NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Entire Course Weeks 1 – 8

NR 602 Week 1 Introduction

NR-602 Week 1 Weekly Clinical Goal (Collection)

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NR 602 Week 2 Homework: APEA myQBank Weekly Practice Questions-Answers-Rationale

  1. Question: A microscopic examination of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate?
  2. Question: A child with a sandpaper-textured rash probably has:
  3. Question: A 40-year-old female patient presents to the clinic with multiple, painful reddened nodules on the anterior surface of both legs. She is concerned. These are probably associated with her history of:
  4. Question: A patient is … with tinea pedis. A microscopic examination of the sample taken from the infected area would likely demonstrate:
  5. Question: When can a child with chickenpox return to daycare?
  6. Question: A patient with a primary case of scabies was probably infected:
  7. Question: The nurse practitioner examines a patient who has had poison ivy for 3 days. She asks if she can spread it to her family members. The nurse practitioner replies:
  8. Question: Which chronic skin disorder primarily affects hairy areas of the body?
  9. Question: A patient with diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 days. There is no visible pus. What is the most likely diagnosis to consider?
  10. Question: The agent commonly used to treat patients with scabies is permethrin. How often should it … applied to eradicate scabies?
  11. Question: Impetigo is characterized by:
  12. Question: A 60-year-old patient is noted to have rounding of the distal phalanx of the fingers. What might have caused this?
  13. Question: A patient has suspected scarlet fever. He likely has a sandpaper rash and:
  14. Question: A patient with a positive history of a tick bite about 2 weeks ago and erythema migrans has a positive ELISA for Borrelia burgdorferi. The Western blot is positive. How should he … managed?
  15. Question: A patient will … taking oral terbinafine for fingernail fungus. The NP knows that:
  16. Question: A skin lesion that is a solid mass is described as a:
  17. Question: The nurse practitioner is examining a 3-month-old infant who has normal development. She has identified an alopecic area at the occiput. What should … done?
  18. Question: The most common form of skin cancer is:
  19. Question: The nurse practitioner identifies satellite lesions in a 6-month-old infant. These are:
  20. Question: A patient who is at high risk for skin cancer should:
  21. Question: An example of a premalignant lesion that develops on sun-damaged skin is:
  22. Question: Which of the following areas of the body has the greatest percutaneous absorption?
  23. Question: The main difference between cellulitis and erysipelas is the:
  24. Question: Most cases of atopic dermatitis exacerbation are treated with
  25. Question: A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology?
  26. Question: A pregnant mother in her first trimester has a 5-year-old who has Fifth Disease. What implication does this have for the mother?
  27. Question: A 74-year-old woman is … with shingles. The NP is deciding how to best manage her care. What should … prescribed?
  28. Question: An adolescent has acne. The nurse practitioner prescribed a benzoyl peroxide product for him. What important teaching point should … given to this adolescent regarding the benzoyl peroxide?
  29. Question: A 70-year-old is … with multiple cherry angiomas. The nurse practitioner knows that:
  30. Question: A patient has seborrheic dermatitis. Which vehicle would … most appropriate to use in the hairline area to treat this?
  31. Question: A patient with eczema asks for a recommendation for a skin preparation to help with xerosis. What should the NP respond?
  32. Question: A topical treatment for basal cell carcinoma is:
  33. Question: The most common place for basal cell carcinoma to … found is the:
  34. Question: An infant is … with diaper dermatitis. Satellite lesions are visible. This should … treated with a:
  35. Question: A 3-year-old female had a fever of 102° F for the last 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true?
  36. Question: A 71-year-old female presents with a vesicular rash that burns and itches. Shingles is … An oral antiviral:
  37. Question: A skin disorder has a hallmark finding of silvery scales. What word below describes this common condition?
  38. Question: A child has 8-10 medium brown café au lait spots > 1 cm in diameter. The differential diagnosis should include:
  39. Question: A low-potency topical hydrocortisone cream would … most appropriate in a patient who has been … with:
  40. Question: A patient is found to have koilonychia. What laboratory test would … prudent to perform?
  41. Question: A 23-year-old male appears in clinic with the following lesion on his trunk. This lesion is usually associated with:
  42. Question: A 28-year-old has thick, demarcated plaques on her elbows. Which features are suggestive of psoriasis?
  43. Question: Which of the following skin lesions in an older adult is a premalignant condition?
  44. Question: A patient presents with plaques on the extensor surface of the elbows, knees, and back. The plaques are erythematous and thick, silvery scales are present. This is likely:
  45. Question: A 15-year-old male has worked this summer as a lifeguard at a local swimming pool. He complains of itching in the groin area. He is … with tinea cruris. The nurse practitioner is likely to identify:
  46. Question: A 68-year-old female adult with pendulous breasts complains of “burning” under her right breast. The nurse practitioner observes a malodorous discharge with mild maceration under both breasts. What is this?
  47. Question: An example of a first-generation cephalosporin used to treat a skin infection is:
  48. Question: A patient has a “herald patch” and is … with pityriasis rosea. Where is the “herald patch” most commonly found?
  49. Question: A 16-year-old has been … with Lyme disease. Which drug should … used to treat him?
  50. Question: A 9-year-old female has presented to your clinic because of a rash on the left, upper area of her anterior trunk. She is embarrassed and very reticent to lift her blouse because her nipple will … exposed. How should the NP proceed?
  51. Question: Hand-foot-and-mouth disease and herpangina:
  52. Question: A 74-year-old male patient has sustained a laceration to his foot. His last tetanus shot was more than 10 years ago. He has completed the primary series. What should … recommended?
  53. Question: An adolescent takes isotretinoin for nodulocystic acne. She is on oral contraceptives. Both were … by the dermatologist. The adolescent presents to your clinic with a sinus infection. Her temperature is 99.5° F and her blood pressure is 160/100 mmHg. How should this … managed?
  54. Question: Johnson is a 74-year-old who presents with a pearly-domed, nodular-looking lesion on the back of the neck. It does not hurt or itch. What is a likely etiology?
  55. Question: A 16-year-old male has nodulocystic acne. What might have the greatest positive impact in managing his acne?
  56. Question: Which of the following antibiotics may increase the likelihood of photosensitivity?
  57. Question: Which of the following lesions never blanches when pressure is applied?
  58. Question: An older adult patient has been … with shingles on the right lateral aspect of her trunk. It initially appeared yesterday. It is very painful. How should she … managed?
  59. Question: A young child has developed a circumferential lesion on her inner forearm. It is slightly raised, red and is pruritic. It is about 2.5 cm in diameter. This is probably related to:
  60. Question: The primary therapeutic intervention for patients who present with hives is:
  61. Question: The lesions seen in a patient with folliculitis might … filled with:
  62. Question: Which vehicle is least appropriate in a patient who has atopic dermatitis?
  63. Question: A patient has been … with scabies. What is the medication of choice to treat this?
  64. Question: The American Cancer Society uses an ABCDE mnemonic to help patients develop awareness of suspicious skin lesions. What does the “B” represent?
  65. Question: A “herald patch” is a hallmark finding in which condition?
  66. Question: A patient has used a high-potency topical steroid cream for years to treat psoriasis exacerbations when they occur. She presents today and states that this cream “just doesn’t work anymore.” What word describes this?
  67. Question: A patient has been … with MRSA. She is allergic to sulfa. Which medication could … used to treat her?
  68. Question: Topical 5-fluorouracil (5-FU) is … to treat:
  69. Question: A patient was burned with hot water. He has several 2-3 cm fluid-filled lesions. What are these … ?
  70. Question: A child received a burn on his chest from a cup of hot coffee. On examination, the injured area appeared moist, red to ivory white in color, and features blisters. It is painful to touch. This burn would … classified as a:
  71. Question: What finding is most characteristic of shingles?
  72. A patient reports that he found a tick on himself about 2 weeks ago. He presents today with a red circle and a white center near where he remembers the tick bite. He did not seek treatment at that time. Today he complains of myalgias and arthralgias. Which laboratory test can … to help diagnose Lyme disease?
  73. Question: The best way to evaluate jaundice … with liver disease is to observe:
  74. Question: The term caput succedaneum refers to:
  75. Question: A 4-year-old has been … with measles. The nurse practitioner identifies Koplik’s spots. These are:
  76. Question: A patient calls your office. He states that he just came in from the woods and discovered a tick on his upper arm. He states that he has removed the tick and the area is slightly red. What should he … advised?
  77. Question: A wound has the following characteristics; partial thickness loss of dermis, a shallow open ulcer with red/pink bed, and no evidence of sloughing. What stage of pressure ulcer does this describe?
  78. Question: A patient has been in the sun for the past few weeks and has developed darkened skin and numerous 3-6 mm light-colored, flat lesions on his trunk. What is the likely etiology?
  79. Question: What advice should … given to a parent who has a child with Fifth Disease?
  80. Question: A 6-year-old has been … with Lyme disease. Which drug should … to treat him?
  81. Question: A patient presents with small vesicles on the lateral edges of his fingers and intense itching. On close inspection, there are small vesicles on the palmar surface of the hand. What is this … ?
  82. Question: A patient has 10 cm of well demarcated erythema on his lower leg that is raised and warm to touch. He had an abrupt onset of lower leg pain, and fever that began 36 hours ago. What is this?
  83. Question: What is the proper technique to safely remove a tick from a human?
  84. Question: A skin lesion fluoresces under a Wood’s lamp. What microscopic finding is consistent with this?
  85. Question: A 23-year-old male appears in clinic with the following nonpruritic lesion on his trunk. He first noticed this about 3 days ago. The lesion is probably:
  86. Question: A patient presents to the minor care area of the emergency department after being bitten by a dog. The patient states that the dog had a tag around his neck and had been seen roaming around the neighborhood for days before the patient was bitten. The dog did not exhibit any odd behavior. How should this … managed?
  87. Patients with atopic dermatitis are likely to exhibit:
  88. Which test is NOT suitable to diagnose shingles if the clinical presentation is questionable?
  89. Question: A patient exhibits petechiae on both lower legs but has no other complaints. How should the NP proceed?
  90. Question: A 9-year-old has been … with chickenpox. A drug that … in him is:

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 2 Pediatric Grand Rounds Presentation and Discussion (Collection)

Purpose

The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of various pediatric and women health topics through virtual presentation and facilitated discussion.

