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) Answer-
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
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 problem. Since it is important for the
provider to differentiate between the causes; what should the provider do to
accomplish this? (SATA) Answer- Look at shoe wear to assess extent of toe
walking.
Assess the heels for tight cords
Conduct a neuro assessment.
Measure leg lengths & examine hips.
3. An infant client is positive for moist, beefy-red macules & papules w/ sharply
marked borders & satellite lesions to the diaper area. KOH-treated scrapings of
satellite lesions show pseudohyphae. What is the most likely diagnosis? Answer-
Candidiasis
4. A 15YO client presents to the clinic c/o tenderness to the right side. The pain
started gradually & often 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) Answer- Recommend mild
analgesics & NSAIDs
Recommend avoiding strenuous activity
Take cough suppressants
5. A 6YO client presents to the clinic c/o of an intermittent limp & pain to the anterior
thigh. Upon exam, the following is noted: antalgic gait w/ limited hip movement,
atrophy of the gluteus, quadriceps, & hamstring muscles; decreased abduction,
internal rotation, & extension of the hip & pain on rolling the leg internally. What is
the most likely diagnosis? Answer- Legg-Calvé-Perthes Disease
6. A 9YO client in town for the summer presents to the clinic c/o a rash. Upon
exam, the following is noted: multiple, annular, scaling & discrete hypopigmented
patches located on the trunk. KOH scrapings of the lesions revealed short curved
hyphae & circular spores that fluoresced yellow-orange under the Wood's lamp.
What is the most likely diagnosed? Answer- Tinea versicolor
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) Answer-
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
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 problem. Since it is important for the
provider to differentiate between the causes; what should the provider do to
accomplish this? (SATA) Answer- Look at shoe wear to assess extent of toe
walking.
Assess the heels for tight cords
Conduct a neuro assessment.
Measure leg lengths & examine hips.
3. An infant client is positive for moist, beefy-red macules & papules w/ sharply
marked borders & satellite lesions to the diaper area. KOH-treated scrapings of
satellite lesions show pseudohyphae. What is the most likely diagnosis? Answer-
Candidiasis
4. A 15YO client presents to the clinic c/o tenderness to the right side. The pain
started gradually & often 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) Answer- Recommend mild
analgesics & NSAIDs
Recommend avoiding strenuous activity
Take cough suppressants
5. A 6YO client presents to the clinic c/o of an intermittent limp & pain to the anterior
thigh. Upon exam, the following is noted: antalgic gait w/ limited hip movement,
atrophy of the gluteus, quadriceps, & hamstring muscles; decreased abduction,
internal rotation, & extension of the hip & pain on rolling the leg internally. What is
the most likely diagnosis? Answer- Legg-Calvé-Perthes Disease
6. A 9YO client in town for the summer presents to the clinic c/o a rash. Upon
exam, the following is noted: multiple, annular, scaling & discrete hypopigmented
patches located on the trunk. KOH scrapings of the lesions revealed short curved
hyphae & circular spores that fluoresced yellow-orange under the Wood's lamp.
What is the most likely diagnosed? Answer- Tinea versicolor
