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USA-FNP: CMN 571 > Unit 2: Things to memorize > Flashcards

Unit 2: Things to memorize Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

Routine vaccines for 4-6 years?

A

“Very DIM between 4-6 pm”

Varicella, Dtap, IPV, MMR

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2
Q

Routine vaccines for 11-12 yr

A

“Tada, Human Men”

Tdap, HPV, Meningococcal

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3
Q

Routine vaccine 16 yr

A

“Men get boosted”

Meningococcal

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4
Q

When is HPV routinely given? How many doses?

A 
HPV is given at 11-12 yr (earliest is age 9)
2 doses (6-12 months apart)

IF 15 + for 1st dose; give 1st now, 2nd at 1-2mo, 3rd at 6 months (HPV “Vee” is a pattern like Hep B “Bee”)

Catch up vaccine is recommended through age 18 if not adequately vaccinated

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5
Q

When is Varicella routinely given? How many doses?

A

1st dose: 12-15 months
2nd dose: 4-6 years

2 doses; (at least 3 months apart)

Side note: if the kid is 13 +, the doses can be 4 weeks apart (not months)

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6
Q

When is Tdap routinely given?

A

Age 11-12 years (don’t confuse with DTap)

Tdap should be given between 27-36 weeks in every pregnancy (NO REQUIRED INTERVAL)

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7
Q

When is Hep A routinely given? How many doses?

A 
1st dose: Given between 12-18 months 
2nd dose  (at least 6 months later)
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8
Q

When is Hep B routinely given? How many doses?

A

Birth, 2mo, 6mo

3 doses

**Catch up schedule should be 1st dose now, 2nd dose in 1-2 months, 3rd dose in 6mo (pattern same as routine)

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9
Q

When is Meningococcal routinely given? How many doses?

A

11-12 years

booster given at 16-18 years (“Men get boosted”)

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10
Q

When is influenzae routinely given? What is the minimum age? Who gets 2 doses?

A

Minimum age = 6 months
If age 6mo - 8 yrs for 1st time dose: they get 2 doses, (4 weeks apart)

Then, 1 dose annually

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11
Q

Can influenza vaccine be given if the patient has an egg allergy?

A

Yes, if their egg allergy reaction = hives

If other reaction = give in medical setting under supervision to watch for severe reaction

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12
Q

BMI percentage for underweight?

A

<5% percentile

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13
Q

BMI percentage for overweight?

A

85-95th percentile

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14
Q

BMI percentage for obese?

A

95th percentile or greater

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15
Q

Reminder:

Vaccine at 2 months

A

2 B DR HIP

Hep B, Dtap, RV, HiB, IPV, PCV

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16
Q

Reminder:

Vaccine at 4 months

A

4 DR HIP

Dtap, RV, HiB, IPV, PCV

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17
Q

Reminder:

Vaccine at 6months

A

B DR HIP In 6 mo

Hep B, Dtap, RV, HiB, IPV, PCV and Influenza

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18
Q

Reminder:

Vaccine at 12-15 mo

A

Very MAD HP

Varicella, MMR, Hep A, Dtap, HiB, PCV

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19
Q

Reminder:

Vaccine at 4-6 years

A

Very DIM from 4-6 pm

Varicella, Dtap, IPV, MMR

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20
Q

When do you start screening for obesity annually?

A

2 years

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21
Q

When do you screen females for scoliosis? Males?

A

Females: Age 10 AND 12
Males: between age 13-14 (once)

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22
Q

When do you start screening for depression?

A

Age 12 yr with screening tool PHQ2 or others

Screen annually from age 12

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23
Q

When do you start screening for substance abuse? Tobacco?

A

Start screening for both at 11 years, then yearly

Screen for substance abuse using CRAFFT tool

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24
Q

Age when concrete operations begin?

A

6 years (early school years)(6 bags of concrete)

Also seen in early adolescence, Age 10-13

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25
Q

Age when abstract thinking begins?

A

Age 7-11 (middle childhood)

Also seen in middle adolescence, Age 14-16

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26
Q

When does idealism begin?

A

Usually late adolescence, around age 17

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27
Q

What ages are vision screenings done?

A

years 3, 4, 5, 6, 8, 10, 12, 15

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28
Q

What ages are hearing screenings done?

A

years 5, 6, 8, 10, then 11-14, 15-17, and 18-21

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29
Q

When is routine Dyslipidemia screening?

