FNP 1 Exam 2 with 100% Correct
Answers
What is the most common chronic illness in children? - ANSWER-ECC
Upper front teeth are least protected by saliva are affected first
disease moves posteriorly as teeth erupt
Infectious, chronic tooth disease that destroys tooth structure leading to loss of chewing
function, pain, and infection
Best way to examine toddler - ANSWER-Head to toe
Best way to examine infant - ANSWER-Invasive to least invasive
hearts and lungs first
Recommendation for moms with breast engorgement - ANSWER-keep breastfeeding!
Lead screening at what ages? - ANSWER-9-12 months and again at 2 years old
What are the 3 triads for ECC? - ANSWER-Bacteria, Sugar, and Teeth
How: Oral bacteria (mutans streptococci) metabolize the sugars from dietary
carbohydrates into acid
• The acid demineralizes the tooth enamel
• If the cycle of acid production and demineralization continues, the enamel will become
weakened and
break down into a cavity
Screenings for Toddler Visit - ANSWER-Denver Developmental Screening Test II
Hemoglobin Screening (>11.0g/dl)
Leading screening
Cholesterol Screening
MCHAT if not done at 18 months
TB screening
What is M-CHAT? When do you screen for it? - ANSWER-Test for autism, 17
questions. Test at 18 months and 2 years
At what age is height half of adult height? - ANSWER-2 years old
Erickson's stages of crisis - ANSWER-conflicts at each age
, What scale do you use to plot growth before 2 and after 2? - ANSWER-WHO before 2
and CDC after 2
What percentage is consider normal on WHO scale? - ANSWER-50%
Do you use the same WHO growth chart for someone with down syndrome? -
ANSWER-No
● Specialized curves are available for a variety of children: children with Down
Syndrome, Klinefelter, Turner, Achondroplasia, macrocephaly, low birth weight infants
According to the Denver Developmental Assessment Tool II, what can a 2 year old
should be able to do? - ANSWER-Walk up stairs
You measure the head circumference at every visit until what age? - ANSWER-2 years
old
How much screen time does AAP recommend? - ANSWER-2 hours per day and no
screen time before age 2
At what age can a child tie their shoes? - ANSWER-6 years old
When do you give the first and second dose of MMR and varicella? - ANSWER-12
months and 4-6 years
Erickson's Stages in order - ANSWER-Trust vs. Mistrust
Autonomy vs. Shame and Doubt
Initiative vs. Guilt
Industry vs. Inferiority
Identity vs. Role Confusion
Anticipatory Guidance for Toddler - ANSWER--Diet, toilet training, weaning off the bottle
to -avoid dental caries
discuss dental visit, reading to child using car seats safely, turning down water temp to
120 degrees
-water safety
-safety gates
-helmet usage
-transition or comfort objects w/ sleep
-avoiding over stimulation
-label feelings verbally
-give APPROPRIATE choices
-need for nap time or rest
-play time to practice social and physical skills
-reinforce care seat
-"food jags" and picky eating
Answers
What is the most common chronic illness in children? - ANSWER-ECC
Upper front teeth are least protected by saliva are affected first
disease moves posteriorly as teeth erupt
Infectious, chronic tooth disease that destroys tooth structure leading to loss of chewing
function, pain, and infection
Best way to examine toddler - ANSWER-Head to toe
Best way to examine infant - ANSWER-Invasive to least invasive
hearts and lungs first
Recommendation for moms with breast engorgement - ANSWER-keep breastfeeding!
Lead screening at what ages? - ANSWER-9-12 months and again at 2 years old
What are the 3 triads for ECC? - ANSWER-Bacteria, Sugar, and Teeth
How: Oral bacteria (mutans streptococci) metabolize the sugars from dietary
carbohydrates into acid
• The acid demineralizes the tooth enamel
• If the cycle of acid production and demineralization continues, the enamel will become
weakened and
break down into a cavity
Screenings for Toddler Visit - ANSWER-Denver Developmental Screening Test II
Hemoglobin Screening (>11.0g/dl)
Leading screening
Cholesterol Screening
MCHAT if not done at 18 months
TB screening
What is M-CHAT? When do you screen for it? - ANSWER-Test for autism, 17
questions. Test at 18 months and 2 years
At what age is height half of adult height? - ANSWER-2 years old
Erickson's stages of crisis - ANSWER-conflicts at each age
, What scale do you use to plot growth before 2 and after 2? - ANSWER-WHO before 2
and CDC after 2
What percentage is consider normal on WHO scale? - ANSWER-50%
Do you use the same WHO growth chart for someone with down syndrome? -
ANSWER-No
● Specialized curves are available for a variety of children: children with Down
Syndrome, Klinefelter, Turner, Achondroplasia, macrocephaly, low birth weight infants
According to the Denver Developmental Assessment Tool II, what can a 2 year old
should be able to do? - ANSWER-Walk up stairs
You measure the head circumference at every visit until what age? - ANSWER-2 years
old
How much screen time does AAP recommend? - ANSWER-2 hours per day and no
screen time before age 2
At what age can a child tie their shoes? - ANSWER-6 years old
When do you give the first and second dose of MMR and varicella? - ANSWER-12
months and 4-6 years
Erickson's Stages in order - ANSWER-Trust vs. Mistrust
Autonomy vs. Shame and Doubt
Initiative vs. Guilt
Industry vs. Inferiority
Identity vs. Role Confusion
Anticipatory Guidance for Toddler - ANSWER--Diet, toilet training, weaning off the bottle
to -avoid dental caries
discuss dental visit, reading to child using car seats safely, turning down water temp to
120 degrees
-water safety
-safety gates
-helmet usage
-transition or comfort objects w/ sleep
-avoiding over stimulation
-label feelings verbally
-give APPROPRIATE choices
-need for nap time or rest
-play time to practice social and physical skills
-reinforce care seat
-"food jags" and picky eating