Description

In Weeks 2, you will create a Grand Rounds presentation on the topic assigned to you by the faculty member. 

Requirements

Keep in mind the following guidelines and grading criteria while taking part in this assignment:

The Grand Rounds presentation will consist of a patient scenario that is assigned to you by your faculty in week one.  The presentation is a video recording in Kaltura. Recording of the presentation should be interesting, professional, and focused to the topic. Wear your lab coat and name tag/badge during the recording.   You must use a visual aid (pictures, charts/graphics, mindmap, algorithm, etc) within your powerpoint presentation.

In addition to submitting your presentation, you will also need to lead a discussion on your topic in the discussion thread.  The initial post and Kaltura presentation are both due …., you will also initiate a discussion to lead.

Discussion Lead Requirement

Develop three (3) questions on your topic you can ask to initiate the discussion and keep it going. These should not be questions that can easily be answered by watching your presentation. We are looking for questions that will add additional information to the discussion.

Respond substantively to a minimal of two (2) peers’ presentation questions **If all students have a response, then choose the student with the least responses to their posting.

Summarize your grand rounds presentation by posting a summary reply to your initial post in the discussion thread.  Summarize the discussion as well as conclusions from the collective group discussion.  Include evidence based references at the bottom of the summary AND respond to ALL faculty questions regarding your presentation.

 

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NR 602 Week 2 Quiz Material (Practice Questions-Answers, Study Guide)

NR 602 Week 2 Quiz 
  1. Question: The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of physical pubertal maturation. During the examination of your patient, you notice that the pubic hair is increased in quantity, is darker, and is present in they typical female triangle but in a smaller quantity. which of the following Tanner stages does this description meet?
  2. Question: John, age 5, was diagnosed with ruptured tympanic membrane as a result of acute otitis media 2 weeks ago. He was treated with oral antibiotics at the time of diagnosis and has finished his course. He has no purulent drainage, his plan of care should include:
  3. Question: You see a healthy 18 month old for a well child visit. At the 12 month visit he received the diphtheria, tetanus, and accellular pertussis (DTaP) third dose; hepatitis B second dose: measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (HIB) fourth dose. Which of the following do you order today?
  4. Question: A 7 year old presents with a complaint of ear pain with purulent discharge he sates it hurts when he is lying on the affected side and when anyone touches his pinna. The most likely diagnosis is?
  5. Question: A 7 year old presents to your office with several linear, curved lines approximately 4 millimeters in length that end in a papule. The lines are near the umbilicus and waist area. He complains about sever itching that is worse at night, you suspect:
  6. Question: An expected milestone of a 4 year old is the ability to:
  7. Question: Thalia is a fifteen year old who is referred to your women’s health practice by her school counselor . She has macromastia and has been teased and ridiculed by her classmates at school. Which of the following would be the first step in dealing with this problem?
  8. Question: You see a 6 month old for a well child visit and the mother tells you the child’s grandmother recommends that she give the infant whole milk and eggs when he starts solids. What should you tell the mother:
  9. Question: You diagnose a 14 year old with tinea capitis. Which of the following treatment do you recommend:
  10. Question: Most children can independently dress themselves by age:

    NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 2 Quiz 
  1. Question: Nancy is an eleven year old presenting for an annual well child visit. When reviewing the physiology of puberty, you recall that the initiation of puberty begins physiologically whit the release of GnRhby the:
  2. Question: Adolescence sexuality is important to understand and to discuss with your patients. Sexual behavior begins with childhood curiosity. Based upon the following characteristics, you would define your patient in which level of adolescence:
  3. Question: Adolescence is a period of time where patients undergo significant biological, psychological, and emotional growth. Which of the following characteristics describe the psychosocial development of middle adolescence?
  4. Question: I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I can’t balance on one foot for 2 seconds. I am:
  5. Question: … children has abnormal language development?
  6. Question: A typically developing 8 year old girl will have which of the following genital development?
  7. Question: __ mother is concerned about a strawberry hemangioma that her infant daughter has on the back of her neck. What is the treatment of choice for the majority of infants with hemanhiomas?
  8. Question: Natasha is an eleven-year-old girl brought to your office for an annual well-child visit. When discussing the onset of puberty with Natasha and her mother, you would emphasize which of the following?
  9. Question: You see a 4-year-old for a well-child visit. He has received four diptheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines.
  10. Question: What do you order today? Pneumoccoccal conjugate vaccine (PCV13), IPV, varicella and DTaP Tetanus and diphtheria toxoid with acellular pertussis (TdaP), MMR, hepatitis B, and IPV
NR 602 Week 2 Quiz – Study Guide 
NR 602 Week 2 Quiz – Ticks and Hemangioma

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 2 Weekly Clinical Goal (Collection)

Students should post Weekly Clinical Goals before they attend clinical for the week.

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NR 602 Week 3 Quiz Material (Practice Questions-Answers, Study Guide)

NR 602 Week 3 Quiz
  1. Question: Urinary tract infections (UTI) are the most common pediatric urinary tract problems … in primary care. Which of the following statements is not true regarding UTIs?
  2. Question: Which of the following signs and symptoms is not … with acute forms of glomerulonephritis?
  3. Question: Anthony is a known asthmatic. He has symptoms three times a week but never more than once a day. Exacerbations affect his normal activities occasionally. He awakens with cough three to four times a month. You classify his asthma as:
  4. Question: In a young infant with RSV bronchiolitis, which of the following would be the treatment of choice?
  5. Question:A 4 year-old boy is brought in by his mother … about a a painful limp in his right leg that started 2 days ago. The mother also reports that her son recently had an URI. Today, he has a low-grade fever. Which of the following diagnosis is most likely?
  6. Question: One of the most commonly suggested reasons for primary enuresis is:
  7. Question: A 10-month old child has been … with gastroenteritis. He atte3nds day care. What is the most likely cause of his illness?
  8. Question: In children who have not received antibiotics in the past month, which antibiotic is recommended by the Centers for Disease Control and Prevention for the management of acute bacterial respiratory infection?
  9. Question: Pinworms can cause which of the following?
  10. Question: Hope is a 7-month-old who presents in January with a 1-day history of cough, yellow nasal discharge, and low-grade temp (T max 100°F). She was previously healthy. She does have 2+ edema of the nasal turbinates and cloudy rhinorrhea. She is afebrile in the office. Her chest, mouth, and ears are clear. You prescribe:

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 3 Quiz
  1. Question: The classic radiographic finding in croup is
  2. Question: Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely point to phyloric stenosis?
  3. Question: Urinary tract infections (UTI) are the most common pediatric urinary tract problems … in primary care. Which of the following statement is not true regarding UTIs?
  4. Question: Which of the following is true for idiopathic scoliosis which occurs primarily in adolescents?
  5. Question:Of the following advice, which would … most helpful for the parents of a baby with gastroesophageal reflux?
  6. Question: Pinworms can cause which of the following?
  7. Question: The most common form of glomerulonephritis in children is
  8. Question: In children who have not received antibiotics in the past month, which antibiotic is recommended by the Centers for Disease Control and Prevention for the management of acute bacterial respiratory infection?
  9. Question: Anthony is a known asthmatic. He has symptoms three times a week but never more than once a day. Exacerbation affect his normal activities occasionally. He awakens with cough three to four times a month. You classify his asthma as
  10. Question: In Legg-Calve-Perthes disease, which of the following signs and symptoms are … ?
  11. Question: A 10-month old child has been … with gastroenteritis. He attends day care. What is the most likely cause of his illness?
  12. Question: A 2 year old presents with a history of wheezing and persistent cough. The father reports the child had a coughing/choking episode about a week ago that was spontaneously … A few days later she began to cough and wheeze. This scenario is most consistent with:
NR 602 Week 3 Quiz
  1. Question: One of the most commonly suggested reasons for primary enuresis is:
  2. Question: Which of the following is true for Idopathic scoliosis which occurs primarily in adolescents?
  3. Question: Which of the following signs and symptoms is not … with acute forms of glomerulonephritis?
  4. Question: In Legg-Calve’-Perthes disease, which of the following signs and symptoms are … ?
  5. Question: In a young infant with RSV bronchiolitis, which of the following would be the treatment of choice?
  6. Question: Urinary tract infections (UTI) are the most common pediatric urinary tract problems … in primary care. Which of the following statements is not true regarding UTIs?
  7. Question: A 4 year-old boy is brought in by his mother … about a a painful limp in his right leg that started 2 days ago. The mother also reports that her son recently had an URI.  Today, he has a low-grade fever. Which of the following diagnosis is most likely?
  8. Question: Which of the following symptoms are most suggestive of pneumonia in a young child?
  9. Question: Anthony is a known asthmatic. He has symptoms three times a week but never more than once a day. Exacerbations affect his normal activities occasionally. He awakens with cough three to four times a month. You classify his asthma as:
  10. Question: In children who have not received antibiotics in the past month, which antibiotic is … by the Centers for Disease Control and Prevention for the management of acute bacterial respiratory infection?

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 3 Sick Child Clinical Case Presentation: ADHD, Acute Bronchiolitis

Purpose

The purpose of this assignment is for learners to:

Requirements

For Week 3 of the course you will … presenting your own case from clinical. The case should … clear, organized, and meet the following guidelines:

Initial Case Presentation:

Present only the subjective and objective data only on the patient organized as you would organize them in a SOAP (CC, HPI (no OLDCART for HPI); ROS, PE findings, and any lab or diagnostic findings for your patient.

