NR602 Midterm Study Guide Questions And
Answers Latest Update 2024/2025
primary prevention
keep disease processes from becoming established by either eliminating cause or increasing individual
resistnac to disease
health promotion
specific protection
primary prevention- health promotion
health maintenace and education efforts- nutrition, safe environemnt
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primary prevention- specific protection
immunizations, anti-malarial prophylaxis, environmental modifications (fluroide)
secondary prevention
Efforts to limit the effects of an injury or illness that you cannot completely prevent.
tertiary prevention
actions taken to contain damage once a disease or disability has progressed beyond its early stages
Pediatric NP (PNP)
well-child care and prevention/management of common pediatric acute illnesses and chronic condition
Differnec from PNP to acute care NP
Acuity of patient
acute PNP
acutely, critically, and chronically ill children who are unstable, experiencing life threatening illness
medically fragile
technological dependent
quaternary care
,highly specialzed ezpertise
highly unusual or specliazed equipment
inativated vaccines in use
DTaP (<7) Tdap >7
polio
haemophilius influ B(HIB)
hepatitis A
HBV
HPV
FLU
meningococcal
PNA
Live vaccines
MMRV, MMR
varicella
rotavirus -oral
bacille calmette-guerin (TB)
small pox
vaccines for first year
birth-RSV/hep B
1m- 2nd hep B
2month- Rotavirus, DTaP, Haemophilus influ B, pneumococcal, inactivated polio
4m- same as 2 months
6m- 3rd Hep B, 3rd RSV if a 3 step, 3rd DTaP, 3rd Haemophilus influ B, 3rd Pneumococcal, 3rd
inactivated polio
12m- 4th haemophilis influ B, 4th pneumococcal, MMR, varicella, hepatitis A
vaccine 18 months -18 year
18m- Hepatitis B, DTaP, incativated polio, hepatitis A (if 2nd dose has no tbeen given)
4-6yo- TDaP, incativated polio, MMR, varicella
11-12yo-TDaP, HPV, meningococcal
16-Meningococcal
vaccines for children (VFC)
PCP to obtain ACIP-recommeneded vaccines without cost.
free children under 19 who are medicaid-eligible, uninsuredm or Native American or Alaska Native.
, Pays 50% of all vacines administ under 6yo.
reduces disparities in vaccine rates among low-income children
family assessment for sleep
parents knowledge and expectations about sleep patterns
parents ability and willingness to modify slepe hyigene
family hx of sleep distubrance
recent divorce, separation, family or close friend death, or other fmily stressors
recent changes in living arrangement
safe sleep in infant
sleep in parents room but not bed for first year but at least 6m
infant cribs, bedside sleepers, play yards, protable cribs, bassinets
SID prevention
room sharing with NO bed sharing
pacifier
parental avoidncace of illicit drugs, etoh, smoking
supine positioning on firm sleep surface
avoid bumper pads and use of bedding
avoid overheating
BF and routine immunization
Sudden unexpected death in infancy
death by suffocation, asphyxia, entrament, infection, ingestions, metabolic disease, and trauma
Sudden unexpected infant death (SUID)
SIDS
unexplained after through case investigation including autospy, scene investigation, and clincial history
leading cause of deaht in infants from 1m-1yr
rf: premature and/or growth restrction
Lead poisoning risk factors
pica
lead smelther, battery recycling plant or other industry release lead