Exam (elaborations)
CMN 571 Module 2 Middle Childhood to Adolescent
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CMN 571 Module 2 Middle Childhood to Adolescent CMN 571 Module 2 Middle Childhood to Adolescent CMN 571 Module 2 Middle Childhood to Adolescent
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CMN 571 Module 2 Middle Childhood toAdolescent
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
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