chamberlain university nr 602 primary care of the childbearing and childrearing family practicum
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NR 602 MIDTERM EXAM, Chamberlain College of Nursing
Course Code: NR602
Course Title: Primary Care of the Childbearing and Childrearing Family
1. Role-play with equipment during the course of a physical examination would be most
beneficial with which of the following groups?
- Preschoolers/Toddlers
2. What is the Ortolani Sign?
-Assess for congenital hip dysplasia
3. When performing a physical examination of a toddler, which of the following body parts
would examine last?
- Ears and throat
4. What are three findings using Jones criteria for Rheumatic Fever?
-Streptococal infection, carditis, and erythema marginatum
5. 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
6. Concurrent Otitis media and Conjunctivitis is likely due to which?
- Haemophilus influenza
7. What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
- Administer a short-acting beta agonist
8. 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
9. 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
10. 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
11. If a child or any patient describes a “pop” in the knee. What is this indicative of?
- Anterior cruciate ligament tear
, 12. 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
13. 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.
14. Treatment of true central precocious puberty is best achieved with:
- Gonadotropin-releasing hormone agonist
15. 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%
16. Which of the following would be the most appropriate initial management of a newborn
diagnosed with developmental dysplasia of the hip?
-Pavlik harness
17. 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.
18. An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
- An echocardiogram
19. 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
20. What needs to be included when educating parents about a febrile seizure?
- Children may experience repeated seizures
21. 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
22. In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis
except:
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