
*Poor self-esteem
*Afraid of failing new tasks
*lethargic/slow, clumsy
*impulsive
*distractable
Signs of normal cognition development in toddlers? - CORERECT ANSWER • Emerging empathy
• Understanding social rules
• Constructing narratives
• Reciprocity in play [Show Less]