Unit 2 Review Questions Flashcards
What is the purpose of utilizing the AAS tool in practice?
IPV screening tool in the pregnant population (five-question screen that involves the following open-ended
questions)
What is the BEST way to successfully obtain social history info from adolescent?
questionnaire (most often adolescents feel more comfortable divulging this info on paper)
To conduct a bimanual examination on a patient, how should this be performed?
using one or two fingers in the vagina with the other hand placed on the abdomen
The overall highest rate of syphilis in men occurs during which age group?
20-24yr
What tool is used to categorize genital development?
SMR (sexual maturity rating)
When going to insert the speculum, what can the FNP do simultaneously to help distract attention from the placement of the speculum?
touch the inner aspect of the patient’s thigh or apply gentle pressure to the perineum (away from the introitus)
while inserting the speculum
School-aged children – teens are most likely to drown in what conditions?
large bodies of water (swimming pools/open water)
During the physical exam of a 5-6-year-old patient, the FNP will assess/observe and perform what universal
screening(s)?
US: hearing, vision
assess/observe for:
- ocular motility
- malocclusion
- fine/gross motor skills
- gait
First conspicuous sign of puberty for girls?
breast buds (occurs between 8-11yr)
The repeat BP is 120/80. What category is this considered? Likely, the cause of the previous falsely elevated BP
reading was?
normal BP; white coat syndrome, improper cuff size/measurement techniques, or use of stimulants
Regarding the positioning of the patient during a pelvic exam, the appropriate placement is?
dorsal lithotomy position AFTER equipment / supplies are ready (Patients with orthopedic or other physical
disabilities require accommodation for proper positioning and comfort)
During adolescence, substance abuse is limited to what?
experimentation with tobacco and ETOH
You inquire from the patient whether he is taking steps to actively lose weight in which he states he has increased
physical exercise and monitoring weight loss per week. From the previous BMI of 95th percentile to his current 93%
- would you instruct the patient to continue losing weight OR maintain weight?
maintain weight (age 12-18yr: once you’ve reached 85 to <95% range, you can maintain weight); however, being this patient is still considered OVERWEIGHT you would reiterate the need for continued physical activity daily (60min per day) and healthy eating choices.
During the physical exam of a 7-8-year-old patient, the FNP will assess/observe?
- malocclusion
- SMR (1st time this happens)
- hip/knee/ankle function
- gait
What age is puberty complete by? A: 15-16 B: 16-17 C: 16-18 D: 17-18
C
What is the primary cause of unintentional injury?
MVA
What are some clues to substance abuse seen in adolescents? SELECT ALL THAT APPLY? A: delinquency B: elevated mood C: chronic fatigue D: generalized physical complaints
A, C, D (truancy, failing grades, problems with interpersonal relationships, delinquency, depressive affect, chronic fatigue, and unexplained physical complaints)
Age 6-7: copies a __; defines words by __; knows if it’s _______ or _______ (time of day); draws a person with how many details? __; reads several ____-syllable words; knows approx. how many words?
triangle what is morning/afternoon 12 1 2560 words
The developmental passage from childhood to adulthood includes which of the following - SELECT ALL THAT APPLY!
A: completes puberty
B: establishes an identity while maintaining closeness with family
C: prepare career
D: develops socially and emotionally
E: moves from abstract to concrete thinking
A, C, D (establishes own identity and separates from family; moves from concrete to abstract thinking)
What is the formula for BMI?
weight and height (kg/m2)
What screening should begin at 12 years old?
Depression screening
Patient presents to the ED with tachycardia, HTN, elevated core body temp, hyperreflexia, tremors, seizures, nausea/vomiting. What substance do you suspect they are withdrawing from?
alcohol, barbiturates, or benzos
What age does rapid physical, emotional, cognitive, and social development begin? A: 9-10 B: 12-13 C: 11-12 D: 13-14
C
Hearing screenings are conducted at which aged visits?
5, 6, 8, 10, 11-14yr and 18-21 yr