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NURS612 Questions and Correct Answers | Latest Update
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On your patient schedule see a diagnosis of plagiocephaly on your patient schedule. You vaguely recall learning something about this in Nurs 612 so you check UpToDate and are able to explain the etiology of this head growth disturbance is to the parents of this 4-month-old : A. Your child's ...

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  • September 23, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs612 questions and correct answers latest up
  • on your patient schedule see a diagnosis of plagio

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  • NUR 612
  • NUR 612

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1 | P a g e | © copyright 2024/2025 | Grade A+




NURS612 Questions and Correct
Answers | Latest Update
On your patient schedule see a diagnosis of plagiocephaly on your patient

schedule. You vaguely recall learning something about this in Nurs 612 so you

check UpToDate and are able to explain the etiology of this head growth

disturbance is to the parents of this 4-month-old :


A. Your child's head appears small. His head size is 2 SD below the mean, this

can result abnormal brain development from a genetic or teratogenic

exposure


B. Your child's head appears flat. This form of craniostenosis can result from

premature fusion of lambdoidal or coronal skull sutures and often results in

brain injury.


C. Your child's head appears large. His head size is 2 SD above the mean, this

can result from hydrocephalus while skull sutures are open.


D. Your child's head appears flat. This form of craniostenosis can result from

premature fusion of lambdoidal or coronal skull sutures and is often only

cosmetic and can be treated with a s


→ ~:- D. Your child's head appears flat. This form of craniostenosis can

result from premature fusion of lambdoidal or coronal skull sutures and

is often only cosmetic and can be treated with a special helmet.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


During a 1-week-old male well child check the head circumference is 3 S.D.

(standard deviations) below the predicted mean. What risk factors increases

the risk of this finding?


A. Positioning infant on their back


B. Prenatal Zika virus exposure


C. Hydrocephaly


D. Subdural hematoma or tumor


→ ~:- B. Prenatal Zika virus exposure




You are seeing a 6-month-old today for follow-up after a febrile seizure

yesterday. On exam you expect to find:


A. the anterior fontanel closed.


B. the posterior fontanel closed


C. sleepiness from a post-ictal state


D. nuchal rigidity


→ ~:- B. the posterior fontanel closed




You are examining a 22-month-old today for follow-up after a with a new

sudden onset of jerking movements while febrile earlier today. Which of the

following is not typical of this type seizure?


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


A. Positive family history


B. Age onset between 3 months and 5 years


C. Seizure lasting more than 15 minutes


D. Most likely to occur with a rapid rise in body temperature


→ ~:- C. Seizure lasting more than 15 minutes




A 15-year-old with a diagnosis of epilepsy had a seizure in your office lasting

12 minutes requiring rectal diazepam (Valium). He is stable in a postictal

state. His parents express concern as his last seizure was 2 years ago and he

wanted to be weaned off his phenytoin (Dilantin).Which of the following may

have contributed to this seizure?


A. Experimentation with alcohol consumption which lowers seizure threshold.


B. Recent growth spurt resulting in decreased kg/mg dosage


C. Adolescent may be challenging diagnosis and non-compliant with

phenytoin regimen


D. All choices are correct


→ ~:- D. All choices are correct




What question in an adolescent's history is the MOST important to ask

concerning new onset of headaches?



Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


A. Alcohol use


B. Caffeine use


C. History of headache most severe when arising from sleep


D. Positive family history for headaches


→ ~:- C. History of headache most severe when arising from sleep




A 17-year-old arrives for evaluation of a headache. He states it is worse in the

morning and does not respond to ibuprofen. His caffeine intake has not

changed, he has no known head trauma. On exam you note he is slow to

respond to questions and your fundoscopic exam the optic disc borders are

blurred (papilledema). You explain your next action


A. He exhibits a focal neurological sign, order a CT


B. He exhibits a focal neurological sign, discharge the patient home

prescribing bedrest, acetaminophen and recommend sunglasses


C. He exhibits no focal neurological signs, discharge the patient home on

bedrest, teaching family members signs warning signs of increased ICP


D. He exhibits no focal neurological signs. discharge the patient home

recommending return to school, but no contact sports until headache

resolved




Master01 | September, 2024/2025 | Latest update

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