ExamI2:INURSI629/INURS629I(New
Update)IPediatric/IFamilyIHealthI
CareIGuideIwithIQsI&IAs|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IMaryville
QUESTION
○IHeadIcircumferenceIobtainedIuntilIwhatIage?
Answer:
2IyearsIold
QUESTION
WhatIyearIdoIeyeIexamsIstart?
Answer:
3IyearsIold
QUESTION
AtIwhatIyearIdoIweIstartIcheckingIbloodIpressure
Answer:
3IyearsIold.
QUESTION
SportsIphysicalsIlooksIfor
,Answer:
■IcardiovascularIandImusculoskeletalIhealth
■ILookIatIPMH:
●ItetanusIstatus,ImedsIandIsupplements,IsteroidIuse,IpreviousIinjuries,IimmunizationIstatus,Iw
eightIconcerns,IeatingIdisorders,Ipregnancy,Iallergies,IexcessiveIweightIgainIorIloss,IhistoryIofI
anaphylacticIreactions,IrecentIorIpreviousIconcussions,IdizzinessIorIfaintingIwithIphysicalIexer
tion,IcontactsIorIdentalIappliancesIthatImayIrequireIaccommodations,ImentalIhealth,IsexualIsta
tus,Imenstruation,Ialcohol/smoking/drugIuse
■IFamIHistory:I(*cardiacIhx)
●IrelatedItoIsuddenIdeath,IcardiacIdeath,IdeathIwithIactivity,IandIhistoryIofIasthma
■IHt,Iwt,IvisualIacuity,IBP,IskinI(contagiousIconditions),Ieyes,Iheart,Iabdomen,Imusculoskeleta
l,IgenitalIarea
■IChestIpain,IshortnessIofIbreath,IfeelingIdizzyIlightheadedIorIfaintIafterIphysicalIactivity
■ICardiacIanomalies,Imurmurs,IhighIbloodIpressure,IirregularIheartIrate
■IDisplacedIPMIIfeltIwithIdifferentIpositioning
■IChangesIinIheartIsoundsIwithIsupine,Istanding,IandIValsalva
■IAsymmetricIfemoralIpulses
■IStability,Isymmetry,Ideformity
■IHernias
○ICardiacIHistory
■ITheIcardiacIhistoryIisImoreIsensitiveIthanItheIphysicalIexamIinIdetectingIconditionsIthatIco
uldIprohibitIsportsIparticipation
■IHypertrophicIcardiomyopathyIisItheImostIcommonIcauseIofIdeathIamongIathletesIlessIthanI
35IyearsIofIage
■ICardiacIHistory
●ICongenitalIheartIdisease
●IAcquiredIheartIdisease
●IHypertension
●IMurmurs
■IROS
●IExertionalIchestIpain
●IExertionalIshortnessIofIbreath
●IPalpitations
●IExertionalIsyncopeIorInearIsyncope
●IUnexplainedIfatigueIorIdizziness
,QUESTION
SportsIphysicals-WhatIwouldIbeIcontraindicationsIforIclearance?
Answer:
○ICongenitalIcardiacIanomaliesIaccountIforImostIofIthese
●IChestIpainsIwhileIexercising,IcongenitalIcardiacIanomalies,IhypertrophicIcardiomyopathy,Ine
wImurmurs,Ihypertension
●IFamilyIhx.IofIsuddenIdeathIunderI50IorIwhileIplayingIsports,IexertionalIsyncope,Isymptoms
IofIMarfanIsyndrome
●IMarfanIsyndromeI(2IorImoreIofItheIfollowingIneedsIfurtherIevaluation:IarmIspanIlongerItha
nIheight,IgirlsItallerIthanI5.10IandIboysItallerIthanI6.0,Ikyphoscoliosis,IpectusIexcavatum,Imyo
pia)
QUESTION
SportsIphysicalI-WhatIwouldIneedIreferralIandIfollowIupIbeforeIclearance?
Answer:
●IHistoryIofIorIcurrentIcardiacIanomalies
●IFamilyIcardiacIhistoryI(cardiomyopathies,IprolongedIQT,IMarfanIsyndrome,IsignificantIdysr
hythmias,IcardiacIdeathIinI1stIorI2ndIdegreeIrelativeIbeforeIageI40,IconnectiveItissueIdisorder
s)
●IHistoryIofIorIcurrentIconcussions
●IHistoryIofIorIcurrentIinjuries
●IHernia
●IHypertension
●IMurmur
●IIrregularIheartIrateIorIrhythm
●IDeformity,Iasymmetry,Iinstability
●IPoorIvisualIacuity
●ILiverIorIspleenIenlargement
●IHernia
●IContagiousIskinIconditions
, QUESTION
OtherIredIflagsIforIsportsIphysical
Answer:
●IHypertensionIindicatedIbyIBPI>135/85ImmIHg
●ICoarctationIofIaortaIindicatedIbyIdecreasedIintensityIofIpulseIinIfemoralIpulse
●IHypertrophicIcardiomyopathyIindicatedIbyIsystolicIejectionImurmurIthatIintensifiesIwithIsta
ndingIorIValsalvaImaneuver
●IMarfanIsyndromeIindicatedIbyIaorticI(decrescendoIdiastolicImurmur)IorImitralIinsufficiency
I(holosystolicImurmur)
■IConditionsIthatIdisqualifyIparticipation:
●ICarditisI(inflammationIofItheIheart)
●IDiarrhea
●IFever
QUESTION
QuestionsItoIaskIduringIsportsIphysicals
Answer:
●IDizziness,IpassingIout,IchestIpainIwithIexercise?IHistoryIofIsuddenIdeathIinIaIcloseIrelative
?
●IHaveIyouIeverIpassedIoutIorInearlyIpassedIoutIduringIexercise?
●IHaveIyouIeverIhadIdiscomfort,Ipain,IorIpressureIinIyourIchestIduringIexercise?
●IDoesIyourIheartIraceIorIskipIbeatsIduringIexercise?
●IDoesIanyoneIinIyourIfamilyIhaveIMarfanIsyndrome?
●IConcussion,IknockedIout,Iunconsciousness,ImemoryIloss,Iseizure,IorIsevereIorIfrequentIhea
dache?
●IStinger,Iburner,IpinchedInerve,InumbnessIorItinglingIinIextremities?
●IProblemsIwhileIexercisingIinItheIheat?
●IAsthma,Iallergies,Iwheezing,IdifficultyIbreathing,IorIchestIpain?
●IStrain,Isprain,Ifracture,IjointIpain,IorIswelling?
QUESTION
ConcussionIManagement