A

between age 9-11 and 17-21

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30
Q

When should HIV screening be done?

A

Age 15-18

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31
Q

Screen for cervical dysplasia at what age?

A

Age 21

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32
Q

How often do you measure height, weight, BMI, and blood pressure?

A

Yearly

BMI from age 2, BP from age 3

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33
Q

True or False:
All of the below are assessed/completed yearly:
History, developmental surveillance, psychosocial/behavioral assessment, physical exam, immunizations, anticipatory guidance

A

True

History, developmental surveillance, psychosocial/behavioral assessment, physical exam, immunizations, anticipatory guidance should all be completed or assessed at every annual visit

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34
Q

What is enuresis?

A

in ages >5y
2x/week for 3 months
repeated urination in clothes or bed at night;

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35
Q

What is encopresis?

A

repeated passage of stool into inappropriate places (ie underwear); every month x 3 months
Age greater than 4y

**Assess for pathology related to constipation (usual cause)

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36
Q

What age should read 1 syllable words and know when it is morning or afternoon?

A

age 6-7

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37
Q

What age should be able to copy a triangle and draw a 12 detail person?

A

age 6-7

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38
Q

What age should be able to skip smoothly and catch a ball?

A

Age 5-6

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39
Q

What age should be able to copy a + already drawn and draw and 8 detail person?

A

Age 5-6

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40
Q

T or F: a 5-6 year old should have good motor ability, but is likely to have little awareness of dangers

A

True

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41
Q

What age should be able to count by 2s and 5s and also add/subtract 1-digit numbers?

A

Age 7-8

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42
Q

What age can tie their shoes and know what day of the week it is?

A

Age 7-8

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43
Q

Are hearing or vision screenings done at age 7?

A

Nope. Age 6 and 8

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44
Q

What age copies a diamond and draws a person with 16 details?

A

Age 7-8

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45
Q

What age learns borrowing and carrying in addition and subtraction?

A

Age 8-9

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46
Q

By what age should a child know the month, date, and year and be able to recite all the months in order?

A

Age 9-10

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47
Q

What age should build a sentence when given 3 words?

A

Age 9-10

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48
Q

What age learns simple multiplication?

A

Age 9-10

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49
Q

What age should do multiplication and simple division?

A

Age 10-12

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50
Q

What age should do long division and be able to add, subtract, and reduce fractions?

A

Age 12-15

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51
Q

Which vaccine should not be given if the patient has a serious allergy to yeast?

A

Hep B

B is for bread

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52
Q

What are contraindications to the varicella vaccine?

A

immunocompromised patients, pregnancy

live virus

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53
Q

True or false: Meningococcal vaccine is contraindicated if the patient has an allergy to latex

A

True

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54
Q

Should HPV vaccine be given to a pregnant patient?

A

No

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55
Q

A lateral curvature of the spine greater than 10 degrees of deviation from straight.

A

Scoliosis

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56
Q

True or False:

Pulmonary impairment is usually NOT seen with a Cobb angle less than 35

A

True, impairment seen over 40 degrees

*Cobb Angle is a measurement for quantifying spine curvature (magnitude) of scoliosis. It describes max side to side distance of curvature

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57
Q

An exaggerated front to back, forward rounding curve of the upper, thoracic spine.

A

kyphosis

Normal thoracic curve is 20-45 degrees. HIGHER than 45 = pathological

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58
Q

What is BEARS pneumonic used for? What do the letters stand for?

A

Screening for sleep problems.

B- bedtime resistance
E-Excessive daytime sleepiness
A- Awakening during the night
R- regularity and duration of sleep 
S- sleep disordered breathing
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59
Q

What is the first line treatment for pediatric insomnia?

A

Sleep hygiene education and cognitive behavioral therapy

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60
Q

S/S: snoring, morning headaches, dry mouth, daytime sleepiness - consider what diagnosis?

A

Sleep-disordered breathing / Obstructive sleep apnea

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61
Q

ADHD has been found to be associated with what sleep disorder?

A

Obstructive sleep apnea (inattention type)

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62
Q

What disorder is associated with the triad of symptoms:

impulsivity, inattention, and hyperactivity

A

ADHD

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63
Q

True or False: nightmares are usually self limiting and require little treatment

A

True

Nightmares are usually self-limited and require little treatment. They are associated with stress, trauma, anxiety, sleep deprivation, and medications

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64
Q

T or F: It is recommended that quality and quantity of sleep be screened at every well child visit.

