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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum |NR 602 Midterm Exam Week 4 – Real Exam

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum |NR 602 Midterm Exam Week 4 – Real Exam I. Section I (17 questions with rationale answers) II. Section II (51 questions with Correct answers)

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Uploaded on September 2, 2024
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Type Exam (elaborations)
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what is the ortolani sign
nr 602 primary care of the childbearing and childr
which activities are common in a 4 5 year old c

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NR 602 Primary Care Of The
Childbearing And
Childrearing Family
Practicum
NR 602 Midterm Exam Week 4 – Real
Exam
I. Section I (17 questions with rationale answers)
II. Section II (51 questions with Correct answers)

1. A 14-year-old female presents to the clinic and is demonstrating some hesitancy in
discussing an important issue regarding her self-identity. What is the appropriate actions
on behalf of the clinician?
2. When examining an adolescent between the ages of 10-13 years of age it is important to
remember what characteristic regarding socio-emotional development?
3. What is the Ortolani Sign?
4. Which activities are common in a 4-5 year-old child?
5. When considering catch up vaccination in children for IPV vaccinations, it is important to
understand one of the following considerations is NOT a consideration when
administering the vaccine:
6. Primary dysmenorrhea is due to:
7. What are three findings using Jones criteria for Rheumatic Fever?
8. Which behavior would NOT be expected in a two-year old?
9. Primary dysmenorrhea is due to:
10. The most common congenital heart defect in children is:
11. Which malignancy is … with genitourinary anomalies?
12. Treatment for testicular torsion primarily?

, 13. Which malignancy is … with genitourinary anomalies?
14. A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic
condition that warrants close to follow up?
15. The appropriate management of Osgood-Schlatter disease includes:
16. The most common rheumatoid disease of childhood is:
17. On exam, an 8 year old being seen at your clinic with complaints of persistent pain to left
leg with limp. What is the most likely cause of this condition?

ANSWERS

A 14-year-old female presents to the clinic and is demonstrating some hesitancy in discussing an
important issue regarding her self-identity. What is the appropriate actions on behalf of the clinician?

When a 14-year-old female patient presents with hesitancy in discussing an important issue regarding
her self-identity, the clinician should take several key steps to ensure a supportive, respectful, and
effective approach:

1. Create a Safe and Confidential Environment:

 Ensure privacy during the consultation, confirming that the patient feels comfortable and
understands that the conversation is confidential, within the limits of legal obligations.

 Speak in a calm, non-judgmental tone and avoid any interruptions that could make her feel
rushed or pressured.

2. Build Trust and Rapport:

 Start by asking open-ended, non-threatening questions that allow the patient to share at her
own pace.

 Show empathy and understanding, making it clear that her feelings and experiences are valid
and important.

3. Use Age-Appropriate Communication:

 Use language that is appropriate for her age and developmental level. Avoid complex medical
jargon, and instead, explain concepts in a way that she can easily understand.

 Validate her emotions and let her know that it’s okay to have questions or uncertainties.

4. Be Patient and Give Her Time:

 Acknowledge her hesitancy and let her know that she can take her time to express what she’s
feeling.

 Reassure her that there’s no rush, and you’re there to support her whenever she’s ready to talk.

5. Explore Concerns Gently:

,  If she hints at an issue but is reluctant to elaborate, gently encourage her by saying things like,
“It’s okay to talk about what’s on your mind,” or “I’m here to help with anything that’s worrying
you.”

 Avoid pushing too hard if she’s not ready, and instead offer to revisit the conversation later or
provide resources she can explore on her own.

6. Normalize the Conversation:

 Normalize the discussion of identity and self-discovery as part of adolescent development,
helping her feel that it’s a common and acceptable topic to discuss.

 Mention that many teens go through similar experiences, which might help her feel less isolated
in her concerns.

7. Offer Resources and Support:

 Provide resources such as educational materials, support groups, or counseling services if she
feels she needs additional support.

 Ensure that she knows there are safe and supportive people available if she prefers to talk to
someone else, such as a counselor or psychologist.

8. Respect Her Autonomy:

 Respect her autonomy and decisions, including the pace at which she wants to discuss her
concerns.

 If she decides not to talk at the moment, assure her that the door is always open for future
conversations.

9. Involve Parents or Guardians Appropriately:

 If appropriate and with her consent, discuss involving her parents or guardians, particularly if
the issue might require their support.

 However, be mindful of her privacy and autonomy, especially if she is not comfortable involving
them at this stage.

10. Follow-Up:

 Schedule a follow-up appointment to check in on her and provide an ongoing opportunity for
her to discuss her concerns.

 Ensure she knows how to reach out if she has questions or needs to talk before the next
appointment.

These steps aim to provide a supportive and respectful environment that allows the patient to open up
about her concerns regarding self-identity, ultimately leading to a better understanding of her needs
and the provision of appropriate care.

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Exam (elaborations)

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