Examl2:lNU664A/lNUl664Al(LatestlUpdate)l
PrimarylCareloflChildlIlGuide|lQsl&lAsl|l
GradelA|l100%lCorrectl(VerifiedlAnswers)-
lRegis
Q:lParentlandlchildlrolelrelationshiplandlpsychosocialldevelopmentlofltheladolescent
Answer:
-
Whenlparentldoeslnotlagreelwithlchild'sldecisionlandlchildlisltryingltolexpressltheirlownlopinio
nl-ldon'tltakelsides;lmediate;lmeetlinlthelmiddle
Q:lVeganladolescentlfemales
Answer:
-Nutritionallneedsl-
lmaylbeldeficientlinlprotein,lvitaminlB12,liron,lcalcium,lzinc,lriboflavin,landlvitaminlDl(iflexpo
sureltolsunlisllimited)
-Attentionlshouldlalsolbelpaidltolessentiallfattylacids
-VitaminlDl-lfortifiedlcereals,lmilk,lmargarine,lsunlight
-Vitaminlb12l-lFortifiedlsoylmilk,lfortifiedlcereals,lyeast
-Riboflavinl-lyeast,lwheatlgerm,lbeans,lalmonds
-Calciuml-lfortifiedlsoylmilk,ldriedlfruits,lalmonds,lsunflowerlseeds
-Ironl-llegumes,lalmonds,lpecans,ldates,lprunes,lraisins
-Zincl-lwholelgrains,lfortifiedlcereal,lbrownlrice,lalmonds,lwheatlgerm
-Fattylacidsl-lflaxlseed,lchialseed,lwalnuts,lsoybeans
-Proteinl-lsoy,llegumes,lnuts,lseeds,lgrains,lcereal,lpotatoes,lpasta
Q:lSleeplhygienelandlimportancelrelatedltolmildldepression
,Answer:
-Treatlsleeplissues
-Getlintolalgoodlsleeplregime
-Canlmimicldepression
Q:lIron-deficiencylpreventionlinlmenstruatinglfemales
Answer:
Dietarylandlnutrientlsupplementsl-lMVlwithlironlandldietarylironl-
lshellfish,lspinach,lliver,llegumes,lredlmeat,lpumpkinlseeds,lquinoa,lturkey,lfish,ldarklchocolate,
ltofu,lbroccoli
Q:lSelf-injurylbehavior
Answer:
1.lManagementl
-
SuicidelandlmentallhealthlassessmentlislneededlwhenladolescentslpresentlwithlsuspectedlNSSIl(
non-suicidallselflinjury)
-Presenceloflwoundslshouldlbelrecognizedlaslalcalllforlhelp
-Therapeuticlinterventionslincludelcognitivelbehavioral,ldialectical,landlfamilyltherapy
-
Theylneedltolfeellrecognizedlbylalproviderlandltherapeuticlresponselislachievedlwhenlpossiblel
emotionallcopinglskillslarellearned
-
PromptlreferralltolalmentallhealthlprofessionallislneededliflsymptomsloflpsychosislorlSIlarelpre
sent
-Thoselwholhavelnolotherlsignloflmentallillnesslandlarelexperimentinglwithlself-
injury,lorlwholengagelinlNSSIlbecauseloflpeerlpressurelmaylnotlrequirelimmediatelintervention
lbutlshouldlhavelcloselfollow-up
-Iflswallowinglpillslnotlprescribedl-lneedlpsychiatriclreferral
Q:lSportslphysical
,Answer:
-Prescreeninglhealthlquestionnaireltargetinglpreviouslsportslinjuries
-Respiratory,lneurologic,lcardiaclhealthlhistory
-CompletionloflstandardlPPElforms
-Evaluatelhealthlstatus,lincludinglfitnessllevellandlpreparticipationlphysicallconditioning,lgrade-
levelleligibility,landlemotionallmaturityllevel
-
Detectlinjuries,lconditionslandlillnesseslfromleitherlinheritedlorlacquiredlconditionslthatlmightll
imitlcompetitionlandlleadltolsignificantlinjury,lmorbidity,lorllife-
threateninglmedicallemergencies;lrecommendinglalternativelsportslactivities,lorlexclusionloflalc
hildlorlyouthlfromlcertainlsports,linitiatinglfurtherlevaluation,ltreatment,lreferrallandlfollow-
uploflconditionslimpactinglsportslperformance;lguidancelaboutlsafetylequipmentlforlathleticlpar
ticipation;lrecommendinglwaysltolimprovelperformancel
1.lHealthlhistory
2.lPhysicallexaminationl-lheadltoltoelwithlvitallsigns
3.lDiagnosticlstudiesl-lmaybelecho,lEKG,lhgb/hct
Q:lRLQlpain
Answer:
-Appendicitis
-Differentialsl-
lvomiting,lgastroenteritis,lconstipation,lUTI,lPI,lpneumonia,lduodenallulcer,lintestinallobstructio
n,lintussusception
-Surgicallconsultlforlanlappendectomyl
-Belseenlforlfollow-upl2-
4lweekslafterlsurgery;liflappetite,lbowellfunction,lenergy,landlactivityllevellarelnormal,lnolpainl
orlfever,lphysicallexamlislnormallandlwoundlislwelllhealed,ltheylcanlresumelnormallactivity
Q:lBreastfedlbabylgaininglweightlandlfussy
Answer:
, -Colicl
-ManageldietloflmotherliflBF
-Asklhowloftenltheylareleating
-Thoroughlhistory
Q:lGERlinlinfants
Answer:
-Signsl-
lirritability,larching,lchoking,lgagging,lfeedinglaversion,lFTT,lusuallylresolvelbetweenl12-
24lmonths;lalsolobstructivelapnea,lstridor,llowerlairwayldisease
-Interventionsl-lthickenedlfeedings,lhydrolyzedlproteinlformula
-ConcernedlaboutloverfeedinglandlGER
-Howlmuchlandlhowloftenltheylareleating
-Iflhappyl&lnotllosinglweightl-lGER
-Ifllosinglweightl-lfamotidine
Q:lFormulalfedlbabylarchinglandlgagginglwithlfeedingl&ldecreaselinlweightlgain
Answer:
-Historylandlphysicall
-Warninglsignalsl-levaluatelfurther
-Nolwarninglsignsl-lassesslcaloriclintakel
-Noladequatelcaloriclintakel-leducatelandlcloselfollow-up
-Adequatelcaloriclintakel-lworkuplforlFTT;lconsiderlupperlGIlseriesl
-Iflnotlabnormall-
ldietarylmanagement,lproteinlhydrolysate/aminolacidlformula,lthickenedlfeedings,lincreasedlcal
oricldensity
-Iflimprovedl-leducatelandlfollowlupl
-Iflnotlimprovedl-lpediatriclGE;lconsiderlacid-suppressionltherapy,lconsiderl-
lhospitalizationltolobservelparentlandlchildlinteraction,lconsiderlNGlorlNJltubelfeedingsl
-Diagnosticltestsl-ldietlhistory,lUA,lCBC,lserumlelectrolytes,lBUN,lserumlCr
