nr602 nr 602 midterm exam latest 2021 primary care of the childbearing amp childrearing family practicum chamberlain
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Chamberlain College Of Nursing
NR-602 Primary Care Of The Childbearing & Childrearing Family Practicum
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LECTSTEPHEN
NR 602 Midterm Exam
• Role-play with equipment during the course of a physical examination would be
most beneficial with which of the following groups?
• Preschoolers/Toddlers
• What is the Ortolani Sign?
-Assess for congenital hip dysplasia
• When performing a physical examination of a toddler, which of the following body
parts would examine last?
• Ears and throat
• What are three findings using Jones criteria for Rheumatic Fever?
-Streptococal infection, carditis, and erythema marginatum
• While examining a 4-month-old boy, you are unable to palpate one of his testes. The next
most appropriate step is:
• Refer the child to a urologist
• Concurrent Otitis media and Conjunctivitis is likely due to which?
• Haemophilus influenza
• What is the appropriate management of a child with asthma who presents with acute
wheezing and/or coughing?
• Administer a short-acting beta agonist
• Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face
above the right nares. She has a history of having a bad scratch in the same area several days
ago. What condition do you suspect?
-Impetigo
• The most appropriate management of a 5-year old with a firm nontender nodule in the
mid- upper eyelid for 3 weeks would be:
-Topical ophthalmic ointment
• A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care
facility. What is the most likely cause of illness?
-Rotavirus
• If a child or any patient describes a “pop” in the knee. What is this indicative of?
• Anterior cruciate ligament tear
• A 7-year-old African American female presents with several hyperkeratotic raised,
periungual lesions on the two middle fingers of her left hand. She has a history of nail biting.
The most likely diagnosis is:
• Verruca vulgaris
• Management of scoliosis depends on the severity of curve as well as the age of the
child. Which of the following would require surgical intervention?
• Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees.
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• Treatment of true central precocious puberty is best achieved with:
• Gonadotropin-releasing hormone agonist
• Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg.
Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What
is her percentage of dehydration?
-7%
• Which of the following would be the most appropriate initial management of a
newborn diagnosed with developmental dysplasia of the hip?
-Pavlik harness
• 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:
• IPV is can be given routinely beyond the age of 18 years of age in the U.S.
• An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
• An echocardiogram
• A 4-week-old presents to your office in mid=January with a 1-week history of nasal
congestion and occasional cough. On the evening prior to this visit, the infant
developed a temperature of 102, refused to breastfeed, and had proximal coughing and
noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic
with tachypnea.
• RSV bronchiolitis
• What needs to be included when educating parents about a febrile seizure?
• Children may experience repeated seizures
• A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of
a painful limp in his right leg 2 days ago? Today he has a low-grade fever. Which of the
following diagnoses is most likely?
• Transient synovitis of the hip
• In addition to penicillin, all of the following antibiotics can be used to treat strep
pharyngitis except:
• Bactrim
• Primary dysmenorrhea is due to:
• Elevated prostaglandin level
• Which behavior would NOT be expected in a two-year old?
• Draws a circle
• The most common congenital heart defect in children is:
• Ventricular septal defect
• Michael is a 15-year-old high school student who presents for a school sports physical.
He appears to be in good health but is concerned about a bad headache he had a few weeks
ago. He is concerned because his mother’s friend dried of a brain tumor. You tell Michael
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