1|Page
CMN568 FINAL EXAM LATEST WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ 100% GUARANTEED
PASS
Incidence of Fever - ....ANSWER ....✔✔ One of most
common reasons for parents to seek medical care.
Preschoolers have an average 6-8 febrile illnesses a
year.
Definition of fever - ....ANSWER ....✔✔ Rectal
temperature ≥ 100.4°F
Tympanic temperature - ....ANSWER ....✔✔ Not
accurate in infants under 3 months
Fever Causes - ....ANSWER ....✔✔ Most common
Benign viral illness, can also caused by bacterial or
fungal infections, drug reactions including immunizations,
malignancies, autoimmune or metabolic disorders, CNS
disorders, excessive environmental temperatures.
,2|Page
Factors that increase likelihood of serious bacterial
illness - ....ANSWER ....✔✔ Age under 3 months,
history of prematurity, chronic medical conditions such as
immunosupression or aspenia, previous hospitalizations,
daycare. Toxic appearance
Non-Toxic appearance - ....ANSWER ....✔✔ Strong
cry
Consolable
Alert and easy to arouse
Pink skin tones
Good hydration; good turgor, tears, moist mucous
membranes
Smiles, responsive to environment
Toxic appearance - ....ANSWER ....✔✔ Weak or high
pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no
tears
No smile, listless, dull, infant won't alert to environment
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Signs of serious illness - ....ANSWER ....✔✔ Fever
greater than 40 (105)
Nuchal rigidity
Petechial skin rash
Seizure activity
Stridor or increased WOB
Physical exam signs of serious infection: Skin -
....ANSWER ....✔✔ Petechiae, rashes
Physical exam signs of serious infection: head/neck -
....ANSWER ....✔✔ Sunken or bulging fontanelles,
nuchal rigidity
Physical exam signs of serious infection: ears -
....ANSWER ....✔✔ Bulging TM, AOM, mastoiditis
Physical exam signs of serious infection: Chest -
....ANSWER ....✔✔ Tachypnea, wheezing, rales,
rhonchi
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Physical exam signs of serious infection: Heart -
....ANSWER ....✔✔ Murmurs
Physical exam signs of serious infection: Abdomen -
....ANSWER ....✔✔ Tenderness, distension
Physical exam signs of serious infection: Musculoskeletal
- ....ANSWER ....✔✔ Refusal to bear weight or use an
extremity, erythema/warmth over joint
Diagnostic tests for fever in infant and young child -
....ANSWER ....✔✔ CBC w/ Diff (WBC > 15,000 may
indicate SBI. Child with overwhelming sepsis my have
WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
Lumbar Puncture: R/O meningitis
Blood cultures: R/O Bacteremia
Stools for C&S: R/O Infectious diarrhea
Management of fever in infant < 4 weeks - ....ANSWER
....✔✔ Refer to pediatrician
Hospitalization
CMN568 FINAL EXAM LATEST WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ 100% GUARANTEED
PASS
Incidence of Fever - ....ANSWER ....✔✔ One of most
common reasons for parents to seek medical care.
Preschoolers have an average 6-8 febrile illnesses a
year.
Definition of fever - ....ANSWER ....✔✔ Rectal
temperature ≥ 100.4°F
Tympanic temperature - ....ANSWER ....✔✔ Not
accurate in infants under 3 months
Fever Causes - ....ANSWER ....✔✔ Most common
Benign viral illness, can also caused by bacterial or
fungal infections, drug reactions including immunizations,
malignancies, autoimmune or metabolic disorders, CNS
disorders, excessive environmental temperatures.
,2|Page
Factors that increase likelihood of serious bacterial
illness - ....ANSWER ....✔✔ Age under 3 months,
history of prematurity, chronic medical conditions such as
immunosupression or aspenia, previous hospitalizations,
daycare. Toxic appearance
Non-Toxic appearance - ....ANSWER ....✔✔ Strong
cry
Consolable
Alert and easy to arouse
Pink skin tones
Good hydration; good turgor, tears, moist mucous
membranes
Smiles, responsive to environment
Toxic appearance - ....ANSWER ....✔✔ Weak or high
pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no
tears
No smile, listless, dull, infant won't alert to environment
,3|Page
Signs of serious illness - ....ANSWER ....✔✔ Fever
greater than 40 (105)
Nuchal rigidity
Petechial skin rash
Seizure activity
Stridor or increased WOB
Physical exam signs of serious infection: Skin -
....ANSWER ....✔✔ Petechiae, rashes
Physical exam signs of serious infection: head/neck -
....ANSWER ....✔✔ Sunken or bulging fontanelles,
nuchal rigidity
Physical exam signs of serious infection: ears -
....ANSWER ....✔✔ Bulging TM, AOM, mastoiditis
Physical exam signs of serious infection: Chest -
....ANSWER ....✔✔ Tachypnea, wheezing, rales,
rhonchi
, 4|Page
Physical exam signs of serious infection: Heart -
....ANSWER ....✔✔ Murmurs
Physical exam signs of serious infection: Abdomen -
....ANSWER ....✔✔ Tenderness, distension
Physical exam signs of serious infection: Musculoskeletal
- ....ANSWER ....✔✔ Refusal to bear weight or use an
extremity, erythema/warmth over joint
Diagnostic tests for fever in infant and young child -
....ANSWER ....✔✔ CBC w/ Diff (WBC > 15,000 may
indicate SBI. Child with overwhelming sepsis my have
WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
Lumbar Puncture: R/O meningitis
Blood cultures: R/O Bacteremia
Stools for C&S: R/O Infectious diarrhea
Management of fever in infant < 4 weeks - ....ANSWER
....✔✔ Refer to pediatrician
Hospitalization
