NSG 6435 Week 7 Quiz
1. A newborn is born w/ a cleft lip & palate. The provider understands that the slit in the lip & mouth will
introduce specific challenges for the parents & child. How best can a provider manage this condition
before its repaired? (SATA)
Recommend the use of special nipples for feeding
Recommend speech therapy in later years.
Recommend dental restoration as often needed.
Refer to surgeon when indicated
Feedback
Surgical repair is indicated, the timing of which is individualized. Special nipples & feeding techniques are
used until surgery can be performed. Breastfeeding & bottle feeding may be successful, depending on the
severity of the cleft. Speech evaluation & perhaps therapy are necessary in later years. Dental restoration is
often needed. Team management is preferred. Middle ear, nasopharyngeal & sinus infections, as well as
associated hearing loss can occur.
2. Most young children walk on their toes until they establish the heel-toe pattern. This pattern usually
develops w/in the 1st 6 months of walking. Toe walking can be idiopathic or secondary to a neurologic
m
er as
problem. Since it is important for the provider to differentiate between the causes; what should the
provider do to accomplish this? (SATA)
co
eH w
Look at shoe wear to assess extent of toe walking.
Assess the heels for tight cords
o.
Conduct a neuro assessment.
Measure leg lengths & examine hips. rs e
ou urc
Feedback
The PE should include all of the above.
o
3. An infant client is positive for moist, beefy-red macules & papules w/ sharply marked borders &
aC s
vi y re
satellite lesions to the diaper area. KOH-treated scrapings of satellite lesions show pseudohyphae. What
is the most likely diagnosis?
Tinea
Miliaria
ed d
Erythema toxicum
ar stu
Candidiasis
Feedback
Candida albicans, a yeast-like fungus, is commonly found on skin & oral, vaginal, & intestinal mucosal
is
tissue. Although Candida is part of the normal flora, overgrowth & penetration of inflamed skin or mucous
membranes can occur when there is a localized or systemic alteration in host defenses. Candidiasis is more
Th
common in infants, obese children, adolescents, & chronically ill or immunocompromised children.
4. A 15YO client presents to the clinic c/o tenderness to the right side. The pain started gradually & often
sh
radiates to the back. On exam the client is positive for Tietze syndrome. The provider diagnosis the
client w/ Costochondritis. How should the provider treat this condition? (SATA)
Recommend mild analgesics & NSAIDs
Recommend avoiding strenuous activity
Take cough suppressants
Administer cortisone injections
This study source was downloaded by 100000830598498 from CourseHero.com on 08-23-2021 03:50:33 GMT -05:00
https://www.coursehero.com/file/49020892/6435-Week-7-Quizdocx/
1. A newborn is born w/ a cleft lip & palate. The provider understands that the slit in the lip & mouth will
introduce specific challenges for the parents & child. How best can a provider manage this condition
before its repaired? (SATA)
Recommend the use of special nipples for feeding
Recommend speech therapy in later years.
Recommend dental restoration as often needed.
Refer to surgeon when indicated
Feedback
Surgical repair is indicated, the timing of which is individualized. Special nipples & feeding techniques are
used until surgery can be performed. Breastfeeding & bottle feeding may be successful, depending on the
severity of the cleft. Speech evaluation & perhaps therapy are necessary in later years. Dental restoration is
often needed. Team management is preferred. Middle ear, nasopharyngeal & sinus infections, as well as
associated hearing loss can occur.
2. Most young children walk on their toes until they establish the heel-toe pattern. This pattern usually
develops w/in the 1st 6 months of walking. Toe walking can be idiopathic or secondary to a neurologic
m
er as
problem. Since it is important for the provider to differentiate between the causes; what should the
provider do to accomplish this? (SATA)
co
eH w
Look at shoe wear to assess extent of toe walking.
Assess the heels for tight cords
o.
Conduct a neuro assessment.
Measure leg lengths & examine hips. rs e
ou urc
Feedback
The PE should include all of the above.
o
3. An infant client is positive for moist, beefy-red macules & papules w/ sharply marked borders &
aC s
vi y re
satellite lesions to the diaper area. KOH-treated scrapings of satellite lesions show pseudohyphae. What
is the most likely diagnosis?
Tinea
Miliaria
ed d
Erythema toxicum
ar stu
Candidiasis
Feedback
Candida albicans, a yeast-like fungus, is commonly found on skin & oral, vaginal, & intestinal mucosal
is
tissue. Although Candida is part of the normal flora, overgrowth & penetration of inflamed skin or mucous
membranes can occur when there is a localized or systemic alteration in host defenses. Candidiasis is more
Th
common in infants, obese children, adolescents, & chronically ill or immunocompromised children.
4. A 15YO client presents to the clinic c/o tenderness to the right side. The pain started gradually & often
sh
radiates to the back. On exam the client is positive for Tietze syndrome. The provider diagnosis the
client w/ Costochondritis. How should the provider treat this condition? (SATA)
Recommend mild analgesics & NSAIDs
Recommend avoiding strenuous activity
Take cough suppressants
Administer cortisone injections
This study source was downloaded by 100000830598498 from CourseHero.com on 08-23-2021 03:50:33 GMT -05:00
https://www.coursehero.com/file/49020892/6435-Week-7-Quizdocx/
