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NURS 6541 PEDIATRIC MIDTERM EXAM QUESTIONS AND ANSWERS
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NURS 6541 PEDIATRIC MIDTERM EXAM QUESTIONS AND ANSWERS
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NURS 6541 PEDIATRIC MIDTERM EXAMQUESTIONS AND ANSWERS
Haemophiles influenzae type b (Hib)
Correct Answer -1st dose 2 months, 2nd dose 4 months, 3rd or 4th dose
Pneumococcal conjugate (PCV13)
Correct Answer -1st dose 2 mo, 2nd do 4 mo, 3rd dose 6 month, and then
4th dose btw 12-15 mo
Inactivated poliovirus (IPV <18 yrs)
Correct Answer -1st dose 2 mo, 2nd dose 4 mo, and 3rd dose between 6-
18 months. 4th dose btw 4-6 years old
Influenza (IIV) OR Influenza (LAIV)
Correct Answer -1st dose for (IIV) 6 months-6 years old, 1st dose for
(LAIV) starts at 2-3 years old until 4-6 years old. both 1-2 doses
MMR-Measles Mumps & Rubella
Correct Answer -For high risk groups `st dose would be btw 6-9 months.
otherwise 1st dose btw 12-15 months. 2nd dose btw 4-6 years
Varicella (VAR)
Correct Answer -1st dose btw 12-15 months, 2nd dose 4-6 years old
Hep A
Correct Answer -High risk groups 6-9 months only. Otherwise its a 2 dose
series given anytime between 12-23 months
, Tetanus, diphtheria, acellular pertussis (Tdap ≥7 yrs)
Correct Answer -11-12 years old receives dose.
What age are accidental fractures uncommon in children that would raise a
red flag for abuse?
Correct Answer -·
<18 months of age.
· Rib Fractures are uncommon in infants and young children unless serious
trauma
·
Once walking may have any type of fall including spiral or oblique,
transverse or buckle ( these would be normal)
what kind of fractures would make you suspicious of inflicted injury?
Correct Answer -·
· Classic metaphysical fractures at the end of developing long bones are
generally unique to the infant population and have high specificity for
maltreatment
·
Scapular, spinous process and sternal fractures are uncommon accidental
fractures and considered suspicious for inflicted injury.
Child abuse- When should you be concerned with a child who has multiple
bruises and not walking around and/or cruising around the furniture yet?
Correct Answer -· Unexplained bruising (or bruising without an acceptable
explanation) in a child not independently mobile must always raise
suspicion of maltreatment. Especially bruising on the child's trunk, ears,
and neck.
**The parent should be able to reasonably explain any bruise.
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