N588 MIDTERM EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

N588 MIDTERM EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 Primary care Peds focuses on - Answers emphasis on health promotion, protections, and disease/disability prevention Adverse Childhood events defined as - Answers early exposure to protective and adverse experiences can promote or disrupt healthy development Adverse childhood events are linked to - Answers alcohol use, cancer, and heart disease risky behaviors, chronic health conditions, and low life potential Obtaining a medical history from a child should include - Answers family beliefs and health three generation pedigrees family structure and function How often are bowel movements with breastfed babies? - Answers once every 2nd day may be normal Bright star recommendations for exclusive breastfeeding is - Answers 6 months If a mother is concerned the infant is not getting enough nutrition when breastfed then use... - Answers standardized feedings assessment tool recommend complementary therapies to promote increase in breastmilk production Appropriate amount of sleep for a baby is - Answers 14-17 hours Local water supply contains fluoride what helps to promote healthy dentition? - Answers sodium fluoride varnish to infants teeth Acute otitis media is - Answers lasts less than 3 weeks and is SUDDEN 3 components for diagnosis of AOM - Answers 1. recent, abrupt onset of middle ear inflammation and effusion 2. moderate to severe bulging TM if onset 48 hours 3. S/S of middle ear infection What two viruses are most responsible for the increase in AOM? - Answers RSV and influenza What is the most common bacteria for AOM? - Answers S. Penumonia Treatment for AOM - Answers pain management: NSAIDs or acetaminophen observation or "watchful waiting" for 48-72 hours Antibiotics for AOM - Answers Amoxicillin first line Amoxicillin/clavulanate is recommended when there is a history of recurrent otitis that has not responded to amoxicillin Younger than 2 years old treat for older than 2 years old treat for - Answers 10 days 5-7 days Symptoms with AOM include - Answers amber color TM rapid onset of ear pain irritability otorrhea fever How do you diagnose AOM? - Answers pneumatic otoscopy is the simpliest and most effective way to diagnose AOM tympanocentesis identifies the infecting organism and is helpful in treatment for infants younger than 2 Chronic AOM lasts longer than - Answers 3 months What causes of chronic AOM? - Answers recurrent bacterial infections, cholesteatoma, or underlying structural abnormalities Preschooler presents with constipation What would be in a plan of care? - Answers Toilet training bowel retaining ongoing maintenance constipation management Oral polyethylene glycol Preschooler presents with constipation What would you see in evaluation? - Answers overflow soiling abdominal distention mass felt at midline anal fissures sacral dimple Preschooler presents with constipation Red Flags - Answers constipation starting extremely early in life (1 month) passage of meconium 48 hours ribbon stools blood in stools failure to thrive abdominal distention Asthma Action Plan - Answers green, yellow, and red zone Green zone - Answers GO Breathing is good no cough or wheezing sleep throughout the night can work and play Yellow Zone - Answers CAUTION First sign of a cold exposure to known trigger cough mild wheeze tight chest coughing at night Red Zone - Answers DANGER medicine is not helping breathing is hard and fast nose opens wide ribs show (in children) What is an action plan? - Answers personalized written document that outlines strategies for managing asthma and minimizing asthma attacks Preventive care for neonates includes - Answers primary clinicians prescribe oral fluoride to all infants starting at 6 months for children whose water supple is deficient in fluoride recommends clinicians apply fluoride varnish to the primary teeth of all infants 6 months old presents Developmental milestones - Answers growth rate declines extrusion reflexes fades 6 months old presents motor skills/gross and fine - Answers able to sit, unsupported transferring objects 6 months old presents Language - Answers babbling progresses to chained syllables increased sound imitation How can you assess when a newborn is getting enough nutrition both breast and bottle? - Answers weight gain