Family Practice One (FNP 1) – Final Exam Study Material

FNP 1 Family Practice One Final


Pediatrics
Mild dehydration in infants findings


- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Normal


Eyes: Normal


Skin: Normal


Pulse: Normal


Urine Output: Mildly reduced
Pediatrics


Moderate dehydration in infants findings


- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Sunken

,Eyes: Sunken


Skin: Cool


Pulse: Increased


Urine Output: Markedly reduced
Pediatrics


Severe dehydration in infants findings


- Anterior Fontanelle
- Eyes
- Skin
- Pulse
- Urine Output - correct answer Anterior Fontanelle: Markedly sunken


Eyes: Markedly sunken


Skin: Cool, Mottled


Pulse: Increased, weak


Urine Output: Little to no urine output
Pediatrics

,iron storage - correct answer - depleted by age 4-6 months requiring supplementation through
iron-fortified cereals, pureed meats, and iron-rich vegetables (spinach, lentils, beans, tofu);


- Iron supplementation 1mg/kg/day full term/breastfed babies.
Pediatrics (Infants and Children under 12)


iron storage: screening - correct answer Screenings should occur at 12 and 24 months
Pediatrics (Infants and Children under 12)


iron storage: dietary recommendations - correct answer - Limit cow's milk to 20 oz per day as
excess milk decreases iron absorption
Pediatrics (Infants and Children under 12)


iron storage: iron supplementation - correct answer - Ferrous sulfate 3-6 mg/kg/day
(elemental iron)


- Give every other day with orange juice (to enhance absorption
Pediatrics (Adolescents 12 and over)


iron storage - correct answer - Screen menstruating females at 12 years old


- Encourage at least 3 servings of iron-rich foods daily


Supplementation:
- Ferrous sulfate 65-130 mg elemental iron every other day for 3 months


- Recheck CBC 3 months after treatment
Pediatrics

, Lead Intoxication: True or False


Lead intoxication is more common in children with iron deficiency anemia (IDA) due to
increased GI absorption of lead when iron levels are low - correct answer True
Pediatrics
Lead Intoxication: True or False




Lead and iron share the same GI transporter, so low iron leads to decreased lead absorption -
correct answer FALSE




Lead and iron share the same GI transporter, so low iron leads to increased lead absorption
Pediatrics


Lead Intoxication: Common sources of lead exposure - correct answer - Lead based paint chips
(esp in older homes)


- Water contamination (lead pipes)


- Parental occupational exposure (e.g., machine shops, construction)


- Eating utensils and bowls containing lead
Pediatrics
Lead Intoxication: True or False


Children with pica won't lead-containing substances - correct answer FALSE