Maryville University Of St. Louis

NURS 6660 Week 1 Discussion: Comprehensive Integrated Psychiatric Assessment. Week 1 Discussion: Comprehensive Integrated Psychiatric Assessment In week one discussion, we are required to post answers to questions pertaining to the YMH Boston Vignette 4 video. In the video, the practitioner is doing an initial psychiatric evaluation to a new adolescent client. A comprehensive psychiatric evaluation/assessment is done by a PMHNP or a child psychiatrist for any child or adolescent with emotion...

NURS 6660 Week 1 Discussion: Comprehensive Integrated Psychiatric Assessment. Week 1 Discussion: Comprehensive Integrated Psychiatric Assessment In week one discussion, we are required to post answers to questions pertaining to the YMH Boston Vignette 4 video. In the video, the practitioner is doing an initial psychiatric evaluation to a new adolescent client. A comprehensive psychiatric evaluation/assessment is done by a PMHNP or a child psychiatrist for any child or adolescent with emotion...

Clinical manifestation of physiological jaundice Correct Answer: *Usually within first 2-4 days of life *Not lasting longer than first 2 weeks of onset *Due to fast breakdown of RSCs *Liver immature and poor dietary intake. Clinical manifestation of breast fed jaundice Correct Answer: *Usually within first few weeks to month of life *Secondary to poor intake what to assess for Determining hydration status Correct Answer: *skin turgor *mucous membranes *peripheral pulses *tears ...

Rovsing sign Correct Answer: apply pressure to lower left abdomen. Pain felt on right side of abdomen when pressure released. + Ant/ Post Drawer sign Correct Answer: assess for injury of ant/post cruciate ligament Osgood- Schlatter disease Correct Answer: most common in later childhood and early adolescence. Painful swelling and tenderness of tibial tuberosity. Most common in children in sports. *initial TX is stretching. TX for sprained ankle Correct Answer: apply cold for 20 min, ...

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 musc...

Three trimesters of pregnancy Correct Answer: 1st: week 1-13 2nd: weeks 14-27 3rd: weeks 28 to delivery Naegeles rule of EDB Correct Answer: First day of LMP- subtract 3 months, add 7 days and one year Ultrasound to determine EDB Correct Answer: 1st trimester: accurate within 7 days 2nd trimester: accurate within 10-14 days The sooner a woman gets an ultrasound the better estimate we can give for weeks gestation and tracking of fetal growth and development. Prenatal visit schedul...

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...

Routine office visit times Correct Answer: every 4 weeks until 28 weeks every 2 weeks until 36 weeks every week from 36 to delivery Biweekly after 40 weeks First Trimester Normal findings Correct Answer: breast pain, enlargement, changes in pigmentation, constipation, excessive salivation and bad taste in mouth, fatigue, flatulence, headache, hemorrhoids, nausea and vomiting, urinary frequency and incontinence, varicosities of vulva and legs. Second Trimester Normal findings Correct ...

Infant assessment and development Correct Answer: ■ Proportional changes: weight, height, head, nervous system, chest ● Weight increases 6-8lbs, up to 20lbs in the 1st year of life ■ Posterior fontanelle closes by 2 months of life ■ Eye alignment ● Some children get cross eyed at times, but usually resolve close to 4 months ■ Red reflex should be symmetrical ■ The abdominal muscles do not close until 3 years of life ■ For boys: ● Both testicles are descended by 6 month...

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 ...