FNP Peds Final (with 100% error-free answers)

Factors that influence self perception correct answers significance, worthiness, competence -media -chronic/acute illness -family (relationships, genetics, finances, race/ethnicity, structure, discipline, communication) -values, beliefs, religion -environment (home, school, community, activities) -temperament, coping style -friends, support persons -developmental stage, cognition -health perception (nutrition, sleep, health activities) -sexuality Munchausen syndrome by proxy correct answers -a relatively rare form of child abuse that involves the exaggeration or fabrication of illnesses or symptoms by a primary caretaker -mental illness-parent needs attention and sympathy from others -most victims are preschoolers-hard to ID because parent seems attentive and caring Child abuse risk factors correct answers -alcohol and drug abuse -Parental abuse (domestic or as child) -prior history of abuse or unexplained death of child, history of violence -mental illness -lack of attachment to child, lacks basic parenting skills -parental stress, lack of support (alone) -child factors (ADHD, chronic ill) -community factors (poverty) pneumonia, lobular pneumonia correct answers -lobular= typical pnemonia -non-localized consolidtaion= atypical -viral often leads to bacterial infection -neonate: GBS, C trachomatis, lack of prenatal care, slower onset -ask immun, TB, sick contacts -s/s: resp distress, apnea tachycardia, nasal flaring, retractions, fine crackles, dullness, diminished breath sounds, fever, hypoxia, cough can last weeks -treatment: supportive: antipyretics, hydration, rest -only abx if bacterial suspected -complications: meningitis, CNS abscess, endocarditits, osteomyelitis, septic arthritis, plural effusion, pulm complications 2 parent families correct answers -married -unmarried -remarried/blended: most do well, comm resources -gay/lesbian: same as hetero, better if told sooner -working parents