**Do not put the diagnosis or plan in initial post. No Assessment/Plan in the initial post. No citations or references are … for your initial post, you will post references in your summary post.

WEEK 3: The case should … pediatric (a patient age 17 years or younger).

WEEK 3 specific guidelines: The case must not … something overly simple. The list of things that should not … covered include sore throat, URI, UTI, ear infection, or contact dermatitis (poison ivy). You need to present a case that intrigued you or presents new content in a different light. *One of the above … presented if the findings were unusual and you clear such case with your course faculty prior to posting (at least 2 days before posting). In the pediatric case you must also include in the objective data growth chart percentiles for height, weight, and BMI, and tanner staging. A patient you saw both for initial complaint and follow-up would … ideal, but not required.

Leading the Discussion: Post your subjective, objective, and diagnostic data for your patient by Wednesday 

Interactive Dialogue: As a student you will also be required to respond to at least two (2) other students initial case presentation. In your responses, you must include the following: Your top three (3) differentials based on the information provided and why (rationale based on presentation findings), the primary … you are leaning toward, how you would treat that … Use references to support your response. *DEADLINE – YOUR RESPONSES TO 2 STUDENTS ARE DUE ... **If all students have a response, then choose the student with the least responses to their posting.

Clinical Case Presentation Summary Criteria:

Post a summary reply to your initial post and respond to any faculty questions to your initial posting or question(s) posed to the general class. Use references to support all of your responses.

Criteria for Summary Post should include all of the following required elements: Summary post written in paragraph(s) type format (No SOAP note for Summary Post); discuss primary and any applicable secondary diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan. Differential … Summarize your peer’s posts to your presentation.

 

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

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NR 602 Week 3 Weekly Clinical Goals

Students should post Weekly Clinical Goals before they attend clinical for the week.

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 4 Assignment: Clinical VISE Study Guide

Purpose

The VISE assignment (Virtual Interactive Student Evaluation) is to evaluate student progress in clinical, based on per course clinical objectives.  This will be a mid-term check to identify and assist students who may be struggling with clinical critical thinking and communication.  Students who do not pass the VISE on the first attempt will be placed on a clinical PIP and given a second attempt at passing the VISE prior to course end.  The student must successfully pass the VISE to pass clinical within a course.

Directions

These will be done by phone between the VP and the student sometime between the beginning of week 3 and the end of week 5. Immediately following the VISE the VP and student will do the mid-term phone call check in and review of clinical. VPs should have clinical logs pulled up to review with the student.

602 – Nurse call to provider – The VP reviews the student’s clinical logs and picks one patient (with a minor acute illness) to serve as their guide. The VP acts as the nurse in another office or urgent care calling the student, who is the NP, and giving report on the patient.  The report will regard one of the following:

The job of the student in this situation is for the student to gather data, but also relay orders for the next steps in care.

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 4 Midterm Exam (Multiple Resources Collection)

Midterm according to the orientation video, will be over anything we read, discuss, explore, etc. about peds. The final will be over anything we read, discuss, etc about women’s health.

  1. Question: Role-play with equipment during the course of a physical examination would be most beneficial with which of the following groups?
  2. Question: What is the Ortolani Sign?
  3. Question: When performing a physical examination of a toddler, which of the following body parts would examine last?
  4. Question: What are three findings using Jones criteria for Rheumatic Fever?
  5. Question: While examining a 4-month-old boy, you are unable to palpate one of his testes. The next most appropriate step is:
  6. Question: Concurrent Otitis media and Conjunctivitis is likely due to which?
  7. Question: What is the appropriate management of a child with asthma who presents with acute wheezing and/or coughing?
  8. Question: Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face above the right nares. She has a history of having a bad scratch in the same area several days ago. What condition do you suspect?
  9. Question: The most appropriate management of a 5-year old with a firm nontender nodule in the mid-upper eyelid for 3 weeks would be:
  10. Question: A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care facility. What is the most likely cause of illness?
  11. Question: If a child or any patient describes a “pop” in the knee. What is this indicative of?
  12. Question: A 7-year-old African American female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is:
  13. Question: Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention?
  14. Question: Treatment of true central precocious puberty is best achieved with:
  15. Question: Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg. Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What is her percentage of dehydration?
  16. Question: Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip?
  17. Question: When considering catch up vaccination in children for IPV vaccinations, it is important to understand one of the following considerations is NOT a consideration when administering the vaccine:
  18. Question: An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
  19. Question: A 4-week-old presents to your office in mid=January with a 1-week history of nasal congestion and occasional cough. On the evening prior to this visit, the infant developed a temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea.
  20. Question: What needs to … included when educating parents about a febrile seizure?
  21. Question: A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a painful limp in his right leg 2 days ago? Today he has a low-grade fever. Which of the following … is most likely?
  22. Question: In addition to penicillin, all of the following antibiotics can … used to treat strep pharyngitis except:
  23. Question: Primary dysmenorrhea is due to:
  24. Question: Which behavior would NOT … expected in a two-year old?
  25. Question: The most common congenital heart defect in children is:
  26. Question: Michael is a 15-year-old high school student who presents for a school sports physical. He appears to be in good health but is concerned about a bad headache he had a few weeks ago. He is concerned because his mother’s friend dried of a brain tumor. You tell Michael that the most common type of headache with onset in adolescence is:
  27. Question: Treatment for testicular torsion primarily?
  28. Question: What is important to understand about encopresis?
  29. Question: Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
  30. Question: Vomiting in infancy has a long list of differential diagnosis. Which accompanying symptom would most likely point to pyloric stenosis?
  31. Question: Which malignancy is … with genitourinary anomalies?
  32. Question: A child has mild persistent asthma. Appropriate daily medication should include:
  33. Question: A 3-year-old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of 103. An important eye assessment would be:
  34. Question: What diagnosis should … considered if the infant has not passed meconium in the first 24 hours of life?
  35. Question: A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic condition that warrants close to follow up?
  36. Question: A 15-month-old failed treatment with amoxicillin for otitis media. At his 2-week recheck, his TM remained red with distorted landmarks, and he persisted with nasal congestion and poor nighttime sleeping, and he has had 101 fever for the past 2 days. The next best step would … to treat with:
  37. Question: Which of the following is an absolute contraindication for use of combined hormonal contraceptives in adolescent women?
  38. Question: The most common trigger for an acute asthma episode in the very young child is:
  39. Question: Which of the following findings could … to occur in a baby with intussusception?
  40. Question: The appropriate management of Osgood-Schlatter disease includes:
  41. Question: In a healthy, 8-month-old with diarrhea but no dehydration, what would be most appropriate advice to give parents?
  42. Question: The most common rheumatoid disease of childhood is:
  43. Question: When assessing for croup, what is a common finding on xray?
  44. Question: Which chromosomal abnormality is … with short statue in girls?
  45. Question: Which activities are common in a 4-5 year-old child?
  46. Question: A 14-year-old female presents to the clinic and is demonstrating some hesitancy in discussing an important issue regarding her self-identity. What is the appropriate actions on behalf of the clinician?
  47. Question: The most definitive feature or features for a diagnosing of “growing pains” includes:
  48. Question: When examining an adolescent between the ages of 10-13 years of age it is important to remember what characteristic regarding socio-emotional development?
  49. Question: On exam, an 8 year old being seen at your clinic with complaints of persistent pain to left leg with limp. What is the most likely cause of this condition?
  50. Question: Cara is a 16-year-old adolescent who has been sexually active with… male partner for 6 months. They have used condoms consistently. Cara is interested in a hormonal method as well. Your advice includes all of the following except which one?
  51. Question: Role=play with equipment during the course of a physical examination would … most beneficial with which of the following age groups?
  52. Question: For children 2 to 4 years of age, the most common cause of head injury is:
  53. Question: In a healthy, 8-month-old with diarrhea but no dehydration, what would … the most appropriate advice to give parents?
  54. Question: The appropriate management of Osgood-Schlatter disease includes:
  55. Question: The organism that causes hand, foot, mouth syndrome is what virus?
  56. Question: Judy has a history of remission and exacerbation of acne that has followed the pattern of menses for 2 years. However, the condition over the last 6 months has worsened to a moderate degree of severity and has been chronic and persistent. You prescribe…
  57. Question: Which malignancy is … with genitourinary anomalies?
  58. Question: A 15-month-old failed treatment with amoxicillin for otitis media. AT his 2-week recheck, his TM remained red and distorted…..
  59. Question: Which of the following is not considered preventative management for iron0deficiency anemia?
  60. Question: In mild to moderate attacks of asthma, albuterol should … given every 4-5 hours PRN and routine medications should:
  61. Question: In addition to penicillin, all of the following antibiotics can … to treat strep pharyngitis except:
  62. Question: The most definitive feature or features for a diagnosis of “growing pains” includes:
  63. Question: Which of the following foods would … appropriate for a child with celiac disease?
  64. Question: When performing a physical examination of a toddler, which of the following body parts would you examine last?
  65. Question: Daily eyelid cleaning with diluted baby shampoo and a cotton-tipped applicator would … appropriate in the treatment of which of the following conditions?
  66. Question: Primary dysmenorrhea is due to:
  67. Question: Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention?
  68. Question: A 10-year old has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present. TM Is normal. How should this … managed?
  69. Question: Patients with otitis externa should … instructed to do which of the following?
  70. Question: A 2-year-old female has lymphedema of the hands and feet, with low posterior hairline, cubitus valgus, and a history of intrauterine growth restrictions. Which of the following defects is the most common among the children with these signs?

