MVU PEDIATRICS EXAM QUESTIONS WOITH CORRECT ANSWERS

MVU PEDIATRICS EXAM QUESTIONS WOITH CORRECT ANSWERS Name 2 live vaccines - ANSWER- Chicken Pox, MMR When is DTAP absolutely contraindicated - ANSWER- When seizure occurred after previous DTAP Peanuts can be easily ___________ - ANSWER- aspirated In terms of nutrition, toddlers are considered ___________ - ANSWER- grazers In terms of nutrition the ____________ of food is more important than the _____________ of food for preschoolers. - ANSWER- quality; quantity If lighter fluid (hyrdocarbon) is ingested what symptoms will the child present with? - ANSWER- respiratory symptoms (think fumes) If a corrosive poison is ingested what symptoms will the child present with? - ANSWER- tongue edema, mouth sores, pharynx problems Tip for parents with children diagnosed with Failure to thrive: - ANSWER- be persistent through 10-15 minutes of food refusal Teaching for family after child underwent high rectum malformation surgery: - ANSWER- report changes in stool patterns to doctor, do not want firm stools The neonatal period is the first _____ days - ANSWER- 27 The postnatal period is days _________ through __________ - ANSWER- 28 days; 1 year What is the major determinant of neonatal death in the US? - ANSWER- Birth weight Low birth weight is ______ g? - ANSWER- 2500 What is the #1 cause of death in children 1 year? - ANSWER- injury What is family centered care? - ANSWER- Recognizing the family as the constant in a child's life What does family centered care strive to do? - ANSWER- address the needs of all family members Enabling - ANSWER- families are given the opportunity to display caring Empowerment - ANSWER- giving the family the skills to care Atraumatic care goal - ANSWER- first do no harm 3 principles of atraumatic care: - ANSWER- prevent separation, promote sense of control, minimize bodily injury Immunization - ANSWER- is part of primary prevention of disease Rubella (measles) - ANSWER- flushed cheeks, white strawberry tongue, rash shows increased density on neck and groin and transverse lines on elbow, Koplik's spots Koplik's spots - ANSWER- Small, irregular red spots with a bluish-white center appearing on the buccal mucosa in association with measles Vitamin A - ANSWER- decreases morbidity and mortality in rubella (measles) Rubella (measles) is a _________ disease, it is droplet/airborne/contact and has an incubation period of ____ to _____ days. - ANSWER- viral; droplet; 10-20 Mumps is a _________ disease, it is droplet/airborne/contact and has an incubation period of ____ to _____ days. - ANSWER- viral; droplet or contact; 14-21 Whooping cough (pertussis) is a _________ disease, it is droplet/airborne/contact and has an incubation period of ____ to _____ days. - ANSWER- bacterial; droplet or contact; 6-20 Chicken pox(varicella) is a _________ disease, it is droplet/airborne/contact and has an incubation period of ____ to _____ weeks. - ANSWER- viral; airborne; 2-3 German measles is a _________ disease, it is droplet/airborne/contact and has an incubation period of ____ to _____ days. - ANSWER- viral; direct; 14-21 Mumps - ANSWER- fever, headache, malaise, parotitis (may lead to orchitis & meningoencephalitis Whooping Cough (pertussis) - ANSWER- short rapid cough followed by crowing of "whoop" sound Usual cause of death with pertussis (whooping cough)? - ANSWER- pneumonia Greatest danger of German measles if nurse or family member is pregnant? - ANSWER- teratogenic effect on fetus Chicken Pox (varicella) complications - ANSWER- secondary bacterial infections, encephalitis, pneumonia, hemorrhage and chronic or transient thrombocytopenia What vaccines should not be given to immunocompromised patients? - ANSWER- Live vaccines (Varicella and MMR) Denial of chronic illness by family member is considered maladapative only if ... - ANSWER- it delays treatment Protest stage of separation anxiety - ANSWER- cry and scream, cling to parent Despair stage of separation anxiety - ANSWER- crying stops, evidence of depression Detachment phase of separation anxiety - ANSWER- denial or resignation but not contentment; may seriously affect attachment to parent after separation A child's concept of illness is more important than intellectual maturity in predicting __________. - ANSWER- anxiety The F in the FLACC pain scale for infants stands for: - ANSWER- facial expression The L in the FLACC pain scale for infants stands for: - ANSWER- legs (normal, relaxed, tense, kicking, drawn up) The A in the FLACC pain scale for infants stands for: - ANSWER- activity (quiet, sqirming, arched, jercking) The first C in the FLACC pain scale for infants stands for: - ANSWER- cry (none, moaning, whimpering, scream) The second C in the FLACC pain scale for infants stands for: - ANSWER- consolability (content, easy or difficult to console) Physiological anorexia occurs at what age? - ANSWER- 18 months What is physiological anorexia? - ANSWER- picky eaters with strong taste preferences, 18 months of age The incidence of Vitamin C deficiency is increased with exposure to what? - ANSWER- tobacco smoke What autosomal disorder is similar to Type 2 diabetes mellitus? - ANSWER- Maturity Onset Diabetes of the Young (MODY) What should be tested during illness and whenever glucose is greater than or equal to 240 mg/dL without illness? - ANSWER- urine testing for ketones every 3 hours What leads to cretinism, mental retardation and growth retardation? - ANSWER- congenital hypothyroidism Failure to thrive - ANSWER- 5th percentile in weight Manifestations of failure to thrive - ANSWER- developmental delays, apathy, withdrawn behavior, no fear of strangers, avoidance of eye contact, wide eyed gaze & continual scan of environment, stiff & inyielding or flaccid & unresponsive, minimal smiling Guidelines for feeding a child with failure to thrive - ANSWER- primary core staff to feed child, quiet, unstimulating atmosphere, calm, even temperment throughout meal, give directions, be persistent (10 -15 min of m