A

True

(pg. 81 Hays) Parents will often not bring up sleep and sleep problems have a big impact on the patient and health

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65
Q

What must the patient have to be diagnosed with intellectual disability ?

A

IQ less than 70
adaptive skills more than 2 deviations below the mean

(cognitive AND adaptive deficits)

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66
Q

what age can report their age & knows right and left hand?

A

5-6y

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67
Q

what age has a “concept of 10?” (i.e. may count 10 items or recite from memory)

A

5-6y

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68
Q

what age can describe their favorite tv program in some detail?

A

5-6y

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69
Q

what age does simple chores at home? (taking out garbage, drying silverware)

A

5-6y

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70
Q

what age goes to school unattended or meets the school bus?

A

5-6y

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71
Q

what age copies a triangle?

A

6-7y

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72
Q

what age defines words by USE? (what is an orange? TO EAT)

A

6-7y

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73
Q

what age shows NO MORE evidence of sound substitution? (fr when they mean thr)

A

7-8y (Theven to eight)(trying to come up w something to remember)

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74
Q

what age reads Durrell paragraph #1?

A

7-8y

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75
Q

what age defines words BETTER than by use? (what is an orange? A FRUIT)

A

8-9y

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76
Q

what age can give an appropriate answer to moral based questions?

A

8-9y

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77
Q

what age reads Durrell paragraph #2?

A

8-9y

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78
Q

what age reads Durrell paragraph #3?

A

9-10y

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79
Q

what age is learning simple multiplication?

A

9-10y

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80
Q

what age reads Durrell paragraph #5?

A

10-12y

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81
Q

what age reads Durrell paragraph #7?

A

12-15y

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82
Q

at what age do children reach adult proficiency of language?

A

7-8y

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83
Q

at what age do children have approximately 2560 words & create 6-7 word sentences?

A

6y

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84
Q

thinking. early childhood: 5-7 PER HAY

A
  • concrete operations typically begin after 6y
  • magical thinking diminishes
  • reality of cause-effect is better understood
  • fantasy & imagination are still strong
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85
Q

thinking. middle childhood: 7-11 PER HAY

A

*abstract thinking begins

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86
Q

idealism thinking begins what age?

A

ADD IF YOU KNOW

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87
Q

most common type of scoliosis? who is most affected?

A

idiopathic. adolescent girls during a growth spurt from ages 10-18 (10-12 most often & can be earlier)

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88
Q

congenital scoliosis?

A

at birth

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89
Q

syndromatic scoliosis?

A

associated w a known syndrome

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90
Q

neuromuscular scoliosis?

A

associated w a neuro or muscular disease

91
Q

scoliosis is classified by what?

A

anatomical position of deformity = thoracic or lumbar

92
Q

cobb angle definition

A
  • *describes the maximum distance of side-to-side curvature

* *quantitifes the curve magnitude

93
Q

severe scoliosis can cause?

A

lung function impairment & possible death from cor pulmonale

94
Q

causes of kyphosis?

A
  • congenital & developmental most common

* others = trauma, degenerative (old ladies)

95
Q

EARLY CHILDHOOD (5-7Y) functions to know when child starts kindergarten (per montgomery ppt)

A
  • separation-individualization
  • begins relating to peers
  • sensorimotor coordination (pencil & paper tasks & sports)
  • cognitively focus on one task/problem at a time
96
Q

EARLY CHILDHOOD (5-7y) functions present in first grade (per montgomery ppt)

A
  • numbers, letters, words, begins writing
  • begins CONCRETE operations w 1+ variable
  • can order, #, & classify
  • begins cause-effect relationships
  • play can include fantasy & imagination
97
Q

MIDDLE CHILDHOOD (7-11) functions per montgomery ppt

A
  • importance of school & peer group interactions
  • 7yo strives for achievement in school & acceptance by peers
  • academics intensify in auditory & visual complexity
  • MORE ABSTRACT
  • learning disabilities may become apparent
  • developmental status hard to ID in this age due to complexity of milestones
98
Q

TEMPERAMENT is ______ influenced and ______ over time. p 73-4 HAY

A

*GENETICALLY influenced behavioral disposition that is STABLE over time

99
Q

sleep disorders can be classified as?

A

primary & secondary

100
Q

insomnia types?

A

onset or maintenance of sleep

101
Q

parasomnias include?

