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Final Exam-CMN 568;Questions and Answers Rated A+
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Fianl Exam-CMN 568;Questions and Answers Rated A+
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Fianl Exam-CMN 568;Questions and Answers Rated A+Incidence of Fever CORRECT ANS-One of most common reasons for parents to seek
medical care.
Preschoolers have an average 6-8 febrile illnesses a year.
Definition of fever CORRECT ANS-Rectal temperature ≥ 100.4°F
Tympanic temperature CORRECT ANS-Not accurate in infants under 3 months
Fever Causes CORRECT ANS-Most common Benign viral illness, can also caused by bacterial
or fungal infections, drug reactions including immunizations, malignancies, autoimmune or
metabolic disorders, CNS disorders, excessive environmental temperatures.
Factors that increase likelihood of serious bacterial illness CORRECT ANS-Age under 3
months, history of prematurity, chronic medical conditions such as immunosupression or
aspenia, previous hospitalizations, daycare. Toxic appearance
Non-Toxic appearance CORRECT ANS-Strong cry
Consolable
,Fianl Exam-CMN 568;Questions and Answers Rated A+
Alert and easy to arouse
Pink skin tones
Good hydration; good turgor, tears, moist mucous membranes
Smiles, responsive to environment
Toxic appearance CORRECT ANS-Weak or high pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no tears
No smile, listless, dull, infant won't alert to environment
Signs of serious illness CORRECT ANS-Fever greater than 40 (105)
Nuchal rigidity
Petechial skin rash
Seizure activity
Stridor or increased WOB
,Fianl Exam-CMN 568;Questions and Answers Rated A+
Physical exam signs of serious infection: Skin CORRECT ANS-Petechiae, rashes
Physical exam signs of serious infection: head/neck CORRECT ANS-Sunken or bulging
fontanelles, nuchal rigidity
Physical exam signs of serious infection: ears CORRECT ANS-Bulging TM, AOM, mastoiditis
Physical exam signs of serious infection: Chest CORRECT ANS-Tachypnea, wheezing, rales,
rhonchi
Physical exam signs of serious infection: Heart CORRECT ANS-Murmurs
Physical exam signs of serious infection: Abdomen CORRECT ANS-Tenderness, distension
Physical exam signs of serious infection: Musculoskeletal CORRECT ANS-Refusal to bear
weight or use an extremity, erythema/warmth over joint
, Fianl Exam-CMN 568;Questions and Answers Rated A+
Diagnostic tests for fever in infant and young child CORRECT ANS-CBC w/ Diff (WBC >
15,000 may indicate SBI. Child with overwhelming sepsis my have WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
Lumbar Puncture: R/O meningitis
Blood cultures: R/O Bacteremia
Stools for C&S: R/O Infectious diarrhea
Management of fever in infant < 4 weeks CORRECT ANS-Refer to pediatrician
Hospitalization
Full septic workup
IV antibiotics pending culture results
Management of fever in infant 4 weeks - 3Mo CORRECT ANS-Toxic appearance:
Refer to pediatrician
Hospitalization
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