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 4 Reading

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NR 602 Week 4 Weekly Clinical Goals

Please respond to this required discussion by including the following:

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NR-602 Week 5 Evaluation of  Marginalized Women Paper (Collection)

This paper should clearly and comprehensively identify the disease or population health problem chosen. The problem must be an issue in your geographic area and a concern for the population you will serve upon graduation with your degree. The paper should … organized into the following sections:
  1. Introduction with a clear presentation of the marginalized group as well as significance and a scholarly overview of the paper.
  2. Background of the marginalized group/problem including description, current incidence and/or prevalence statistics current state, local, and national statistics pertaining to the problem.
  3. Discuss the economic aspects of the marginalized group.
  4. … social justice and its relationship to health disparities and health care of marginalized group.
  5. Discuss ethical issues on marginalized group.
  6. Provide a brief plan of how you will address this marginalized group in your practice once you are finished with school. Provide three actions you will take along with how you will measure outcomes of your actions.

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Choose one topic from the following list:

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 5 Quiz Material (Practice Question, Study Guide, Topics, Vaginitis)

NR 602 Week 5 Quiz 
  1. Question: The nurse practitioner is caring for a menopausal patient reporting vaginal dryness with intercourse. How would this best be managed?
  2. Question: A sixty-five-year-old obese female with type II diabetes mellitus presents to your office with a complaint of vaginal itching and burning for two weeks. She has not been sexually active for five years. She has tried douching with an OTC cream with no relief. On physical examination, the vulva is deep red with some thick white adherent material. Which of the following conditions would be the most likely cause of her symptoms
  3. Question: A patient is completing a diary of her premenstrual syndrome (PMS) symptoms. The nurse practitioner understands that PMS occurs with greatest frequency and severity in the ____.
  4. Question: There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation?
  5. Question: A young woman presents to your practice with vaginal itching and a white discharge. She denies sexual activity or douching. She has been in good health except for a recurrent strep throat. Pelvic examination reveals a tender vulvovaginal area with edema and white patches; no odor is detected. Which of the following is the most likely cause of this problem?
  6. Question: Leticia, seventeen years old, has just been diagnosed with primary dysmenorrhea. Which of the following is responsible for the pain in this condition?ect!
  7. Question: A woman is completing a symptom diary of her symptoms associated with premenstrual syndrome (PMS). In which of the following phases would the problems most likely appear?
  8. Question: A twenty-eight-year-old female presents with breast tenderness, fatigue, abdominal bloating, fluid retention, and irritability one week prior to the onset of her menses. The nurse practitioner suspects the patient may have premenstrual syndrome (PMS). What is the most important information to obtain from this patient to make the determination?
  9. Question: Dysfunctional uterine bleeding (DUB). She is concerned about why this is happening to her. You recall which of the following is the most common cause of DUB?
  10. Question: A nurse practitioner is educating a woman who has a colposcopy ordered. Which of the following most accurately describes a colposcopy?

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 5 Quiz (Practice Q & A)
  1. Question: What is the most common cause of chronic Pelvic Pain ?
  2. Question: Pelvic pain in adolescents is usually due to ?
  3. Question: What dietary supplement helps with PMS ?
  4. Question: Common type of UTI in women ?
  5. Question: Emergency Contraceptive Pills (Plan B, “morning-after pill”) can do what ?
  6. Question: Primary side effect of Estrogen Therapy?
  7. Question: Breast CA markers, BRCA-1 & BRCA-2 mutations are accountable for what % of Breast Cancers ?
  8. Question: On which hormone is Ovulation dependent?
  9. Question: When is a pelvic exam unnecessary for a woman who is experiencing abnormal uterine bleeding ?
  10. Question: Exercise reduces Amenorrhea due to low body fat and decreases secretion of what ?
  11. Question: Signs of endometrial or cervical cancer may present with abnormal bleeding described as what ?
  12. Question: What is the best definition of Abnormal Uterine Bleeding (AUB) ?
  13. Question: Which of the following is caused by anaerobic protozoa that commonly live in the vagina?
  14. Question: The second most commonly reported STI after chlamydia is what ?
  15. Question: Routine HPV vaccination is recommend for girls of what age ?
  16. Question: What is the common symptom of bacterial vaginosis (BV)?
  17. Question: Which organism causes 90% of vulvovaginal candidiasis episodes in women?
  18. Question: What is the most common SX of vulvovaginal candidiasis?
  19. Question: How is Vaginosis different from Vaginitis?
  20. Question: What bacterial infection does Vaginosis lead to ?
  21. Question: Approximately what % of women with bacterial vaginosis (BV) are asymptomatic?
  22. Question: What is the term for inflammation of the vagina characterized by an increased vaginal discharge containing numerous WBCs ?
  23. Question: Acute cervicitis is an inflammation of the cervix characterized by:
  24. Question: Carcinoma of the cervix is often considered to be a sexually transmitted disease associated with_____ viral infection.
  25. Question: Pelvic inflammatory disease, an inflammation of the female upper reproductive tract, is caused by:
  26. Question: Endometriosis is characterized by painful hemorrhagic lesions in the pelvis and complications that include:
  27. Question: Leiomyomas are smooth muscle fibroid tumors that usually develop in:
  28. Question: Symptoms of difficulty in emptying the bladder, frequency, and urgency of urination are common in women with:
  29. Question: Although there are no effective screening methods for ovarian cancer, and early symptoms are usually absent, there are high-risk indicators that include:
  30. Question: Polycystic ovary syndrome (PCOS) is ovarian dysfunction … by a combination of hormone imbalances that include______ levels.
  31. Question: In the lactating woman, mastitis is usually the result of:
  32. Question: Women are screened regularly for risk factors and manifestations of breast cancer.
  33. Question: Which of the following signs and symptoms is most likely to accompany a diagnosis of vulvodynia?
  34. Question: A 21-year-old college student has sought care because of the vaginal burning, itching, and redness that have become worse in recent weeks. Which of the clinicians assessment questions is most likely to apply to a diagnosis of vaginitis?
  35. Question: A 29-year-old patient had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify:
  36. Question: Which of the following physiologic processes is … by estrogens?
  37. Question: Which of the following disorders of the female genitourinary system is most likely to result from a disruption in normal endocrine function?
  38. Question: Which of the following complaints by middle-aged women should prompt a care provider to rule out the possibility of ovarian cancer?
  39. Question: The NP is conducting a healthy living workshop to a group of younger women. Which of the following screening recommendations should the NP provide to the participants?
  40. Question: Which of the following processes is a component of the pathogenesis of proliferative breast lesions without atypia?
  41. Question: Which of the following physiologic changes results in menopause?
  42. Question: A 59-year-old woman with a recent diagnosis of breast cancer has begun a course of hormone therapy. What is the goal of this pharmacologic treatment?

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 5 Quiz (Study Guide)
  1. Respiratory Infections
  2. Sinusitis/Rhinosinusitis
  3. Bronchitis/ Bronchiolitis/ Respiratory Syncytial Virus (RSV)
  4. Pertussis “Whooping Cough”
  5. Pneumonia
  6. Rotavirus
  7. Croup
  8. Epiglottitis
  9. Foreign Body Occlusion/ Aspiration
  10. Restrictive Airway Diseases
  11. Cystic Fibrosis (CF)
  12. Gastric Esophageal Reflux (GERD)
  13. Foreign Body Ingestion
  14. Urinary Tract Infection
  15. Glomerulonephritis

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 5 Quiz (Study Topics)
  1. Abnormal uterine bleeding
  2. Dysfunctional Uterine Bleeding – Ch 39 lange
  3. All Menstrual Cycle Phases
  4. Anovulation- CH 36 Burns
  5. Atrophic Vaginitis
  6. Cervical Cancer
  7. Diagnostic Laboratory Procedures
  8. Endometrial Cancer
  9. Postcoital bleeding- ch 39 lange
  10. Premenstrual dysphoric disorder (PMDD)
  11. Premenstrual Syndrome
  12. Primary dysmenorrhea
  13. Vaginal Dryness
  14. Vaginitis

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NR-602 Week 5 Reading

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NR 602 Week 5 Weekly Clinical Goals

Please respond to this required discussion by including the following:

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 6 Quiz Material (Possible Q&A, Study Guide, Review)

Bartholin’s cyst

  1. Question: A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of the vagina are the Bartholin’s glands. Which of the following describes the function of these glands?
  2. Question: Which of the following choices represents a disorder of the reproductive tract that causes pain, erythema, dyspareunia, and a perineal mass?
  3. Question: You explain to this young woman what this “lump” is and let her know you will be referring her to a gynecologist you consult with regularly. You explain to her the likely treatment as follows:
  4. Question: Which of the following choices represent a disorder of the reproductive tract that causes pain, erythema, dyspareunia, and a perineal mass?
  5. Question: A 25-year-old presents with a report of a very tender area just near her introitus and to the left of her perineum. Very painful sex is how she knew “something wasn’t right.” She showered and when washing, she felt a “pea-sized” painful lump on the left side of her “bottom.” She tells you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball and getting worse. When you inspect her external genitalia, you are amazed at the size and appearance of the “lump.” You note what appears to be an abscess on the left medial side of the labia minora, and there is some edema extending into the perineum. Your diagnosis for this presentation is:
  6. Question: Treatment of a large, symptomatic Bartholin’s cyst includes all of the following except:
  7. Question: Which of the following is a common antibiotic for treatment of an infected Bartholin’s cyst?
  8. Question: The patient presents with complaints of a painful, swollen lump in her vaginal area. She reports difficulty sitting and walking due to the pain. Which of the following is a likely diagnosis for this patient?