A

NREM & REM disorders

*night terrors, sleep walking, sleep talking, nightmares

102
Q

RLS/PLMD sleep disorders

A
  • restless leg syndrome

* periodic limb movemend disorder

103
Q

most common neurodevelopmental disorder?

A

ADD/ADHD

104
Q

triad of symptoms of ADD/ADHD

A
  • impulsivity
  • inattention
  • hyperactivity
105
Q

BOOK: be familiar w ADHD criteria on p. 86 HAY (up to but not including mgmt)

A

just read up table 3-3 on pg 86

106
Q

what category is ASD grouped under in the DSM?

A

pervasive developmental disorders

107
Q

ASD development levels:

A
  • level 1 = support
  • level 2 = substantial support
  • level 3 = very substantial support
108
Q

ASD stats

A
  • approx 1 in 59 (hay)
  • approx 1 in 68 (montgomery ppt)

MALE DOMINANT

109
Q

themes of intellectual disorder (ID)

A

*significant delays in development of language, motor skills, attention, abstract reasoning, visual-spatial skills, academic or vocational achievements

110
Q

dx of ID requires what two dx criteria?

A
  • adaptive skills MORE THAN two standard deviations below the mean
  • IQ < 70
111
Q

cognitive function tends to predict?

A

academic success

112
Q

adaptive function tends to predict?

A

level of independence in ADLs

113
Q

eval for ID should include:

A

complete fam hx, H&P, screening for co-occuring conditions, hearing & vision exam, neuroimaging, genetic eval, thyroid testing

114
Q

BMI 25-29.9 =

A

overweight

115
Q

BMI > 30 =

A

obese

116
Q

BMI = 18.5- <25

A

healthy

117
Q

BMI < 18.5

A

underweight

118
Q

which BMI measurement is more important in children ?

A

PERCENTILES. bc BMI is compared to gender & age. range alone is not properly indicative.

119
Q

healthy BMI percentile

A

5-85th percentile

120
Q

girls usually begin pubertal growth spurt _____ before boys

A

2y

121
Q

SMR 1 =

A

prepuberty

122
Q

SMR 2 =

A

*pubic hair sparse, fine, NONpigmented, downy

123
Q

SMR 3 =

A

*hair becomes pigmented & curly, increases in amount

124
Q

SMR 4 =

A

adult in texture but limited in area

125
Q

appearance of pubic hair typically precedes axillary hair by _____

A

more than 1y

126
Q

what is first sign of puberty in FEMALES

A

*growth spurt

127
Q

SMR 2 in FEMALES

A

breast buds begin
8-13y
pubic hair: sparse, fine, NONpigmented, downy

128
Q

SMR 3 in FEMALES

A

breast & areola enlarge & ELEVATE
menarche may begin
pubic hair: coarse & curly, pigmented, increased amount

129
Q

SMR 4 in FEMALES

A

nipple & areola form separate (secondary) mound, protruding from breast
pubic hair: adult like but limited area

130
Q

SMR 5 in FEMALES

A

areola rejoins breast contour and development is complete

12.5-18.5y

131
Q

menarche usually occurs?

A

during SMR 3 or 2y after breast budding

range 9-15y

132
Q

SMR 2 in MALES

A

testes increase in size & scrotum reddens/thickens

pubic hair: straight at base

133
Q

SMR 2 in MALES

A

testes increase in size & scrotum reddens/thickens
*10-13.5y
pubic hair: straight hair @ base

134
Q

SMR 3 in MALES

A 
penis lengthens (first ejaculate usually in this phase)
pubic hair: coarse, dark, curly
135
Q

SMR 4 in MALES

A

penis widens/enlarges in overall size. scrotal skin becomes pigmented
pubic hair: full but limited in area

136
Q

SMR 5 in MALES

A

“development is complete”

137
Q

developmental passage from childhood to adulthood includes 4 steps

A

1) completing puberty & somatic growth
2) developing socially, emotionally, & cognitively. moving from concrete to abstract thinking
3) establishing an independent identity & independence from family
4) preparing for a career/vocation

138
Q

3 leading causes of death ages 15-19

A

1) MVAs (52%)
2) Suicide (20%)
3) homicide (15.6%)

139
Q

ask about violence/abuse as it can lead to….

