Maryville College

Otitis media pathogens -Correct Answer Caused by: S. Pneumoniae (most common); H. Influenzae, M. Catarrhils Otitis media Symptoms: -Correct Answer Fever, Pain, discharge from ear, tugging at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI Objective findings in otitis media -Correct Answer Red, bulging OM; Retracted with pus; no movement of TM, Inability to see landmarks; occasional hole in TM Treatment for AOM + Conjunctivitis d/t : H. Influenzae -Co...

Hand, Foot, and Mouth Disease (HFMD) -Correct Answer Caused by the coxsacki virus 3-6 day incubation period Symptoms: -Low grade fevers -sore throat, poor appetite -malaise prior to rash -Petechial rash, blisters start. -Oral lesions, then hands and feet. -Sometimes can have on torso and extremities. -Look like canker sores with yellow ulcers and red halo. Treatment- tylenol, warm baths. Oragel depending on age. Magic moulthwash (benadryl and maalox) mixture. push hydration. ...

What is physiological jaundice? -Correct Answer -occurs when baby accumulates bilirubin -secondary to immature liver in newborns -common first 2-4 days of life and resolves by 2 weeks What level is conjugated hyperbilirubinemia? -Correct Answer serum conjugated bilirubin concentration greater than 1 mg/dL if the total bilirubin is less than 5.0 mg/dL or more than 20% of the total bilirubin if the the total bilirubin is greater than 5 mg/dL (p. 862 AAP book) What is breastfeeding jaundice...

Weight changes in 1st year of life -Correct Answer Weight increases 6-8lbs, up to 20lbs in the 1st year of life When does the posterior fontanelle close? Anterior? -Correct Answer posterior- 2 months, anterior- 9-18 mo when do the abdominal muscles close? -Correct Answer 3 years When are the testicles descended? -Correct Answer usually descended at birth, but spontaneous descent may occur in the first year after birth. (usually 6 months) what do you assess for with infants musculos...

How do you measure fundal height -Correct Answer symphysis pubis to top of uterus When can you start to hear fetal heart tones? -Correct Answer around 12 wks What is quickening? -Correct Answer fetal movements felt by the mother When is quickening felt -Correct Answer between 16-20 weeks Abnormal Complaints in first trimester -Correct Answer 1st trimester: Vaginal bleeding Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or diarrhea, fever > 100.4, sym...

Maryville NURS 624 exam 4 CORRECTLY ANSWERED TO PASS

Maryville Advanced Health Assessment Key Points Exam #4 Test Exam With 334Questions and Answers All Answers 100% Verified (Latest Update 2025 RATED A+

Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance What are the black box warnings for Carbamazepine? - Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis What lab test should be ordered for patients on Carbamazepine? - CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC What kind of teaching needs t...

Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance What are the black box warnings for Carbamazepine? - Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis What lab test should be ordered for patients on Carbamazepine? - CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC What kind of teaching needs t...

Patient comes in with symptoms of mania followed by periods of depression; what is it? -Correct Answer bipolar 1 patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it? -Correct Answer bipolar 2 how many symptoms of mania must you have to have "full" mania? -Correct Answer seven of thirteen what is the difference between mania and hypomania? -Correct Answer hypomania has less severe symptoms; 3 symptoms over shorter period of time (hy...