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Breast Cancer

  1. Question: 17- year-old Stella presents with a chief complain of unilateral breast tenderness and swelling. Which of the following would be the least likely etiology for this problem?
  2. Question: A nurse practitioner is counseling a woman with fibrocystic changes in the breast. Which of the following is not caused by this change?
  3. Question: A 55-year-old woman presents to the clinic for evaluation of a breast mass. Which of the following is not a typical presenting sign of breast cancer?
  4. Question: A pathology report has been returned on a woman’s breast mass malignancy. The most common type of invasive breast cancer is ______
  5. Question: Karen is concerned that she may develop breast cancer. Which of the following is not an associated risk factor?
  6. Question: A female patient is concerned about using combination oral contraception that includes both estrogen and progesterone. You instruct her that the medication actually will decrease risks of which of the following cancers?
  7. Question: You are starting Ella, a 21-year-old, on Ortho Tri-Cyclen, a combined oral contraceptive. Which of the following would not be included in your instructions and advice?
  8. Question: When reviewing the risk factors for breast cancer with your patient, which of the following would not be a contributing factor?
  9. Question: A 55-year-old postmenopausal female patient presents with pain in the upper outer quadrant of her left breast for over one month now. The best course of action would be to _______.
  10. Question: A woman is concerned that she may develop breast cancer and is discussing her concerns with the nurse practitioner. Which of the following is notan associated risk factor for this?
  11. Question: What factor is considered high risk for breast cancer?

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Breast Disorders

  1. Question: You are researching preliminary evidence-based sources about breast cancer risk factors. Which of the following would you find is not one for the disease?
  2. Question: A woman is experiencing a milky white nipple discharge. Galactorrhea is usually a finding with which other diagnosis?
  3. Question: Lenore, 55years old, comes in for evaluation of a breast mass. Which of the following is not usually linked with carcinoma of the breast?
  4. Question: A nurse practitioner is educating a pregnant female about breast changes. Common normal physiologic changes include all of the following except:
  5. Question: Breast tissue is composed of glandular, fibrous, and fatty tissue and a complex lymphatic system. Where does lymph from the medial cutaneous area of the breast flow?
  6. Question: A 21year-old female presents to the practice with the chief complaint of a breast mass. Considering the differential diagnoses, the most common cause of the mass in this age group is ____.
  7. Question: A 35- year-old female presents for her normal annual examination and complains of recent changes in her breasts. She reports that they feel tender and “lumpy” during certain times of the month. As a result, she does not perform self-breast examination as she had been doing in the past. Which of the following statements would offer the best advice to this patient?
  8. Question: A nurse practitioner is participating in a women’s health fair. When educating the women about risk factors for breast cancer, which of the following
  9. Question: An 18-year-old patient presents with secondary amenorrhea. On physical exam, there is normal secondary sex characteristics in addition to the appearance of normal genitalia. Pregnancy has … ruled out through urine human chorionic gonadotropin (HCG). Which of the following signs or symptoms would necessitate further evaluation in this patient?
  10. Question: Breast masses are a common finding in adolescents and most typically are benign. Which of the following descriptions of a breast mass most likely represents a benign finding?
  11. Question: A 17-year-old presents with an appointment for unilateral breast tenderness and swelling. Which of the following would be the most likely etiology for this problem?
  12. Question: When women experience mild premenstrual symptoms, such as mild breast tenderness, abdominal bloating, and mild weight gain from water retention, this is known as:

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Cervical Cancer

  1. Question: A patient has a prescription that was written for birth control pills that now has progestin added to the estrogen therapy. What would this intervention decrease the risk of?
  2. Question: In reviewing cancer statistics, after breast cancer, what would you find to … the most common female genital malignancy?
  3. Question: A 15-year-old patient who presents with symptoms consistent with premenstrual syndrome (PMS) is concerned that she may have ovarian cancer. Your best advice to this patient is that PMS is typically caused by which of the following?
  4. Question: A 33- -year-old woman presents to your clinic complaining of a dark brown, watery vaginal discharge and postcoital bleeding. There is a strong history of multiple unprotected sexual encounters. She has not … immunized for human papillomavirus (HPV). Which of the following examination findings would be suspicious for cervical cancer?
  5. Question: The nurse practitioner is prescribing an oral contraception to Sally. She is concerned about having one that has “two hormones” as the active ingredients. You instruct her that adding progestin to estrogen therapy will decrease the risk of ___________.
  6. Question: The nurse practitioner understands that HPV types _____ and ____are most often associated with cervical and anogenital cancer.
  7. Question: Based on the latest ACOG guidelines, the nurse practitioner understands that the recommended time to initiate screening for cervical cancer in women is:
  8. Question: A 69 y/o woman presented w/abnormal vaginal bleeding and has now been dx with endometrial cancer. She returns to you because she doesn’t understand how this could happen when her pap smear was normal 6 months ago. What is your best response?
  9. Question: Current USPSTF guidelines assigns an “A” recommendation to screening for cervical cancer for all of the following except:
  10. Question: The nurse practitioner understands that the necessary screening techniques in a patient suspicious of ovarian cancer should include the following: Select all that apply

    NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Cervix disorders

  1. Question: The most common cause of chronic pelvic pain for women is the prime of their reproductive years is?
  2. Question: You are completing a pelvic exam on 32-year-old Nancy. You detect a left adnexal mass on the bimanual exam. With an adnexal mass, the practitioner must always suspect ________ until proven otherwise.
  3. Question: Malignant ovarian masses are very uncommon in young women. Which of the following information would be least helpful in the assessment, diagnosis, or management of pelvic malignancies in young women?
  4. Question: A 25- year-old patient presents with irregular bleeding after being on oral contraceptives for six months. It is important to rule out which of the following?
  5. Question: A nurse practitioner is completing a speculum exam on a female patient. Which of the following findings would … a normal surface characteristic of the cervix?
  6. Question: Anna, aged 25- years, presents with dysmenorrhea. She states that her sister and her mother have endometriosis and she would like to … evaluated for it as well. Which if the following is consistent with a diagnosis of endometriosis?
  7. Question: Which of the following is true regarding education of a forty-two-year-old woman diagnosed with uterine myoma?
  8. Question: The nurse practitioner is examining a twenty-nine-year-old female with a three day history of dysuria and urinary frequency. On examination, the patient is positive for suprapubic tenderness and negative for costovertebral angle (CVA) tenderness. This most likely represents which of the following?

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Mammogram and Breast Ultrasound

  1. Question: A 24y female presents to the practice with a painless 2 cm, lobular mass in the right breast that is freely mobile and firm. This has … noted on self-breast examination, and she reports it has … unchanged for the past three months. The best course of action by the nurse practitioner would be to __________.
  2. Question: During a community education program, a nurse practitioner is discussing the usefulness of mammography in the screening and detection of breast cancer. Which of the following statements is accurate?
  3. Question: A patient has … ordered a breast ultrasound after having a mammogram. The primary rationale for ordering this is to _____.
  4. Question: When educating a patient about the rationale for obtaining a mammogram, which of the following statements is false
  5. Question: Frankie is … that she has an ultrasound ordered after the results of her mammogram of … reviewed by the nurse practitioner. You emphasize that the primary role of a breast ultrasound is to _____.
  6. Question: A 55-year-old postmenopausal female patient presents with pain in the upper outer quadrant of her left breast for over one month now. The best course of action would be to _______.
  7. Question: Which of these women does not need to receive mammogram screening?

Pelvic Inflammatory Disease

  1. Question: The most common cause of pelvic pain can … noted as endometriosis. But you also know that the most acute causes of pelvic pain are probably
  2. Question: Primary dysmeorrhea can … caused by endometriosis, tumors, ovarian cysts, or PID.

    NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

    Question: The nurse practitioner understands that a complication of gonococcal and chlamydial genitourinary infection in women include which of the following:

Pelvic Pain

  1. Question: Anna, twenty-five years old, presents with dysmenorrhea. She states that her sister and mother have endometriosis; so she would like to … evaluated for it. Which if the following is consistent with a diagnosis of endometriosis?
  2. Question: Abby, 20 years old, presents with pelvic pain. Which of the following is not a first-line diagnostic test for evaluation of pelvic pain?
  3. Question: The most common cause of chronic pelvic pain for a women in the prime of their reproductive years is?
  4. Question: The nurse practitioner understands that which of the following are differential diagnoses in an adult female patient with acute pelvic pain. Select all that apply:
  5. Question: The nurse practitioner is managing an adolescent with a 4 cm functional ovarian cyst that was confirmed on a recent ultrasound. What plan of care should … anticipated for this patient?
  6. Question: Leading cause of pelvic pain caused by urinary system
  7. Question: Pelvic pain in adolescents is almost always
  8. Question: Non-pharmacologic therapy for chronic pelvic pain includes the following: Select all that apply.

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Polycystic Ovary Syndrome (PCOS)

  1. Question: A female patient has been … with polycystic ovary syndrome (PCOS) and weighs 250 pounds. In addition to obesity, PCOS is … with which of the following clinical manifestations?
  2. Question: A 60-year-old woman has presented with the chief complaint of bleeding after intercourse. Which of the following is not … with postcoital bleeding or spotting in a postmenopausal woman?
  3. Question: Polycystic ovaries predispose women to a higher incidence of:
  4. Question: A nurse practitioner is reviewing the chart of a woman who has findings consistent with polycystic ovary syndrome (PCOS).The diagnostic criteria for PCOS include all of the following except:
  5. Question: A patient is coming to the clinic for a follow-up of some diagnostic testing that she had done. When you review the chart, you find that she now has findings consistent with a … of polycystic ovary syndrome (PCOS).You recall that PCOS is … by which of the following?
  6. Question: A nurse practitioner is reviewing the signs of polycystic ovary syndrome (PCOS) for a differential diagnosis for a female patient. Which of the following would be a positive finding?
  7. Question: A nurse practitioner is educating a patient who has just been … with polycystic ovary syndrome (PCOS). She needs to be aware that PCOS is … with which of the following clinical manifestations?
  8. Question: A woman has been … with polycystic ovary syndrome (PCOS). Management of PCOS includes all of the following except ___________.
  9. Question: Which of the following is not a biochemical feature of PCOS?
  10. Question: Polycystic ovarian syndrome exhibits all of the following symptoms, which one is the most accurate?

