NURS 602 HEALTH ASSESSMENT (Primary Care) FINAL EXAM LATEST
UPDATED SPRING SERIES CHAMBERLAIN COLLEGE
1. COLIC Unknown abdominal dis-
comfort;
"cries for more than 3
hours a day, for more than
3 days a week, and more
than 3 weeks"
2. Colic Management Probiotics may be of-
fered; Consideration of hy-
drolyzed protein formula
3. DEHYDRATION Management Commercially available
oral hydration solutions
(ORS)
Continue breastfeeding
with ORS supplementation
Offer young children 20
ml/kg per hour
Offer older children 100 mL
of ORS every 5 minutes
Combine with IV therapy
as needed
Reassess after 4 hours; re-
peat if needed
Avoid juice, soft drinks, and
sports drinks
4. Appendicitis S/S Presence of involuntary
guarding,
RLQ rebound tenderness,
maximal pain over McBur-
ney point
Heel-drop jarring test
inability to stand straight
or climb stairs; winces
when getting off examina-
tion table or riding in a car
over bumps;
child most comfortable with
,NURS 602 HEALTH ASSESSMENT (Primary Care) FINAL EXAM LATEST
UPDATED SPRING SERIES CHAMBERLAIN COLLEGE
bent knees.
Positive psoas sign or ob-
turator sign
Rovsing sign or rebound
tenderness strongly sug-
gests peritoneal irritation.
Tenderness and possibly
a mass (abscess) on the
right side on rectal exami-
nation.
5. McBurney point/sign Pain w/ palpation and re-
lease; Rebound tender-
ness is most reliable.
1.5 to 2 inches in from the
right anterior superior ili-
ac crest (on a line toward
the umbilicus) on abdomi-
nal examination (most reli-
able finding
6. positive psoas sign retract R thigh while on left
side; illicit pain consistent
with appendicitis
7. Positive Rovsing Sign Pain RLQ w/ pressure and
release of LLQ; R/O ap-
pendicitis
8. Positive Obturator Sign Supine; bend R leg and ro-
tate inward; illicit pain in
RLQ
9. Intusscuception Anterograde intestine into
proximal bowel; Most com-
mon cause of for Pediatric
GI obstruction
10. S/S of intussusception
, NURS 602 HEALTH ASSESSMENT (Primary Care) FINAL EXAM LATEST
UPDATED SPRING SERIES CHAMBERLAIN COLLEGE
S/S of intussuception
intermittent abdominal
pain
currant jelly stools
Dance Sign (sausage like
mass)
11. Management of Intussusception Therapeutic Air Contrast
Enema under fluoroscopy
12. Failure to Thrive (FTT) The most common cause
is nutritional deficiency
without an underlying med-
ical condition (greater than
80%).
13. Asymptomatic bacteriuria bacteria in the urine with-
out other symptoms, is be-
nign, and does not cause
renal injury.
14. Cystitis an infection of the blad-
der that produces lower
tract symptoms but does
not cause fever or renal in-
jury.
15. Pyelonephritis most severe type of UTI in-
volving the renal parenchy-
ma or kidneys and must be
readily identified and treat-
ed because of the potential
irreversible renal damage.
16. "When was your last menstrual period A healthy 14-year-old fe-
(LMP)?" male has a dipstick uri-
nalysis that is positive for
56RBCs per hpf but other-
wise normal. What is the
first question the primary
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