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Peds (APEA) Questions With Complete Answers
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Peds (APEA) Questions With Complete Answers
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Peds (APEA) Questions WithComplete Answers
Hep A immunization schedule - -First dose at 1 year, second dose after 6
months
-Hep B immunization schedule - -3 doses: 0, 1-2 months, 6-18 months after
1st
-You are caring for a newborn whose mother is known to be HBsAg (+). How
should this be handled? - -Administer Hep B vaccine and Hep B
immunoglobulin within 12 hrs of birth
-How many doses are in the DTaP series? - -5
-Tdap in pregnancy - -1 dose of tdap during each pregnancy, preferably at
27-36 wks
-PCV vaccine amount - -4 doses
-Fever or rash after receiving a live attenuated immunization indicates? - -
Reaction to a viral replication, not the vaccine
-Examples of live attenudated vaccines - -MMR
Varicella
-MMR and varicella immunization schedule - -At 12 months (can be on the
same day), then must wait one month for second
-Earliest age to receive flu vaccine - ->6 months
-A mother reports that her one year old child has an allergy to eggs that
produces hives. How should this be handled? - -Influenza vaccine should be
given
-Is it ok to give influenza to a patient who has experienced an allergic
reaction and signs of angioedema, respiratory distress? - -Yes, under the
supervision of a HCP who can manage severe allergic reactions
-A 15 year old patient who is sexually active is in your clinic to receive her
first HPV vaccine. How should the NP handle this? - -Administer today
without checking pregnancy status
-CDC recommends monitoring a child after immunization for: - -15 mins
, -When is diabetes usually diagnosed in kids? - -During puberty
-Managing ADHD preschool v. school-age - -Preschool: behavioral
School-age: stimulant medication
-At what age are meds considered first line for kids with ADHD? - -6 years
old
-Is PNA in kids usually viral or bacterial? - -Viral
-What is the most sensitive sign of PNA in kids? - -Increased RR
-Preferred treatment for kids diagnosed with PNA? - -Amoxicillin 90
mg/kg/day in divided doses
-Biggest symptom found in kids with bronchiolitis? - -Paroxysmal wheezing
-Symptoms of croup - -Inspiratory stridor
Barking cough
Hoarseness
-Med for croup - -Single dose of oral dexamethasone (0.6 mg/kg)
-Two systems affected by cystic fibrosis - -Pulmonary & GI
-How to test for cystic fibrosis - -Sweat test
-Symptom associated with cystic fibrosis - -Thick mucous with productive
cough
-Lead toxicity masqueredes as... - -iron deficiency anemia
-What is an abnormally high billirubin for an infant? - -> 25
-Newborns with hyperbilirubinemia are at risk for? - -Neurological
dysfunction
-When does billirubin peak? - -3-4 day
-Colic symptoms - -"rule of 3"
crying for > 3 hours
occurs > 3 days/wk
> 3 months of age
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