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FNP practice 2021-2022 > Peds SM > Flashcards

Peds SM Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

sits up unassisted

A

6 months

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2
Q

hold a spoon

A

15-18 months old

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3
Q

stand

A

9 months

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4
Q

mama and dada with meaning

A

12 months

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5
Q

walk

A

12 months old to 17 months

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6
Q

copy a circle, throw a ball, ride a tricycle

A

3 years

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7
Q

draw a cross

A

4 years

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8
Q

ride a bicycle

A

5-6 years

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9
Q

separation anxiety

A

8 - 9 months

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10
Q

Palmer grasp goes away

A

5-6 months

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11
Q

Anterior fontanelle closure? Posterior?

A

A: 12-18 months
P: 2-3 months

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12
Q

When should strabismus go away?

A

4-6 months

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13
Q

Genu varum disappears by age? Genu vargum?

A

rum: 2 years
gum: 7 years

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14
Q

What supplement with an infant need if exclusively breastfed?

A

effective = 6-8 wet diapers, gaining weight

vitamin D

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15
Q

Premature infants catch up by what age?

A

by 2 years old

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16
Q

A bilirubin level >___ indicates a need for phototherapy in the newborn

A

> 15

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17
Q

A white pupillary reflex on fundoscopic exam indicates what? What term is used to describe “white pupillary reflex”

A

leukocoria is white reflex

retinoblastoma or congenital cataract

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18
Q

When is a common time to see a regression in children?

A

life changes

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19
Q

Breast budding

A

tanner stage 2

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20
Q

breasts are one mound

A

tanner stage 3

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21
Q

Start of period

A

tanner stage 4

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22
Q

breasts are 2 mounds

A

tanner stage 4

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23
Q

growth spurt in boys

A

tanner stage 3

24
Q

increase in penis length

A

tanner stage 3

25
Q

scrotum reddening

A

tanner stage 2

26
Q

What age is too early for puberty?

A

girls age 8

boys age 9

27
Q

How many years will a girl start her period after the start of puberty?

A

2-3 years

28
Q

At what age should the NP become concerned when a female has not had a period?

A

age 15

29
Q

long term effects of anorexia

A

osteoporosis

heart disease

30
Q

long term effects of bulemia

A

dental erosion

31
Q

What are Salter Harris fractures? Why is this a big deal?

A

fx along growth plate - long bones

will stunt growth if not reated

32
Q

A past medical history of cryptorchidism may increase the risk of? What is this?

A

increase testicular cancer

undescended testicle

33
Q

When will Mongolian spots resolve?

A

age 5 years

34
Q

Describe AOM. Treatment?

A

bulging, inflamed TM

Amoxicillin

35
Q

Swimmer’s ear or otitis externa, describe, caused by, and treatment

A

foul smelling ear, red

pseudomonas = otofloxcin drops and analgesic drops

36
Q

An ear that was painful until drainage

A

ruptured TM

37
Q

Cholesteatoma

A

cauliflower like growth in the ear

ENT for surgery

38
Q

How is otitis media with effusion treated?

A

can be caused by allergies or after AOM

watch and wait

39
Q

Coarctation of the aorta

A

decreased femoral pulses, elevated BP in UE over LE

40
Q

Vesicoureteral reflux, grade 1 - 5. When should you refer? What anticipatory care should be taught?

A

1 (mild) - 5 (severe)
refer by stage 3 - may resolve on its own
needs a voiding cystourethrogram to confirm

41
Q

A child with a thin upper lip, smooth philtrum, and low nasal bridge. What do you suspect?

A

Fetal alcohol syndrome

42
Q

Causes of acne in adolescents? Three step approach?

A

genetics and androgens

OTC topicals like benzoyl > topical antibiotics > oral antibiotics > refer

43
Q

Short stature and webbed neck

A

Turner’s syndrome

delayed puberty and infertility

44
Q

pain over anterior tibial tubercle near tendon insertion site, what is this? What is the treatment?

A

Osgood-Schlatter disease

NSAIDs, ice, patient will outgrow this once bones stop growing

45
Q

A child complaining of nasal pain and his mother reports drainage from the right nare. What is going on?

A

possible foreign body

46
Q

what is a keloid?

A

overgrowth site of incision or injury

47
Q

what is a hypertrophic scar?

A

heal over time, might be painful and stays within borders of scar

48
Q

What is a hydrocele? When should we be concerned?

A

abnormal accumulation of fluid around testes

infant: resolves on own

49
Q

A 6 year old with fever for 5 days, a strawberry tongue, and peeling rash. What do you suspect? What is the treatment?

A

Kawasaki’s disease

tx: high dose aspirin, IVIG

50
Q

Pyloric stenosis

A

projectile vomiting
olive-shaped mass
ultrasound!

51
Q

Intussusception

A

jelly like stools
sausage shaped mass
ultrasound!

52
Q

Trust vs Mistrust

A

0-18 months
hope
depend on primary care giver

53
Q

Autonomy vs Shame

A

18 months- 3 years
will
controlling functions, walking, talking, bathroom

54
Q

Initiative vs Guilt

A

3-5 years
purpose
interaction, interpersonal skills, games, questions

55
Q

Industry vs Inferiority

A

5-12 years
competency
hard-working, read, write, math, win recognition

56
Q

Identity vs Role confusion

A

12-18 years
fidelity
self identity, values, beliefs, goals, career, relationships

FNP practice 2021-2022 (19 decks)

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