MSN 5550 HEALTH PROMOTION: PREVENTION OF DISEASE CASE
STUDY MODULE 10 : PRESCHOOL CHILD: RICKY RICKY, AGE 4
YEARS, ARRIVES IN THE CLINIC WITH HIS MOTHER.
A. Be given the vaccine
The patient who reports recent exposure to an infectious disease should be vaccinated today
unless something else contraindicates the immunization. Since he is 12 months old, he is old
enough to receive varicella and MMR. Varicella should be given on the same day as MMR or the
two vaccines must be separated by at least 4 weeks. - (answers)A 12-month-old is here today to
receive the varicella immunization. A patient's mother reports that her 12-month-old child was
exposed to chickenpox about a week ago. The NP should recommend that he:
A. Be given the vaccine
B. Wait 4 weeks to receive the vaccine
C. Not receive varicella today b/c he is not old enough
D. Receive MMR only today, not varicella
B. 3 years
If the child is not cooperative, attempt again in 6 months, then at 4 years old. The usual vision of
a 3yo is 20/50 - (answers)What is the usual age for vision screening in young children?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
B. Yes, but not more than 1-2 drinks/day
还是指某个特定的词或概
A good rule of thumb for alcohol consumption in older adults is no more than 1-2 drinks/day
after age 65. If the patient is cognitively
念？ impaired, abstinence is recommended. The type of
alcohol is not of great importance. Beer, wine, and hard liquor all contain alcohol, which has the
potential to impair older adults. The reason alcohol should be limited or avoided is b/c of
decreased lean body mass and decreased total body water in aging bodies. - (answers)An
octogenarian asks the NP if it is OK for him to have an alcoholic beverage in the evenings. There
is no contraindication. How should the NP respond?
,A. Yes, but not more than 4 days/week
B. Yes, but not more than 1-2 drinks/day
C. No, you will increase your risk of falling and injury
D. It depends on the type of alcohol you would like to consume
B. Stage 1
An average 8 yo would be expected to be prepubertal, which is Tanner 1. Pubertal changes can
occur as early as 9-10 yrs in males or females. If changes occur prior to this, precocious puberty
should be considered. - (answers)What Tanner stage corresponds to an average 8yo male?
A. Stage 0
B. Stage 1
C. Stage 2
D. Stage 3
A. Give to immunocompetent adults 60 and older
The zoster vaccine is currently FDA approved in immunocompetent adults age 50 and older. It
should never be used to treat shingles. - (answers)Which recommendation below reflects CDC's
recommendation for administration of the zoster vacine?
A. Give to immunocompetent adults 60 and older
B. Give to immunocompetent adults 65 and older
C. Give regardless of immune status at age 50
D. Give regardless of immune status at age 60
C. 5 years
Common developmental tasks for a 5yo include: ability to draw a person with a body, head,
arms, and legs; recognize most letters还是指某个特定的词或概
and can print some; know his address and phone number;
dress self without help; able to skip and tiptoe; and play cooperatively and enjoy a playmate's
念？
company - (answers)What is the earliest age that an average child would be able to copy a
triangle, know his colors, and count on his fingers?
A. 3 years
B. 4 years
, C. 5 years
D. 6 years
D. Continue feeding every 2-4 hours
Babies will lose about 10% of their birth weight in the first 3-4 days of life. This baby has lost
about 8 ounces; this is about 10% of his birth weight. This is an appropriate weight loss in this
time. He should rapidly gain this weight back. When children begin losing weight and growth
slows, one consideration should be given to congenital cardiac anomalies. There is no need for
the mother to return in 1 week, but should return for 2 month check. - (answers)A 3-day-old
infant weighed 8 pounds at birth. Today, he weighs 7.5 lbs. How should this be managed?
A. Assess the baby for cardiac anomaly
B. Add an extra feeding in the AM and PM
C. Have the mother return to reweigh the baby in 1 week
D. Continue feeding every 2-4 hours
D. Infants
Newborns are less than 1 month, Toddlers are greater than 1 year up to 3 years - (answers)Babies
up to one year of age are called:
A. Newborns
B. Toddlers
C. Newbies
D. Infants
A. Screening starting at 50 years
At age 50, average risk males should have PSA with or without DRE. If high risk due to family
hx (1st degree relative with prostate CA before age 65) or race (African American), screening
discussions should take place at age 40-45 years. If initial PSA is >2.5 ng/mL, annual testing
还是指某个特定的词或概
should take place. If <2.5 ng/mL, test every 2 years - (answers)What is the recommendation from
念？
American Cancer Society for assessment of the prostate gland in a man who is 45 yo and of
average risk for development of prostate cancer? He should have:
A. Screening starting at 50 years
B. PSA now
STUDY MODULE 10 : PRESCHOOL CHILD: RICKY RICKY, AGE 4
YEARS, ARRIVES IN THE CLINIC WITH HIS MOTHER.
