NUR 6541 PEDIATRIC MIDTERM EXAM
QUESTIONS WITH CORRECT VERIFIED SOLUTIONS
100% GUARANTEED PASS (LATEST UPDATE)
Inactivated poliovirus (IPV <18 yrs) - ANS ✓1st dose 2 mo, 2nd dose 4 mo, and
3rd dose between 6-18 months. 4th dose btw 4-6 years old
Influenza (IIV) OR Influenza (LAIV) - ANS ✓1st dose for (IIV) 6 months-6 years
old, 1st dose for (LAIV) starts at 2-3 years old until 4-6 years old. both 1-2 doses
MMR-Measles Mumps & Rubella - ANS ✓For high risk groups `st dose would be
btw 6-9 months. otherwise 1st dose btw 12-15 months. 2nd dose btw 4-6 years
Varicella (VAR) - ANS ✓1st dose btw 12-15 months, 2nd dose 4-6 years old
Hep A - ANS ✓High risk groups 6-9 months only. Otherwise its a 2 dose series
given anytime between 12-23 months
Tetanus, diphtheria, acellular pertussis (Tdap ≥7 yrs) - ANS ✓11-12 years
old receives dose.
What age are accidental fractures uncommon in children that would raise a
red flag for abuse? - ANS ✓·
<18 months of age.
· Rib Fractures are uncommon in infants and young children unless serious
trauma
·
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Once walking may have any type of fall including spiral or oblique,
transverse or buckle ( these would be normal)
what kind of fractures would make you suspicious of inflicted injury? - ANS
✓·
· Classic metaphysical fractures at the end of developing long bones are
generally unique to the infant population and have high specificity for
maltreatment
·
Scapular, spinous process and sternal fractures are uncommon accidental
fractures and considered suspicious for inflicted injury.
Child abuse- When should you be concerned with a child who has multiple
bruises and not walking around and/or cruising around the furniture yet? -
ANS ✓· Unexplained bruising (or bruising without an acceptable explanation) in
a child not independently mobile must always raise suspicion of maltreatment.
Especially bruising on the child's trunk, ears, and neck.
**The parent should be able to reasonably explain any bruise.
1. Child abuse- When should you be concerned with child suffering from a
long bone fracture? - ANS ✓When they are less than 18 months old (humerus)
is concerning; if accidental it is usually after a fall and are often supracondylar
injuries....inflicted fractures are more likely to be spiral or oblique and midshaft
or proximally located.
· Femur fracture in a non-ambulatory child is usually inflicted.
1. Child abuse- When is it necessary to report child abuse as a NP? Who do
you report to? Do you risk anything by reporting? - ANS ✓· As nurses we are
mandated reporters of child abuse.
· Each state has their own child abuse law. And who it is reported to. But
typically, it is a child abuse hotline. There is a national line 1-800-4-A-
CHILD
· Child abuse is a HIPAA exception. So, no you will not get in trouble.
NUR 6541
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