CMN568/ CMN 568 (Latest 2024/ 2025) Intro to
Family NP FINAL Exam Questions and Verified
Answers| 100% Correct| Grade A
Incidence of Fever - ANSWER One of most common reasons
for parents to seek medical care.
Preschoolers have an average 6-8 febrile illnesses a year.
Definition of fever - ANSWER Rectal temperature ≥ 100.4°F
Tympanic temperature - ANSWER Not accurate in infants
under 3 months
Fever Causes - ANSWER Most common Benign viral illness,
can also caused by bacterial or fungal infections, drug reactions including
immunizations, malignancies, autoimmune or metabolic disorders, CNS disorders,
excessive environmental temperatures.
,Factors that increase likelihood of serious bacterial illness - ANSWER
Age under 3 months, history of prematurity, chronic medical conditions such as
immunosupression or aspenia, previous hospitalizations, daycare. Toxic
appearance
Non-Toxic appearance - ANSWER Strong cry
Consolable
Alert and easy to arouse
Pink skin tones
Good hydration; good turgor, tears, moist mucous membranes
Smiles, responsive to environment
Toxic appearance - ANSWER Weak or high pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no tears
No smile, listless, dull, infant won't alert to environment
,Signs of serious illness - ANSWER Fever greater than 40 (105)
Nuchal rigidity
Petechial skin rash
Seizure activity
Stridor or increased WOB
Physical exam signs of serious infection: Musculoskeletal - ANSWER
Refusal to bear weight or use an extremity, erythema/warmth over joint
Diagnostic tests for fever in infant and young child - ANSWER
CBC w/ Diff (WBC > 15,000 may indicate SBI. Child with overwhelming sepsis my
have WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
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