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NR 602 Midterm Exam (Version 1), Chamberlain University NR 602: Primary Care of the Childbearing and Childrearing Family Practicum

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NR 602 Midterm Exam (Version 1), Chamberlain University NR 602: Primary Care of the Childbearing and Childrearing Family Practicum NR 602 MIDTERM EXAM , Chamberlain College of Nursing Course Code: NR602 Course Title: Primary Care of the Childbearing and Childrearing Family 1.Role-play with equipment during the course of a physical examination would be most beneficial with which of the following groups? 2. What is the Ortolani Sign? 3. When performing a physical examination of a toddler, which of the following body parts would examine last? 4. What are three findings using Jones criteria for Rheumatic Fever? 5. While examining a 4-month-old boy, you are unable to palpate one of his testes. The next most appropriate step is: 6. Concurrent Otitis media and Conjunctivitis is likely due to which? 7. What is the appropriate management of a child with asthma who presents with acute wheezing and/or coughing? 8. Sandra, age 12 years, 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? 9. The most appropriate management of a 5-year old with a firm nontender nodule in the mid-upper eyelid for 3 weeks would be: 10. A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care facility. What is the most likely cause of illness? 11. If a child or any patient describes a “pop” in the knee. What is this indicative of? 12. 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: 13. Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention? 14. Treatment of true central precocious puberty is best achieved with: 15. 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? 16. Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip? 17. When considering catch up vaccination in children for IPV vaccinations, it is important to understand one of the following considerations is NOT a consideration when administering the vaccine: 18. An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is: 19. 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 67. A 10-year old has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present. TM Is normal. How should this be managed? 68. Patients with otitis externa should be instructed to do which of the following? 69. A 2-year-old female has lymphedema of the hands and feet, with low posterior hairline, cubitus valgus, and a history of intrauterine growth restrictions. Which of the following defects is the most common among the children with these signs?

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NR 602 MIDTERM EXAM, Chamberlain College of Nursing
Course Code: NR602
Course Title: Primary Care of the Childbearing and Childrearing Family

, 1. Role-play with equipment during the course of a physical examination would be most
beneficial with which of the following groups?
- Preschoolers/Toddlers

2. What is the Ortolani Sign?
-Assess for congenital hip dysplasia

3. When performing a physical examination of a toddler, which of the following body parts
would examine last?
- Ears and throat

4. What are three findings using Jones criteria for Rheumatic Fever?
-Streptococal infection, carditis, and erythema marginatum

5. 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

6. Concurrent Otitis media and Conjunctivitis is likely due to which?
- Haemophilus influenza

7. What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
- Administer a short-acting beta agonist

8. Sandra, age 12 years, 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?
-Impetigo

9. 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

10. A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care
facility. What is the most likely cause of illness?
-Rotavirus

11. If a child or any patient describes a “pop” in the knee. What is this indicative of?
- Anterior cruciate ligament tear

12. 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:
- Verruca vulgaris

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