Uterine Fibroid

  1. Question: A 35-year-old women presents with 6-month history of hypermenorrhea, backache and pelvic pressure. On examination you discover a 12-week size uterus with irregular contour. Which of the following does this represent?
  2. Question: A middle-aged woman, in the climateric stage of her life, presents with pelvic pain. What is the least likely cause of her pain?
  3. Question: What is most freq symptom of uterine fibroids?
  4. Question: Other names for uterine fibroids
  5. Question: The nurse practitioner understands that the proper management of an asymptomatic woman with a small fibroid should include:

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 6 Weekly Clinical Goals

Please respond to this required discussion by including the following:

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 6 Women’s Health Grand Rounds Presentation and Discussion (Collection)

Cervical Cancer
Abnormal Uterine Bleeding
Endometriosis

The Grand Rounds presentation will consist of a patient scenario that is assigned to you by your faculty in week one.  The presentation is a video recording in Kaltura. Recording of the presentation should be interesting, professional, and focused to the topic. Wear your lab coat and name tag/badge during the recording. You must use a visual aid (pictures, charts/graphics, mindmap, algorithm, etc) within your powerpoint presentation.

In addition to submitting your presentation, you will also need to lead a discussion on your topic in the discussion thread.  The initial post and Kaltura presentation are both due by Wednesday 11:59 p.m. MT.  NOTE: By Wednesday, you will also initiate a discussion to lead.

Discussion Lead Requirement: Develop three (3) questions on your topic you can ask to initiate the discussion and keep it going.

Respond substantively to a minimal of two (2) peers’ presentation questions. If all students have a response, then choose the student with the least responses to their posting.

Summarize your grand rounds presentation by posting a summary reply to your initial post in the discussion thread .  Summarize the discussion as well as conclusions from the collective group discussion.  Include evidence based references at the bottom of the summary AND respond to ALL faculty questions regarding your presentation.

**To see view the grading criteria/rubric. Please click on 3 dots in the box at the end of solid gray bar above the discussion board title & then Show Rubric.

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NR 602 Week 7 Homework: MyEvaluations log

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 7 Quiz Material (Topics Q & A)

NR 602 Week 7 Quiz 
  1. Question: An eighteen-year-old patient presents with secondary amenorrhea. On physical exam, there is normal secondary sex characteristics in addition to the appearance of normal genitalia. Pregnancy has been … out through urine human chorionic gonadotropin (HCG). Which of the following signs or symptoms would necessitate further evaluation in this patient?
  2. Question: A twenty-two-year-old female presents with an initial onset of herpes simplex on the external genitalia. During the patient education, which of the following statements is most important to include?
  3. Question: A patient has been … with trichomoniasis. Which of the following single dose medications would be the best option?
  4. Question: A woman presents to your practice with vaginal itching and a white discharge. She has been in good health except for recent treatment for strep throat. Pelvic examination reveals a tender vulvovaginal area with edema and non-malodorous white patches. Which of the following is the most likely cause of this problem?
  5. Question: You are completing a well visit on a fourteen-year-old female who is currently not menstruating. Primary amenorrhea is best … ________.
  6. Question: Treatment options for patients with condyloma acuminatum include:
  7. Question: A twenty-four-year-old female patient has been … with primary dysmenorrhea. Which of the following medications would … as a first line to help control her symptoms?
  8. Question: A seventeen-year-old female patient presents with amenorrhea for four months. She did experience menarche at the age of fifteen but had not had a menstrual cycle since. On physical examination, it is … that she has normal secondary sexual characteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequate __.
  9. Question: A teenage patient presents with amenorrhea and normal secondary sex characteristics. A progesterone challenge is … The purpose is to determine the presence of ______.
  10. Question: A nurse practitioner is performing a wet mount with potassium hydroxide (KOH) to … in a woman … vaginal discharge. Which of the following would this confirm?

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 7 Quiz (Study Guide, Review)

1. Amenorrhea (Primary and secondary)

3. Dysmenorrhea (ENDOMETRIOSIS)

4. STDs

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 7 STD Healthy People 2020 Discussion (Collection)

Requirements

For Week 7 Discussion, you will discuss an action plan that can … your patient population as an FNP. This action plan will … assigned STD (Sexually Transmitted Disease) standard that is … to you by your instructor. The STD Standards are based on the Healthy People 2020 Goals: Promote healthy sexual behaviors, strengthen community capacity, and increase access to quality services to prevent sexually … diseases (STDs) and their complications.

Initial Presentation:

List the STD Standard that you were … and give a complete background of your STD,  signs and symptoms, treatments per current clinical guidelines, follow-up, and possible psychological issues that may present. Also include any side effects of medication or the disease itself. You will also go to the CDC website and find your local statistics for the STD.

Interactive Dialogue with Peers:

NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

Interactive Dialogue with Faculty:

Clinical Case Presentation Summary Criteria:

Post a summary reply to your initial post. You will create three (3) evidence based action plans that you can apply in your practice/community that will help to decrease the incidence of the STD you were … You may create all three … action plans or you may create one on your own and use two of the evidence action plans that were … you by your peers.

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 7 Weekly Clinical Goals

Please respond to this required discussion by including the following:

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NR 602 Week 8 Clinical Competency List

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR-602 Week 8 Reflection (Collection)

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course haveprepared you to meet the MSN program outcome #1, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8.

Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care)

MSN Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes

Recognizes that the master’s-prepared nurse, as a member and leader of inter professional teams, communicates, collaborates, and consults with other health professionals to manage and coordinate care.

Nurse Practitioner Core Competencies# 8

Ethics Competencies

  1. Integrates ethical principles in decision making.
  2. Evaluates the ethical consequences of decisions.
  3. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care.

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 8 Final Exam: Women’s Health Content (Collection)

According to the orientation video the final will be over anything we read, discuss, etc. about women’s health. About 50 (Fifty) real exam questions highlighted below are available in the download with correct solutions.

  1. Question: Turner’s syndrome can … suspected when the patient has primary amenorrhea and
  2. Question: A 21-year-old woman comes into your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control choices would be least likely to meet her needs for contraceptive management?
  3. Question: The most common type of invasive breast carcinoma is
  4. Question: Measuring waist circumference is most appropriate when the client’s BMI places her in which of the following categories?
  5. Question: The American Cancer Society recommends yearly mammogram screening beginning at
  6. Question: A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says that everything is fine. On examination, you find grayish-white vaginal discharge, greenish cervical discharge and cervical motion tenderness. All of the following differential diagnoses except?
  7. Question: Which of the following contraception would be best for a woman with sickle cell anemia?
  8. Question: During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a
  9. Question: When examining the cervix of a 20-year-old-female, you note that most of the cervix is pink but there is a small ring of dark-red tissue surrounding the os. This is most likely?
  10. Question: A sexually active 18-year-old presents with postcoital spotting, dysuria, and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
  11. Question: A 68-year-old female had her last cervical cancer screening done at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she:
  12. Question: A 22-year-old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid-stimulating hormone and negative pregnancy test. The next action will to:
  13. Question: A nurse practitioner is screening a female for prescribing contraception for the first time. Which of the following conditions is an absolute contraindication to estrogen-containing contraception?
  14. Question: Characteristics of polycystic ovary syndrome include:
  15. Question: According to USPSTF recommendations, an 80-year-old female  should have:
  16. Question: A 36-year-old- is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm- firm pelvic mass anterior to the uterus. The most likely diagnosis is:
  17. Question: Typical characteristics of vulvodynia include:
  18. Question: If you diagnose a cervical gonoccocal infection, which other infection is probably present?
  19. Question: HPV testing is indicated for a (n)
  20. Question: A vaginal pH less than 4.5 is an expecting finding in a:
  21. Question: USPSTF recommendations for routine breast cancer screening include:
  22. Question: The new ACOG pap smear guidelines reflect a change in all of the following except:
  23. Question: A 16-year-old- woman has not yet begun menstruating but does have pubic hair. She is best described as having:
  24. Question: Dysfunctional uterine bleeding is usually associated with
  25. Question: A 17-year-old client presents at the clinic with the following reason for seeking care. “I have been sick for three days. I feel sick to my stomach and I have diarrhea”. Which of the following would be most appropriate to document as her reason for her visit/chief complaint?
  26. Question: First line treatment for polycystic ovary syndrome is:
  27. Question: A 24-year-old woman presents with complaints of nontender mass in her left breast that does not change with the menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm, firm, rubbery nontender mass. The most likely diagnosis is:
  28. Question: According to ACOG guidelines, which of the following physical examination and screening tests should be part of the routine well-woman visit every year for females ages 30 to 39 years?
  29. Question: In a premenopausal woman, the biggest heart attack risk factor is:
  30. Question: A 16-year-old patient comes the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and a blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis:
  31. Question: What is the position of the uterus when the cervix is on the anterior vaginal wall?
  32. Question: A 26-year-old woman presents with multiple, painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
  33. Question: A woman who is currently pregnant, has had two full-term deliveries, and had one first-trimester abortion would be considered.
  34. Question: Pelvic findings on examination of a 22-year-old nulliparous woman are uterus 7 cm in length and ovaries 3cmx2x1cm. These findings are consistent with:
  35. Question: A 66-year-old- woman with a history of pruritus presents with an ulceration of the vulva. The most likely diagnosis is:
  36. Question: Characteristic “strawberry spots” on the cervix may be seen with
  37. Question: A 45 year-old-female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What best fits these findings?
  38. Question: Primary dysmenorrhea can best be treated with:
  39. Question: Jackson, age, 37 has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg, and has lipid levels with normal limits. You advise that she should:
  40. Question: The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is:
  41. Question: One of the leading causes of female infertility Stein-Leventhal syndrome is
  42. Question: Iris is a thirty-two-year-old married women with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following would be a contraindication to using this appliance?
  43. Question: A 26-year-old female has a Pap test report of ASC-US. This is her first abnormal Pap test. Recommended first steps in follow-up would include:
  44. Question: A 22-year-old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be:
  45. Question: A patient taking metronidazole and cimetidine at the same time is at increased risk for:
  46. Question: A 22-year-old-female has a Pap test report of HSIL. Recommended first steps in follow-up would include
  47. Question: The glands located posteriorly on each side of the vaginal orifice are the:
  48. Question: The levonorgestrel-releasing IUD may be a better choice than the cooper-releasing IUD for a woman who has
  49. Question: 58-year-old woman complaints of severe vulvar pruritus. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be:
  50. Question: A 24-year-old female presents to your office with a request for combination oral contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that:

    NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 Week 8 Final Preparation: Women Health Content: (Summer 2020)
  1. Dysmenorrhea
  2. Cystocele: Anterior Vaginal Wall Defects
  3. Rectocele: Posterior Vaginal Wall Prolapse
  4. Uterine Prolapse
  5. STDs
  6. Lichen sclerosus
  7. Vulvodynia
  8. Lichen simplex chronicus
  9. Amenorrhea (Primary and Secondary)
  10. ASCUS/HSIL results from Paper Test Report
  11. Pelvic mass
  12. Vulvar carcinoma
  13. Molluscum contagiosum
  14. Condyloma acuminate
  15. Condyloma lata
  16. Androgen insensitivity/resistance syndrome
  17. Turner’s syndrome
  18. CDC recommendations regarding STDs and PID
  19. UTI
  20. Interstitial cystitis
  21. Painful bladder syndrome
  22. PID
  23. Pyelonephritis
  24. Vulvodynia- this is repeat , same as #7
  25. Cervical cancer screening
  26. USPSTF recommendation regarding breast exams
  27. BMI
  28. Cervix/Uterus examination
  29. Gravida/Para
  30. Mammogram
  31. Bartholin glands and cysts
  32. Skene’s glands
  33. Nabothian glands
  34. Contraceptives
  35. Stein-Leventhal Syndrome
  36. PCOS
  37. Metronidazole
  38. Cimetidine
  39. ACOG guidelines regarding well women exams
  40. American Cancer Society recommendations
  41. ACOG Pap smear guidelines

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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Essay Assignment Paper

