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NURS 6541 (Pediatrics) FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS RATED A WALDEN UNIVERSITY
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NURS 6541 (Pediatrics) FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS RATED A WALDEN UNIVERSITY
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NURS 6541 (Pediatrics) FINAL EXAMSTUDY GUIDE QUESTIONS AND ANSWERS
RATED A WALDEN UNIVERSITY
Genetic primary hypophosphatemia
Correct Answer -Familial hypophosphatemia is a rare inherited disorder
characterized by impaired transport of phosphate and often altered
vitamin-D metabolism in the kidneys. In some people, phosphate may not
be well-absorbed in the intestines. The hypophosphatemia resulting from
these impairments can lead to a skeletal defect called osteomalacia, or a
softening of bones. Familial hypophosphatemia also results in rickets, a
childhood bone disease with characteristic bow deformities of the legs, as
well as growth plate abnormalities and progressive softening of the bone
as occurs in osteomalacia
What would your response to be a 8 month old with a spiral fracture?
Correct Answer -Child abuse
5 year old has mild leg bowing, what labs would you order?
Correct Answer -Vitamin D, Phosphorus
The Varicella vaccine is used to protect against
Correct Answer -Chickenpox
The MMR vaccine is used to protect against
Correct Answer -measles, mumps, rubella
The Hib vaccine is used to protect against
Correct Answer -Haemophilus influenza B virus
,The rotavirus vaccine is used to protect against
Correct Answer -developing diarrhea, vomiting, and stomach pain caused
by rotavirus
The DTap vaccine is used to protect against
Correct Answer -Tetanus, Diptheria, and Pertussis
The Inactivated Polio Virus (IPV) vaccine is used to protect against
Correct Answer -Polio
The pneumococcal vaccine is used to protect against
Correct Answer -Pneumococcal meningitis and pneumococcal pneumonia
The Hepatitis A vaccine is used to protect against
Correct Answer -Hep A
The Hepatitis B vaccine is used to protect against
Correct Answer -Heb B
The HPV vaccine is used to protect against
Correct Answer -Human Papilloma Virus
The Meningococcal vaccine is used to protect against
Correct Answer -Meningococcal disease caused by Neisseria menigitidis
Common trigger for acute asthma
Correct Answer -Allergen
,Child in daycare more likely to be exposed to what infections?
Correct Answer -respiratory infections, ear infections, and diarrheal
disease
Appropriate treatment for influenza A
Correct Answer -Supportive care
If they are severely symptomatic, give tamiflu within 2 days of showing
symptoms
Common s/s of fifths disease
Correct Answer -Slapped cheek appearance followed by flu-like symptoms
Slipped Capital Femoral Epiphysis (SCFE)
Correct Answer -A dislocation of the epiphyseal end of the femur, usually
found in children and adolescents
Salter Harris type 1 fracture
Stress around the hip causes shear force to be applied to the growth plate
Occurs after onset of puberty,often in overweight and slightly skeletally
immature boys. Also seen in children with delayed puberty
Manifestations: pain in groin or diffusely over the knee or anterior thigh
Decreased internal rotation
External rotation of thigh when hip is flexed
Limited abduction and extension
Skin symptom of Lyme disease
Correct Answer -Bullseye rash
, Symptoms common in absent seizures
Correct Answer -Staring into space
More common in girls ages 4-14
1st sign is usually decline in learning ability
What type of scale would you used to measure childhood intelligence?
Correct Answer -Wechsler Intelligence Scale for children (WISC)
Common causes of UTI in children
Correct Answer -Bathroom hygine (wiping back to front), holding urine
because they are too busy or can't get to a bathroom, bubble baths
Best treatment for testicular torsion
Correct Answer -Immediate referral for sugery
Emergently performed within first 6 hours. Preservation of fertility great
concern; prevention of atrophy and abscess. If untreated can lead to
testicular loss
Best treatment for child with phimosis
Correct Answer -Normal cleansing with gentle stretching of the foreskin
until resistance is felt. Circumcision is indicated if urinary obstruction or
infection is present. Persistent phimosis can be treated with corticosteroid
cream 3x/day for a month
s&s of congenital hypothyroidism
Correct Answer -Neonates/Infants:Prolonged jaundice; poor feeding;
growth deceleration; hypothermia, skin mottling; large fontanels,
especially posterior; wide sutures, hirsute forehead, coarse facial features,
dull expression, facial edema, nasal discharge, macroglossia. Normal,
slightly enlarged or goritrous thyroid; Hoarse cry, axillary, prominent
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