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CMN 571 Module 2 Test with Questions and Verified Answers| Latest Update
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CMN 571 Module 2 Test with Questions and Verified Answers| Latest Update
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CMN 571 Module 2 Test with Questions andVerified Answers| Latest Update
enuresis definition - ✔✔- repeated urination into clothing during the day and into the night
by a child who is chronologically and developmentally older than 5
- must occur at least twice a week for 3mo
monosymptomatic enuresis - ✔✔- uncomplicated nocturnal enuresis (haven't been dry at
night for > 6mo with no daytime accidents)
- reflects a maturational disorder
1st line treatment for monosymptomatic enuresis - ✔✔- education
- avoid being judgemental
- behavioral strategies used for 3mo every night
pharm therapy for monosymptomatic enuresis - ✔✔desmopressin acetate (DDAVP); this
decreases urine production
complicated enuresis - ✔✔involves nocturnal enuresis and daytime incontinence; reflects an
underlying disorder
underlying pathology that could cause complicated enuresis - ✔✔- cystitis
- diabetes insipidus
- seizures
- neurogenic bladder
- stress
- maltreatment
,encopresis definition - ✔✔repeated passage of stool into clothing by child that is
chronologically and developmentally older than 4yr; occurs each month for at least 3 months
and is not attributable to the physiologic effects of a substance, only to constipation
90% of encopresis results from constipation
conditions associated with constipation - ✔✔- hypothyroidism
- neuro disorders
- anatomical abnormalities of the anus
three types of encopresis - ✔✔- retentive
- continuous
- discontinuous
evaluation of encopresis - ✔✔- obtain complete hx and physical exam
- ABD XR noting degree of constipation, appearance of bowel
treatment for encopresis - ✔✔- 1st line is education, support, and guidance
- behavioral strategies, like having the child sit on the toilet after meals to stimulate gastrocolic
reflex
- meds: oral med or enema or fiber
poor sleep can lead to what? - ✔✔- maladaptive daytime behaviors
- poor developmental outcomes
- obesity
- insulin resistance
- immune dysfunction
, most common sleep disorder - ✔✔insomnia
parasomnias - ✔✔abnormalities of arousal, partial arousal, and transitions between stages
of sleep
2 mechanisms that control sleep - ✔✔- homeostatic drive ( increase in pressure to fall asleep
during the day)
- circadian rhythm (drive to be alert increases over the course of the morning and dips in early
afternoon, then rises again to highest levels several hours before bedtime, called the forbidden
zone)
circadian rhythm - ✔✔daily sleep/wake cycle
ultradian rhythm - ✔✔- occurs several times per night
- sleep stages cycle every 50-60min in infants and every 90min in adults
2 major sleep stages - ✔✔- NREM
- REM
stage 1 sleep cycle - ✔✔- N1
- light sleep
- slow eye rolling
stage 2 sleep cycle - ✔✔- N2
- slowing eye movements, respirations, and HR
- relaxation of muscles
- 50% of sleep in this time
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