CMN568/ CMN 568 (Latest 2024/ 2025) Intro to Family NP FINAL Exam Questions and Verified Answers| 100% Correct| Grade A Incidence of Fever - ANSWER One of most common reasons for parents to seek medical care.Preschoolers have an average 6-8 febrile illnesses a year.Definition of fever - ANSWER Rectal temperature ≥ 100.4°F Tympanic temperature - ANSWER Not accurate in infants under 3 months Fever Causes - ANSWER Most common Benign viral illness, can also caused by bacterial or fungal infections, drug reactions including immunizations, malignancies, autoimmune or metabolic disorders, CNS disorders, excessive environmental temperatures. 1 / 4
Factors that increase likelihood of serious bacterial illness - ANSWER Age under 3 months, history of prematurity, chronic medical conditions such as immunosupression or aspenia, previous hospitalizations, daycare. Toxic appearance Non-Toxic appearance - ANSWER Strong cry Consolable Alert and easy to arouse Pink skin tones Good hydration; good turgor, tears, moist mucous membranes Smiles, responsive to environment Toxic appearance - ANSWER Weak or high pitched cry Inconsolable Difficult to arouse Pale, ashen, cyanotic, or mottled skin tones Poor hydration; poor turgor, dry mucous membranes, no tears No smile, listless, dull, infant won't alert to environment 2 / 4
Signs of serious illness - ANSWER Fever greater than 40 (105) Nuchal rigidity Petechial skin rash Seizure activity Stridor or increased WOB
Physical exam signs of serious infection: Skin - ANSWER
Petechiae, rashes
Physical exam signs of serious infection: head/neck - ANSWER
Sunken or bulging fontanelles, nuchal rigidity
Physical exam signs of serious infection: ears - ANSWER
Bulging TM, AOM, mastoiditis 3 / 4
Physical exam signs of serious infection: Chest - ANSWER
Tachypnea, wheezing, rales, rhonchi
Physical exam signs of serious infection: Heart - ANSWER
Murmurs
Physical exam signs of serious infection: Abdomen - ANSWER
Tenderness, distension
Physical exam signs of serious infection: Musculoskeletal - ANSWER
Refusal to bear weight or use an extremity, erythema/warmth over joint Diagnostic tests for fever in infant and young child - ANSWER CBC w/ Diff (WBC > 15,000 may indicate SBI. Child with overwhelming sepsis my have WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
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