FNP Pediatric Exam Test Bank |
Verified A+ Questions and
Answers Study Pack
‣ What effects global food . Answer: Hunger and under-nutrition occur
without access to safe, nutritious foods
Climate change and its effects on crops and food
distribution
Undernutrition an important determinant of maternal/child health
Breastfeeding increases survival rates
‣ American Academy of Pediatrics recommendation for preventative
pediatric health care . Answer: Uncoupling of periodicity of visits and
immunizations to a greater emphasis on healthy growth/developmental
surveillance
‣ Health literacy Chpt 2 . Answer: All children need nurturing and
attention from adults in their lives
Mother's education levels, beliefs/attitudes about health, health practices
affect health of children
Parental stress/mental illness affect health care
Maternal depression in 1st year of life associated with
poor caregiving leading to poor language
,development
Maternal depression predictive of asthma symptoms
in inner-city African-American families
Lack of consistent, affectionate attention can have devastating results
"Poor fit" between child and adult can cause later social adjustment
issues
‣ Otitis Media signs and symptoms/ treatment . Answer: Accurate
diagnosis
Rapid onset of otalgia, middle ear effusion
Confirmed with pneumatic otoscopy/tympanogram
signs of middle ear inflammation
Pain management
Antipyretics/analgesics
Distraction, oil application, external heat/cold
Initial observation versus antibiotics
Appropriate antibiotic choice
•Amoxicillin
•Augmentin
Preventive measures
Plan for recurrence
•Referral if indicated
,‣ Pressure-Equalizing Tubes . Answer: Clinical practice guidelines -
refer if recurrent AOM 3 times/6 months or 4 times/year
‣ otits externa signs and symptoms . Answer: Diffuse inflammation of
external ear canal (EAC); may involve pinna, TM
Simple infection - edema, discharge, erythema
Furuncles or small abscesses in hair follicles
Impetigo or infection in superficial epidermis
Most frequently by retained moisture in EAC
Usually acidic environment changes to neutral or
basic
Chlorine kills normal ear flora
Regular cleaning removes the cerumen barrier
Soap, local trauma, sweating, allergy, stress can
contribute
P. aeruginosa, S. aureus most common; may be polybacterial
‣ otitis externa treatment . Answer: inflammation of the outer ear
Eardrops: cipro; acetic acid drops might be effective in mild episodes;
antibiotics with steroid otic drops are the treatment of choice. Symptoms
should be improved in 7 days but can take up to 2 weeks.
, Avoid ototoxic drops if risk of perforation
Systemic antibiotics not used unless severe
Thorough patient education about drops
Use a wick if significant swelling
Avoid cleaning, manipulating, getting water into ear - no swimming
Analgesics for pain
Debridement with cotton-tipped applicator
Clean canal with water or antiseptic solution if impetigo and apply
antibiotic ointment
Treat fungal infections with clotrimazole-miconazole, or nystatin
‣ Otitis Externa (Swimmer's Ear) clinical findings - physical
examination . Answer: Pain with movement of tragus or pinna or with
attempts to examine with otoscope
Swollen EAC with debris
Verified A+ Questions and
Answers Study Pack
‣ What effects global food . Answer: Hunger and under-nutrition occur
without access to safe, nutritious foods
Climate change and its effects on crops and food
distribution
Undernutrition an important determinant of maternal/child health
Breastfeeding increases survival rates
‣ American Academy of Pediatrics recommendation for preventative
pediatric health care . Answer: Uncoupling of periodicity of visits and
immunizations to a greater emphasis on healthy growth/developmental
surveillance
‣ Health literacy Chpt 2 . Answer: All children need nurturing and
attention from adults in their lives
Mother's education levels, beliefs/attitudes about health, health practices
affect health of children
Parental stress/mental illness affect health care
Maternal depression in 1st year of life associated with
poor caregiving leading to poor language
,development
Maternal depression predictive of asthma symptoms
in inner-city African-American families
Lack of consistent, affectionate attention can have devastating results
"Poor fit" between child and adult can cause later social adjustment
issues
‣ Otitis Media signs and symptoms/ treatment . Answer: Accurate
diagnosis
Rapid onset of otalgia, middle ear effusion
Confirmed with pneumatic otoscopy/tympanogram
signs of middle ear inflammation
Pain management
Antipyretics/analgesics
Distraction, oil application, external heat/cold
Initial observation versus antibiotics
Appropriate antibiotic choice
•Amoxicillin
•Augmentin
Preventive measures
Plan for recurrence
•Referral if indicated
,‣ Pressure-Equalizing Tubes . Answer: Clinical practice guidelines -
refer if recurrent AOM 3 times/6 months or 4 times/year
‣ otits externa signs and symptoms . Answer: Diffuse inflammation of
external ear canal (EAC); may involve pinna, TM
Simple infection - edema, discharge, erythema
Furuncles or small abscesses in hair follicles
Impetigo or infection in superficial epidermis
Most frequently by retained moisture in EAC
Usually acidic environment changes to neutral or
basic
Chlorine kills normal ear flora
Regular cleaning removes the cerumen barrier
Soap, local trauma, sweating, allergy, stress can
contribute
P. aeruginosa, S. aureus most common; may be polybacterial
‣ otitis externa treatment . Answer: inflammation of the outer ear
Eardrops: cipro; acetic acid drops might be effective in mild episodes;
antibiotics with steroid otic drops are the treatment of choice. Symptoms
should be improved in 7 days but can take up to 2 weeks.
, Avoid ototoxic drops if risk of perforation
Systemic antibiotics not used unless severe
Thorough patient education about drops
Use a wick if significant swelling
Avoid cleaning, manipulating, getting water into ear - no swimming
Analgesics for pain
Debridement with cotton-tipped applicator
Clean canal with water or antiseptic solution if impetigo and apply
antibiotic ointment
Treat fungal infections with clotrimazole-miconazole, or nystatin
‣ Otitis Externa (Swimmer's Ear) clinical findings - physical
examination . Answer: Pain with movement of tragus or pinna or with
attempts to examine with otoscope
Swollen EAC with debris
