NR-602 Primary Care of the Childbearing and Childrearing Family Practicum
Midterm Review
Where should a newborn sleep for the first 6 months?
Correct Answer:
In parents’ bedroom, on a separate surface.
How is the digestive system of a newborn?
Correct Answer:
Immature w/decreased enzymatic activity. Saliva is present in minimal amounts. Digestion does not fully function until 3 months of age.
When do babies produce pancreatic enzymes?
Correct Answer:
4-6 months
By age 1, how much should the child eat?
Correct Answer:
- meals daily and 2 snacks.
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Newborns should be screened based on what? And when?
Correct Answer:
Based on state laws. Normally screened before discharge, but If they were screened before 24 hours of life, they need to be screened again by 14 days old.
Which newborns are at higher risk for hypoglycemia?
Correct Answer:
Newborns who were born to mothe rs with poorly controlled diabetes, LGA, or SGA. They need serum glucose level screening.
Which newborns are screened for hemolysis?
Correct Answer:
Newborns with a positive Coombs test due to maternal md. Hold blood incompatibility.
Mothers of newborns should be screened for?
Correct Answer:
HIV and HepB. Some nurseries screen both for syphilis.
What are two other screenings typically used for newborns before discharge?
Correct Answer:
Congenital heart disease by pulse oximetry and bilirubin by transcutaneously or serum
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What is true about universal hearing screening for newborns?
Correct Answer:
Recommended by 1 month old.
Special attention to newborns are higher risk: low birth weight, rubella or
infection, malformation, trauma, asphyxia, prematurity, ICU stay, or antibiotic use.
well child visits should be completed at what ages?
Correct Answer:
- weeks, 2 months, 4 months, 8 months, 10 months, 12 months, 15
months, 18 months, 21 months, 24 months.
How should screening for abuse be done?
Correct Answer:
Should be done at every visit, with open ended questions to both the parents and child.
Pediatric Physical Assessment includes?
Correct Answer:
Head to toe, growth measurements, screenings, risk assessments, immunizations, health education, anticipatory guidance.
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What is a sports physical or pre-participation physical evaluation?
Correct Answer:
An exam that identifies any conditions that may prevent participation in a sports activity or impact the Childs safety during participation
what is the HEADSS Assessment
Correct Answer:
A screening tool used for adolescents beginning at 12 years of age. Obtains historical data on risky behaviors.
H: home environment
E: education/employment
A: activities
D: drugs
S: sexuality, suicide, depression
S: safety
What can be The first sign of an endocrine disorder?
Correct Answer:
Deviation from a normal growth pattern.
What physical findings are associated with endocrine pathology?
Correct Answer:
Signs of dehydration., exophthalmos, and tachycardia
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