A. Be given the vaccine
The patient who reports recent exposure to an infectious disease should be vaccinated today
unless something else contraindicates the immunization. Since he is 12 months old, he is old
enough to receive varicella and MMR. Varicella should be given on the same day as MMR or the
two vaccines must be separated by at least 4 weeks. - (answers)A 12-month-old is here today to
receive the varicella immunization. A patient's mother reports that her 12-month-old child was
exposed to chickenpox about a week ago. The NP should recommend that he:
A. Be given the vaccine
B. Wait 4 weeks to receive the vaccine
C. Not receive varicella today b/c he is not old enough
D. Receive MMR only today, not varicella
B. 3 years
If the child is not cooperative, attempt again in 6 months, then at 4 years old. The usual vision of
a 3yo is 20/50 - (answers)What is the usual age for vision screening in young children?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
B. Yes, but not more than 1-2 drinks/day
还是指某个特定的词或概
A good rule of thumb for alcohol consumption in older adults is no more than 1-2 drinks/day
after age 65. If the patient is cognitively
念？ impaired, abstinence is recommended. The type of
alcohol is not of great importance. Beer, wine, and hard liquor all contain alcohol, which has the
potential to impair older adults. The reason alcohol should be limited or avoided is b/c of
decreased lean body mass and decreased total body water in aging bodies. - (answers)An
octogenarian asks the NP if it is OK for him to have an alcoholic beverage in the evenings. There
is no contraindication. How should the NP respond?
,A. Yes, but not more than 4 days/week
B. Yes, but not more than 1-2 drinks/day
C. No, you will increase your risk of falling and injury
D. It depends on the type of alcohol you would like to consume
B. Stage 1
An average 8 yo would be expected to be prepubertal, which is Tanner 1. Pubertal changes can
occur as early as 9-10 yrs in males or females. If changes occur prior to this, precocious puberty
should be considered. - (answers)What Tanner stage corresponds to an average 8yo male?
A. Stage 0
B. Stage 1
C. Stage 2
D. Stage 3
A. Give to immunocompetent adults 60 and older
The zoster vaccine is currently FDA approved in immunocompetent adults age 50 and older. It
should never be used to treat shingles. - (answers)Which recommendation below reflects CDC's
recommendation for administration of the zoster vacine?
A. Give to immunocompetent adults 60 and older
B. Give to immunocompetent adults 65 and older
C. Give regardless of immune status at age 50
D. Give regardless of immune status at age 60
C. 5 years
Common developmental tasks for a 5yo include: ability to draw a person with a body, head,
arms, and legs; recognize most letters还是指某个特定的词或概
and can print some; know his address and phone number;
dress self without help; able to skip and tiptoe; and play cooperatively and enjoy a playmate's
念？
company - (answers)What is the earliest age that an average child would be able to copy a
triangle, know his colors, and count on his fingers?
A. 3 years
B. 4 years
, C. 5 years
D. 6 years
D. Continue feeding every 2-4 hours
Babies will lose about 10% of their birth weight in the first 3-4 days of life. This baby has lost
about 8 ounces; this is about 10% of his birth weight. This is an appropriate weight loss in this
time. He should rapidly gain this weight back. When children begin losing weight and growth
slows, one consideration should be given to congenital cardiac anomalies. There is no need for
the mother to return in 1 week, but should return for 2 month check. - (answers)A 3-day-old
infant weighed 8 pounds at birth. Today, he weighs 7.5 lbs. How should this be managed?
A. Assess the baby for cardiac anomaly
B. Add an extra feeding in the AM and PM
C. Have the mother return to reweigh the baby in 1 week
D. Continue feeding every 2-4 hours
D. Infants
Newborns are less than 1 month, Toddlers are greater than 1 year up to 3 years - (answers)Babies
up to one year of age are called:
A. Newborns
B. Toddlers
C. Newbies
D. Infants
A. Screening starting at 50 years
At age 50, average risk males should have PSA with or without DRE. If high risk due to family
hx (1st degree relative with prostate CA before age 65) or race (African American), screening
discussions should take place at age 40-45 years. If initial PSA is >2.5 ng/mL, annual testing
还是指某个特定的词或概
should take place. If <2.5 ng/mL, test every 2 years - (answers)What is the recommendation from
念？
American Cancer Society for assessment of the prostate gland in a man who is 45 yo and of
average risk for development of prostate cancer? He should have:
A. Screening starting at 50 years
B. PSA now
