CMN 568 Study Questions With Complete Answers
3 components of vision assessment - Answer -- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
.AAP 7 characteristics of a medical home - Answer -1. must be accessible
2. family-centered
3. continuous
4. comprehensive
5....
3 components of vision assessment - Answer -- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
.AAP 7 characteristics of a medical home - Answer -1. must be accessible
2. family-centered
3. continuous
4. comprehensive
5. coordinated
6. compassionate
7. culturally effective
.age 3 and up ophthalmic exam includes: - Answer -- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed and record data
as "corrected"
.anticipatory guidance - Answer -Patient/family counseling which includes information,
advice, and suggestions about expected health-related life occurrences, health
maintenance, and preventive plans.
.antipyretic type and dose for non-toxic child - Answer -tylenol 10-15mg/kg every 4-6hr,
max 5 doses in 24hr, given to age 2mo and older; or ibuprofen 5-10mg/kg every 6-8hr,
max 40mg/kg/day total dose, given to age 6mo and older
.assessing newborn visual acuity - Answer -should be able to briefly track mother's face
or brightly colored object within an hour after birth (fixation reflex not developed for
several weeks); dont talk while assessing vision, baby may look toward sound rather
than visual stimulus
.birth to age 3 ophthalmic exam includes: - Answer -- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
.children who need to be seen immediately: - Answer -- less than 3mo with fever greater
than 38C
- fever greater than 40.6C
- child is crying inconsolably or whimpering
- crying when moved or touched
- stiff neck
- difficult to awaken
- purple or dark spots are present on skin
- difficulty breathing with cleared nasal passages
- drooling and unable to swallow anything
- a convulsion has occurred
- child has sickle cell, splenectomy, HIV, chemo, organ transplants, or is on chronic
steroids
- child acts or looks "very sick"
.children who need to be seen within 24hr: - Answer -- child is 3-6mo old (unless fever
occurs after dTap)
- fever exceeding 40C, especially if theyre younger than 3yr
- burning or pain occurs with urination
- fever has been present for more than 24hr without an obvious cause
- fever has subsided for more than 24hr, but then returned
- fever has been present more than 72hr
.clinician documentation of acute care visit - Answer -document events related to
presenting problem (describe them in medical record), including supporting physical
data/ diagnostics; treatment, follow up instructions (when to return to work or school);
immunization status screening; anticipatory guidance
.diagnostic challenge of fever - Answer -determining who's fever is due to a self-limiting
illness (virus) and who's is from a serious bacterial illness
.downs syndrome children have increased risk of what eye disorders? - Answer -
refractive error, strabismus, cataracts
.febrile seizure definition - Answer -convulsion associated with body temp greater than
38C in a child younger than 6 with no metabolic or CNS infections or inflammatory
cause of convulsion present, also no history of a previous afebrile seizure
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