Exam (elaborations)
CPN exam - neuro.
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Exam of 8 pages for the course CPN at CPN (CPN exam - neuro.)
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CPN exam - neuroA child has a hx of myelomeningocele & has a latex allergy. What foods are
associated with a high risk? moderate risk?
tomatoes
bananas
peaches
raspberries
kiwi
peanut butter
avocado
oranges
chestnuts - CORRECT ANSWER-high risk - bananas, kiwi, avocado, chestnuts
moderate risk - tomatoes, apple, celery, melons, papaya, potato
Dilantin (phenytoin) is used for seizure control. What is a common side effect? -
CORRECT ANSWER-FYI
gum hyperplasia & hirsutism (male patterned hair growth in women)
What is an early vs late sign of lead toxicity?
seizures
distractibility
hyperactivity
learning problems
mental retardation
poor coordination - CORRECT ANSWER-early signs:
distractibility
hyperactivity
learning problems
poor coordination
late signs:
, seizures
mental retardation
other signs: anemia, glycosuria, proteinuria, ketonuria, abdominal pain, vomiting,
constipation, anorexia, delayed linear growth
A child comes in with a BLL (blood lead level) > = 70.
What is the best course of treatment? (A. admit/ B. send home with oral meds/ C.
monitor in ED & then discharge if stable)
What about a BLL of 45-70? (D. admit immediately; E. if symptomatic - admit for
therapy but if asymptomatic, send home; F. tell parent not to worry) - CORRECT
ANSWER-A. BLL >= 70, admit immediately for treatment
E. if BLL is 45-70 & asymptomatic, ok to send home.
If symptomatic, admit for therapy
How long is the babinski reflex present normally?
12 months
18 months
24 months - CORRECT ANSWER-24 months.
babinski usually disappears by age 2.
When do other reflexes (with exception of babinski reflex) disappear normally?
3 months
5 months
7 months
12 months - CORRECT ANSWER-5 months - most reflexes have disappeared
by this time (i.e. hand grasping reflex)
How long after starting antibiotics should the nurse teach the mother of a child
with conjunctivitis to stay home from school/avoid other children?
24 hours
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