Midterm Exam: NR602 / NR 602
(Latest Update 2024 / 2025) Primary Care of the Childbearing and Childrearing Family Practicum | Exam Review Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
When does anaphylaxis occur?
Answer:
Immediately or up even 2 hours later
Question:
What could cause anaphylaxis?
Answer:
Food, latex, medications, insects (ex. bee sting)
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Question:
Can antihistamines and steroids replace an epipen?
Answer:
No
Question:
What could allergy symptoms indicate besides environmental allergy?
Answer:
Food allergy URI
Question:
What is the first line treatment for allergic rhinitis?
Answer:
Intranasal steroid but cannot use long term in kids because can delay bone growth
Question:
Which grade murmurs are pathological and require referral to specialist?
Answer:
3-6
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Question:
Characteristics of murmurs
Easily heard, systolic, pulmonic area, heard in axilla, harsh crescendo decrescendo, heard mid-systole, medium sound
Answer:
intensity - easily heard timing - systolic location - pulmonic area radiation - heard in axilla quality - harsh crescendo decrescendo timing - mid-systole pitch - medium
Question:
Grades of murmurs (1-6)
Answer:
- - barely audible
- - soft but audible
- - louder but no thrill
- - loud and palpable thrill
- - can be heard with stethoscope partially off chest and thrill is palpable
- - audible without stethoscope
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Question:
What do you do for murmurs grade 1-2?
Answer:
monitor
Question:
- types of innocent murmurs
Answer:
peripheral pulmonary stenosis (babies) FLOW murmur - normal FLOW, thin chests (kids-teens) Still's murmur - be STILL to hear MUSIC (kids) Venous HUM - what was that? I heard a HUM - turn head and it disappears (kids)
Question:
Difference between acyanotic and cyanotic congenital heart disease
Answer:
Acyanotic - not cyanotic so there is oxygen rich blood but the flow is abnormal
Cyanotic - less oxygenated blood
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