NR 602 APEA myQBank Weekly Practice Questions-Answers-Rationale

  1. Question: The following are risk factors for hypertension in children and teens (choose all that apply):
  2. Question: In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive cardiovascular evaluation should … conducted by the following methods (choose all that apply):
  3. Question: At what age is it appropriate to recommend dietary changes to parents if overweight or obesity is a concern?
  4. Question: The following are risk factors for type 2 diabetes mellitus in children and teens (choose all that apply):
  5. Question: Screening children with a known risk factor for type 2 diabetes mellitus is … at age 10 or at onset of puberty, and should … repeated how often?
  6. Question: Prediabetes in children is … as (choose all that apply):
  7. Question: Risk factors for dyslipidemia in children include (choose all that apply):
  8. Question: Screening cholesterol levels in children with one or more risk factors begins at what age? . Question: An acceptable level of total cholesterol (mg/dL) in children and teens is:
  9. Question: low birth weight, and poor infant growth are risk factors for type 2 diabetes
  10. Question: Prediabetes in children is … as impaired fasting glucose (glucose level ≥100 mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11 mmol/L) or an A1C of 5.7% to 6.4%.
  11. Question: Screening for type 2 diabetes begins at age ___ or at onset of puberty and continues every 2 years until adulthood; at that point, the adult guidelines should … followed.
  12. Question: The AAP screening guidelines for total cholesterol levels in children and adolescents aged 2 to 19 years old are as follows:  Acceptable level is < ____ mg/dL (<9.4 mmol/L), borderline is 170-199 mg/dL (9.4 mmol/L-11 mmol/L), and high is >200 mg/dL (≥11.1 mmol/L)
  13. Question: Children should … screened for family history of cardiovascular disease (CVD) beginning at age ___ and should be periodically updated annually or as required by risk factors during non-urgent health visits.
  14. Question: For at-risk children, fasting lipid levels should … tested after ____ years of age (but no later than 10 years of age) and should be retested in 3-5 years if the values fall within the reference range.
  15. Question: Body mass index (BMI) should … measured beginning at age __
  16. Question: For children between 12 months and 2 years of age for whom overweight or obesity is a concern, the use of _____ fat milk would … appropriate.
  17. Question: Beginning at age ___ if BMI is ≥ 85th percentile, intensify dietary and activity changes to the parent.
  18. Question: Infection with Corynebacterium diphtheriae usually causes:
  19. Question: The tetanus infection is caused by ________, an anaerobic, gram-positive, spore-forming rod. This organism is found in soil and is particularly potent in manure.
  20. Question: Sources of lead that can contribute to plumbism include select traditional remedies such as azarcon and greta.
  21. Question: Patients with plumbism present with which kind of anemia?
  22. Question: Intervention for a child with a lead level of 5 to 44 mcg/dL usually includes all of the following except:
  23. Question: Ingested lead inactivates heme synthesis by inhibiting the insertion of iron into the protoporphyrin ring. This leads to the development of what kind of anemia?
  24. Question: _______ stippling is often noted on red blood cell morphology in lead poisoning.
  25. Question: Lead is significantly toxic to the
  26. Question: Long-term complications of _____ poisoning include behavior or attention problems, poor academic performance, hearing problems, kidney damage, reduced IQ, and slowed body growth.
  27. Question: Unless deleading procedures have been performed, however, most homes built before __ contain lead-based paint.
  28. Question: A diet low in calcium, iron, zinc, magnesium, and copper and high in fat, which is a typical diet for children living in _______, enhances oral lead absorption
  29. Question: In older homes, the point of greatest risk is the ____ because their sills and the putty have high lead concentration. Because toddlers (age 2 to 3) are the ideal height to reach them and are often drawn to open ones, they are at greatest risk and summer is the riskiest season.
  30. Question: Symptoms of elevated _____ levels include abdominal pain and cramping, aggressive behavior, anemia, constipation, difficulty sleeping, headaches, irritability, loss of previous developmental skills in young children, low appetite and energy, and reduced sensations. Very high levels can result in vomiting, staggering walk, muscle weakness, seizures, or coma.
  31. Question: A measure of _____ mcg/dL is now used to identify children with elevated blood lead levels.
  32. Question: Most children with lead levels of 5-44 mcg/dL are treated with removal from the source, improved nutrition, and ______ therapy.
  33. Question: Those with lead levels of 45-50 mcg/dL are treated with a ____agent such as succimer, in addition to the previously listed interventions.
  34. Question: For children with lead levels of greater than 51 mcg/dL, hospital admission with expert evaluation is likely the most prudent course to avoid serious problems (including ____) associated with markedly elevated lead levels
  35. Question: Which of the following represents the best choice of clinical agents for a child who has had a history of penicillin allergy who requires antimicrobial therapy?
  36. Question: The clinical presentation of UTI in children can … without the classic symptoms such as frequency, dysuria, or flank pain.
  37. Question: In younger children, UTI often manifests as ___ __, and ____ with no obvious focal infectious source.
  38. Question: Older children with UTI often present with _____ pain, unexplained fever, or both; as children approach puberty, flank pain becomes more common
  39. Question: _____ should … considered in infants and young children 2 months to 2 years old with unexplained fever, particularly in boys younger than 6 months and girls younger than 2 years who have a temperature greater than or equal to 39°C (≥102.2°F).
  40. Question: A _____ ____ should … obtained in a child with unexplained fever or symptoms that suggest a UTI; however, 20% from UTI cases return a false-negative result.
    Question: Any of the following findings are suggestive, although not diagnostic, of UTI: positive leukocyte esterase, positive nitrite, more than ____ white blood cells (WBCs) per high-power field in spun specimen, and bacteria present in unspun Gramstained specimen.
  41. Question: An acceptable method because of the low rate of skin and fecal contamination is a urine specimen collection via bag or from the diaper.
  42. Question: A single documented UTI in a child must … taken seriously. If an infant or young child 2 months to 2 years old with suspected UTI is assessed as toxic, dehydrated, or unable to retain oral intake, ______is advised.
  43. Question: Oral amoxicillin, TMP-SMX, or a second-or third-generation ______ is recommended as options for initial therapy for UTI in children
  44. Question: The use of _____ has a small risk of treatment failure.
  45. Question: Current evidence-based practice recommendations for UTI in Children indicate a ____ to _____ day course of antibiotics because the outcomes are superior to a 1-to 3-day course in preventing spread of infection and subsequent renal scarring.
  46. Question: Although fluoroquinolone antibiotics have not been widely … in children, ciprofloxacin is approved by the U.S. Food and Drug Administration (FDA) for use in pediatric patients for the treatment of UTI; this use is approved starting at age ___ years old.
  47. Question: Urinary tract imaging should … for all children with UTI, particularly if this occurs before toilet training.
  48. Question: The two mainstays for imaging for UTI in young children are ______(RBUS) and voiding cystourethrography (VCUG)
  49. Question: RBUS is an easily obtained, noninvasive test but can miss a small number of high-grade ______ cases
  50. Question: The benefits of _______ (no radiation exposure, non-invasive, minimal discomfort for child and parents), however, outweigh the slight increase in specificity of VCUG
  51. Question: A ______ scan is useful for detecting renal scarring, a finding present after infection, but is not recommended for routine, initial evaluation of young child with their first febrile UTI.
  52. Question: ______ only is indicated if RBUS reveals hydronephrosis, scarring, or other findings that would suggest either high-grade vesicoureteral reflux (VUR) or obstructive uropathy, as well as other atypical or complex clinical circumstances.
  53. Question: A 4-year-old child presents with fever; exudative pharyngitis; anterior cervical lymphadenopathy; and a fine, raised, pink rash. The most likely diagnosis :
  54. Question: An 18-year-old woman has a chief complaint of “a sore throat and swollen glands” for the past 3 days. Her physical examination reveals exudative pharyngitis, minimally tender anterior and posterior cervical lymphadenopathy, and maculopapular rash. Abdominal examination reveals right and left upper quadrant abdominal tenderness. The most likely … is: .
  55. Question: Kawasaki disease most commonly occurs in what age group?
  56. Question: For acute phase illness (usually lasts about 11 days), fever with T104ºF (40ºC) lasting5 days, polymorphous exanthem on trunk, flexor regions, and perineum, erythema of the oral cavity (“strawberry tongue”) with extensively chapped lips, bilateral conjunctivitis usually without eye discharge, cervical lymphadenopathy, edema and erythema of the hands and feet with peeling skin (late finding, usually 1-2 weeks after onset of fever), no other illness accountable for the findings.
  57. Question: Usually in children age 1-8 years Treatment with IV immunoglobulin and PO aspirin during the acute phase is … with a reduction in rate of coronary abnormalities such as coronary artery dilatation and coronary aneurysm. Expert consultation and treatment advice about aspirin use and ongoing monitoring warranted.
  58. Question: Rates of urinary tract infection (UTI) among uncircumcised infant boys are how much higher than those in circumcised boys?
  59. Question: Which of the following is most likely to … part of the clinical presentation of UTI in a 20-month-old child?
  60. Question: Which of the following is … the ideal method for obtaining a urine sample for culture and sensitivity in an 18-month-old-old girl with suspected UTI?
  61. Question: When choosing an antimicrobial agent for the treatment of UTI in a febrile female child who is 16 months old, the NP considers that:
    Question: When evaluating the urinalysis of a 10-month-old infant with UTI, the NP considers that:
  62. Question: In children 2 months to 2 years old with UTI, antimicrobial therapy should … prescribed for:
  63. Question: The preferred urinary tract imaging study for a 22-month-old girl with first-time febrile UTI is:
  64. Question: VCUG is indicated:
    Question: The urinary tract abnormality most often associated with UTI in younger children is: .
  65. Question: Signs of severe dehydration include (choose all that apply):
  66. Question: The onset of symptoms of food poisoning … by Staphylococcus species is typically how many hours after the ingestion of the offending substance?
  67. Question: The onset of symptoms in food poisoning … by Salmonella species is typically how many hours after the ingestion of the offending substance?
  68. Question: What percentage of body weight is typically lost in a child with moderate dehydration?
  69. Question: Clinical features of shigellosis include all of the following except:
    Question: acute gastritis usually does not have a fever
  70. Question: Asking about the last urination is a helpful way of evaluating dehydration. If the child has voided within the previous few hours, the degree of dehydration is minimal.
  71. Question: Because they contain inappropriate glucose and electrolyte composition, sports drinks such as Gatorade ™, soda, and most fruit juices are ________for rehydration.
  72. inappropriate
  73. Question: The use of antidiarrheal agents is usually discouraged because of the risk of increasing the severity of illness if toxinproducing bacteria are the causative agent.
  74. Question: Warning signs during acute gastroenteritis include _____ coupled with ___or ____-filled stools. If these are present, a bacterial source of infection such as shigellosis should … considered. Stool culture should be obtained, and appropriate antimicrobial therapy should …
  75. Question: Precocious puberty in girls has long been … as the onset of secondary sexual characteristics before the child’s _____ birthday.
    Question: In boys, precocious puberty is … as the onset of secondary sexual characteristics before his ____ birthday.
  76. Question: Thelarche (the isolated appearance of breast development) is common as early as age ___ .
  77. Question: Pubarche (the appearance of pubic hair without other signs of puberty) as early as age ___ in otherwise healthy girls.
  78. Question: A subset of girls, particularly girls with pubertal changes noted before their ____ birthday, often has significant health problems, however, such as ovarian or adrenal tumors. Expert evaluation and referral is indicated in these children.
  79. Question: Delayed puberty is … as no evidence of sexual maturation (Tanner stage 1) in girls older than age __and in boys older than age _____.
  80. Question: The most common reason for precocious puberty in girls is: estrogen..
  81. Question: The most common reason for precocious puberty in boys is: .
  82. Question: Which of the following is noted in a child with premature adrenarche?
  83. Question: Girls typically grow to their adult height by
  84. Question: A 15-year-old male is found to … at Tanner stage 1 on exam. The least likely cause of this finding is:
  85. Question: An innocent heart murmur has which of the following characteristics?
  86. Question: The murmur of atrial septal defect is usually:
  87. Question: A Still murmur:
  88. Question: Grade 1-3/6 early systolic ejection, musical or vibratory, short, often buzzing, heard best midway between apex and LLSB. Softens or disappears when sitting, when standing, or with Valsalva maneuver Louder when supine or with fever or tachycardia Usual onset age 2-6 years; may persist through adolescence Benign condition
  89. Question: Grade 1-2/6 systolic ejection, high-pitched, heard best in pulmonic and aortic areas. Heard only in presence of increased cardiac output, such as fever, anemia, stress. Disappears when underlying condition resolves Usually seen without cardiac disease Most often heard in children and younger adults with thin chest walls
  90. Question: Grade 1-2/6 continuous musical hum heard best at upper right sternal border (URSB) and upper left sternal border (ULS) and the lower neck. Disappears in supine position, when jugular vein is compressed Common after age 3 years. Believed to … produced by turbulence in subclavian and jugular veins Benign condition
  91. Question: Grade 1-3/6 systolic ejection murmur, heard best at ULSB with widely split fixed S 2. Accompanying mid-diastolic murmur heard at fourth intercostal space (ICS) left sternal border (LSB); commonly caused by increased flow across tricuspid valve. Two times as common in girls Child is often entirely well or present with heart failure Often missed in the first few months of life or even entire childhood Watch for children with easy fatigability Cyanosis rare
  92. Question: Grade 2-5/6 regurgitant systolic murmur heard best at LLSB Occasionally holosystolic, usually localized. Thrill may … present and a loud P 2 with large left-to-right shunt. Usually without cyanosis Children with small-to moderate-sized left-toright shunt without pulmonary hypertension likely to have minimal symptoms Larger shunts may result in CHF with onset in infancy
  93. Question: When counseling the family of an otherwise healthy 2-year-old child who just had a febrile seizure, you … the following regarding whether the child is at risk for future febrile seizures (choose all that apply):
  94. Question: A simple febrile seizure actually is most likely to occur as fever is ____(increasing or decreasing) rather than at its peak; however, there is no evidence that the rapidity of the rate of increase is … with febrile seizures.
  95. Question: A familial tendency has been noted with febrile seizure, but is the condition predictive of the development of epilepsy?
  96. Question: A simple febrile seizure is a benign, although frightening, common event in children ___months to ___years old; a child who has had one seizure is at increased risk for a recurrence.
  97. Question: Most children with febrile seizures do not need to … treated with medication. Daily phenobarbital and valproate, reduce risk and could prevent occurrence but risks outweigh the benefits ….
  98. Question: In situations in which parental anxiety about febrile seizures is severe, intermittent oral diazepam (Valium) at the onset of febrile illness.
  99. Question: Do antipyretics prevent febrile seizures?
  100. Question: You exam a healthy 2 month old boy and note that his foreskin cannot … retracted. You consider that:
  101. Question: You examine a thriving 4-week old boy, born at 39 weeks’ gestation, and note a painless, tense, non-reducible, relatively symmetric scrotal enlargement that brightly and evenly trans-illuminates. The parents state the scrotum always looks like this without change in size during the day.  Bilateral testes 1 cm in length, are palpable and held within the scrotum. The penis is about 4cm in length. You consider these findings are most consistent with:
  102. Question: Most of the time a non-communicating hydroceles will resolve on their own by the time the baby is 1 year old.
  103. Question: Communicating or Non-communicating Hydrocele: A Fluid-filled scrotal sac; transilluminates, nontender, testes normal, however amount of fluid in scrotum (scrotal size) varies with position of neonate; larger with dependent upright position (day) and smaller after lying flat (upon awakening) . Due to communication, an infant is at risk for herniation of abdominal contents and should … to pediatric urologist or surgeon.
  104. Question: A ______hydocele occurs due to sealing of the abdominal cavity during gestation with residual trapped peritoneal fluid in the scrotal sac.
  105. Question: What does intussusception result in?
  106. Question: What does pyloric stenosis result in?
  107. Question: Approximately 4:1 male to female ratio.
  108. Question: Sudden onset colicky, severe, an intermittent abdominal pain.
  109. Question: Accompanied by loose stools that are often … as currant jelly appearance (Mixture of blood and sloughed mucous).
  110. Question: Most common time for symptoms onset = Approximately Age 3 weeks.
  111. Question: Post-fed projectile vomiting is present with the baby eager to eat again immediately post emesis
  112. Question: Accompanied by a sausage-shaped abdominal mass.
  113. Question: Olive Shaped abdominal Mass occasionally noted.
  114. Question: Usually occurs in the first year of life
  115. Question: Intussusception is … when a section of intestines invaginates into the adjoining intestinal lumen, causing bowel obstuction, if left untreated is uniformly fatal in _____ to _____
  116. Question: Intussesception symptoms are … by an upper respiratory tract infection.
  117. Question: Puberty is the onset of Tanner Stage ___
  118. Question: In a boy Tanner Stage _ __ consists of testicular enlargement, scrotal skin reddening, sparse growth of long slightly pigmented pubic hair at base of penis.
  119. Question: Gynecomastia is usually … in males at which tanner stage/age?
  120. Question: You see a 17 year old female, as part of the visit you consider her risk factors for T2 Diabetes would likely include all of the following except:
  121. Question: When should you consider doing T2DM screening in Children:
  122. Question: If child is overweight or obese initiate testing at age ___ years or at onset of puberty if puberty occurs earlier. Frequency is every ____ years.
  123. Question: Microcytic, Hypochromic, Elevated RDW is what kind of anemia?
  124. Question: Iron deficiency is most common in children 12-30 months
  125. Question: For mild to moderate dehydration oral rehydration therapy with oral rehydration solution is as effective as parenteral therapy, easier to administer and more cost-effective

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