NR 602 MIDTERM EXAM Chamberlain College of Nursing Course Code: NR602 Course Title: Primary Care of the Childbearing and Childrearing Family
- Role-play with equipment during the course of a physical examination would be most beneficial with which of the following groups?
- What is the Ortolani Sign?
- Assesses for congenital hip dysplasia
- When performing a physical examination of a toddler, which of the following body parts should be examined last?
- What are three findings using Jones criteria for Rheumatic Fever?
- Streptococcal infection, carditis, and erythema marginatum
- While examining a 4-month-old boy, you are unable to palpate one of his testes. The next most appropriate step is:
- Refer the child to a urologist
- Concurrent Otitis media and Conjunctivitis is likely due to which pathogen?
- What is the appropriate management of a child with asthma who presents with acute wheezing and/or coughing?
- Administer a short-acting beta agonist
- Sandra, age 12, has several vesicles and honey-colored crusted lesions on her face above the right nares. She has a history of having a bad scratch in the same area several days ago. What condition do you suspect?
- The most appropriate management of a 5-year-old with a firm, nontender nodule in the mid-upper eyelid for 3 weeks would be:
- Topical ophthalmic ointment
- A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care facility. What is the most likely cause of illness?
- If a child or any patient describes a “pop” in the knee, what is this indicative of?
- Anterior cruciate ligament tear
- A 7-year-old African American female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is:
- Management of scoliosis depends on the severity of the curve as well as the age of the child. Which of the following would require surgical intervention?
- Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees.
- Treatment of true central precocious puberty is best achieved with:
- Gonadotropin-releasing hormone agonist
- Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg. Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What is her percentage of dehydration?
- Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip?
- When considering catch-up vaccination in children for IPV vaccinations, it is important to understand that which of the following is NOT a consideration when administering the vaccine?
- IPV can be given routinely beyond the age of 18 years in the U.S.
- An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
- A 4-week-old presents to your office in mid-January with a 1-week history of nasal congestion and occasional cough. On the evening prior to this visit, the infant developed a temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea. The most likely diagnosis is:
- What needs to be included when educating parents about febrile seizures?
- Children may experience repeated seizures
- A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a painful limp in his right leg 2 days ago. Today he has a low-grade fever. Which of the following diagnoses is most likely?
- Transient synovitis of the hip
- In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis EXCEPT:
- Primary dysmenorrhea is due to:
- Elevated prostaglandin levels
- Which behavior would NOT be expected in a two-year-old?