cmn 571 module 2 middle childhood to adolescent ex
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CMN 571 Module 2 Middle Childhood to Adolescent Ex
CMN 571 Module 2 Middle Childhood to Adolescent Ex
CMN 571 Module 2 Middle Childhood to Adolescent Ex
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CMN 571 Module 2 Middle Childhood to
Adolescent Exam Q’s and A’s
Middle childhood is considered what age group? - -7-10yr old
- Early childhood is considered what age group? - -5-7 years
- What ages have BP and height, weight and BMI collected at annual visits? -
-Ages 5-21yr (BP 1st begins @ 3 yr. old annually)
- During the physical exam of a 5-6-year-old patient, the FNP will
assess/observe and perform what universal screening(s)? - -US (hearing,
vision); assess/observe for ocular motility, malocclusion, fine/gross motor
skills, gait
- During the physical exam of a 7-year-old, the FNP will perform what
universal screening? - -None ("lucky number 7")
- During the physical exam of a 7-8-year-old patient, the FNP will
assess/observe? - -malocclusion, SMR (1st time this happens),
hip/knee/ankle function, gait
- During the physical exam of an 8-year-old patient, the FNP will conduct
what universal screening? - -hearing, vision
- During the physical exam of a 9-10-year old, the FNP will assess/observe? -
-signs of self-injury, SMR, examine back (anticipatory guidance requires you
to inquire about concerns with weight, often the period of time when eating
disorders can begin)
- What ages will have a lipid screening performed? - -once, 9-11 yr. visit and
once, 17-21yr visit (lipid profile)
- What universal screenings will be conducted during the 10yr old visit? - -
hearing, vision
- What screening should begin at 12 years old? - -Depression screening
- During the physical exam of a 11-21yrs old patient, the FNP will
assess/observe? - -acne, acanthosis nigricans (skin condition that causes
areas of dark in the armpits, neck, groin - sign of obesity or type 2 DM),
atypical nevi (noncancerous moles; people who have them are @ increased
risk of developing melanoma), piercings, signs of abuse and self-injury
- 11-14yr is classified as what stage of adolescence? - -Early
,- 15-17yr is classified as what stage of adolescence? - -Middle
- 18-21yr is classified as what stage of adolescence? - -Late
- During the physical exam of a 11-17yrs old patient, the FNP will
examine/perform? - -examine back/spine; assess breasts / SMR (females);
assess gynecomastia, SMR, testicular hydrocele, hernias, varicocele, masses
(males)
- During the physical exam of an 18-21yrs old patient, the FNP will
examine/perform specific to females/males? - -perform pelvic exam / pap
smear @ 21yr (females); assess gynecomastia, SMR, testicular hydrocele,
hernias, varicocele, masses (males)
- Beginning at the 15-yr. visit, what should the FNP begin screening for? - -
tobacco, alcohol, drug use
- What screening should be performed once between 15-18 yr. visits? - -HIV
screening
- hearing and vision - -5yr; 6yr; 8yr; 10 yr. visits; once @ 11-14 visit, 15-17
visit, and 18-21 yr. visit)
- SMR: begins - -@ 7-8yr visit
- Signs of self-injury - -9-10 yr
- Breast inspect/testes inspect - -Begins @ 11yrs
- Lipid check - -9-11yr & 17-21yr
- Depression SCREEN - -Begins @ 12
- Tobacco/drugs Screen - -Begins @ 15
- HIV Test - -Once between 15-18yrs
- Pap Smear - -@ 21yr
- When conducting anticipatory guidance, what age do you begin addressing
both the adolescents and parental concerns simultaneously? - -11 years old
- When conducting anticipatory guidance, what age do you begin addressing
bullying? - -5 years old, until 14 years old
, - When conducting anticipatory guidance, what age do you begin addressing
safeguarding info from online, talk about worries, inquire about activities
most liked in school? - -7 years old
- When conducting anticipatory guidance, what age do you instruct to
consume milk 2-3x/day? - -5-6 years old
- When conducting anticipatory guidance, what age do you instruct to
consume milk 3x/day? - -7-8 years old
- When conducting anticipatory guidance, what age do you discuss making
and keeping friends? - -9-10 years old
- When conducting anticipatory guidance, what age do you discuss making
and keeping friends, inquire about what friends like to do together, and
reinforce values? - -9-10 years old
- When conducting anticipatory guidance, what age do you discuss weight? -
-9-10 years old
- When conducting anticipatory guidance, what age do you discuss switching
from booster seat to seat belt in back seat of car? - -9-10 years old
- When conducting anticipatory guidance, what age do you discuss
managing conflict non-violently? - -11 years old, until 21 years old
- When conducting anticipatory guidance, what age do you 1st discuss
dating / sexual situations, NO means NO? - -11 years old, until 21 years old
- When conducting anticipatory guidance, what age do you 1st discuss
spending time with family and taking responsibility for your schoolwork? - -
11 years old, until 21 years old
- When conducting anticipatory guidance, what age do you 1st discuss being
physically active at least 60min per day? - -11 years old, until 21 years old
- When conducting anticipatory guidance, what age do you 1st discuss
pregnancy and STI protection? - -11 years old
- When conducting anticipatory guidance, what age do you 1st discuss
ETOH/drugs/vaping? - -11 years old
- When conducting anticipatory guidance, what age do you 1st discuss
refraining from riding in car with someone under the influence? - -15 years
old
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