A

unintentional injury

140
Q

AAP recc’s depression screen for youth _____+yo using the ____ tool

A

12, PHQ2

141
Q

gateway substances =

A

tobacco, alcohol

142
Q

clues to possible substance abuse =

A

truancy, failing grades, problematic interpersonal relationships, delinquency, depressive affect, chest pains, HA,

143
Q

adolescent SUD screening tools include

A

1) Brief screener for Tobacco, alcohol & other drugs (BSTAD)
2) screening to brief intervention (S2BI)
* *both ask questions about frequency of past year use & triage them into levels 1-3 of substance use disorder

144
Q

AAP stance on pharmacologic screening?

A

OPPOSED. YOU MAY NOT TEST A CHILD JUST BC THEIR PARENT WANTS YOU TO

145
Q

five “A’s” for tobacco cessation

A 
Ask about tobacco use
Advise to quit
Assess willingness/motivation
Assist in quit attempt
Arrange for f/u
146
Q

nicotine dependence can occur in as little as?

A

4w

147
Q

nicotine specific pharm tx for smoking cessation in teens?

A

nicotine gum & patch are approved & recc’d

148
Q

pill pharm tx for smoking cessation?

A

XR bupoprion, clonidine, nortriptyline can decrease relapse rates up to 5x

149
Q

drug prevention: primary

A

focus on preventing initiation (DARE)

150
Q

drug prevention: secondary

A

prevent progression of use (alateen)

151
Q

drug prevention: tertiary

A

targeted @ current users. aim is prevent morbid consequences of SUD (drive a drunk teen home)

152
Q

a depressed teenager is at greater risk for:

A 
drug &amp; alcohol abuse
academic failure
STIs
pregnancy
suicide
153
Q

osgood-schlatter includes ______ onset of ______ related _______ knee pain. swelling & pain over the _________ with progressive ______ of ________

A

p. 860 in HAY
essentials =
*insidious onset of activity-related anterior knee pain in adolescents
*swelling & pain over tibial tubercle
*progressive fragmentation of tibial tubercle apophysis (growth plate)

154
Q

osgood schlatter is caused ______ traction on _______ that occurs during ______ & _____ sports

A

recurrent traction on tibial tubercle apophysis (growth plate) that occurs in jumping & running sports

155
Q

microfractures & fragmentation of the tibial tubercle ST osgood-schlatter occur during times of ______

A

rapid growth

156
Q

osgood schlatter is most common at what ages?

A

pre-teen & adolescent
girls 11-13
boys 12-15

157
Q

osgood schlatter pain is exacerbated by activities using the

A

eccentric quads

158
Q

osgood schlatter radiographs demonstrate

A

fragmentation or irregular ossification of the tibial tubercle

159
Q

osgod schlatter resolves when?

A

spontaneously as the athlete reaches skeletal maturity

160
Q

treatment for osgood schlatter?

A

NSAIDS. PT. stretch hammies. ice after workout.

161
Q

HEADSS assessment for adolescents

A 
Home
Education/employment
Activities
Drugs
Sexuality
Suicide/depression
162
Q

goals of adolescent screening

A

1) deter adols from participating in behaviors that jeapordize health
2) detect physical, emotional, and behavioral problems early & intervene promptly
3) reinforce & encourage behaviors that promote healthy living
4) provide immunization against infectious diseases

163
Q

cervical cancer screening per AAP

A

per USPSTF = 21

164
Q

testicular cancer screening per AAP

A

if pt has hernia, varicocele, or epididymitis

165
Q

BP screening per AAP

A

yearly starting at 3y

166
Q

lipid screening per AAP

A
  • 9-11: fasting lipids or non-fasting LDL & total
  • 18-21: fasting lipids or non-fasting LDL & total

(can test 12-17 if they have risk factors)

167
Q

obesity screening per AAP

A

yearly

168
Q

diabetes screening per AAP

A

10+ w 2+ risk factors screen q2y

169
Q

scoliosis screening per AAP

A

females: 10 AND 12
males: ONCE @ 13-14

170
Q

anemia screening per AAP

A

yearly; ask about diet. screen those w rf’s

171
Q

depression screening per AAP

A

12+ w PHQ2 or other tools

172
Q

substance use screening per AAP

A

11+ w CRAFFT screening tool

173
Q

tobacco screening per AAP

A

11+

174
Q

STI screening per AAP

A

sexually active females

175
Q

HIV screening per AAP

A

once btwn ages 15-18

176
Q

syphillis screening per AAP

A

no recc’s

177
Q

motivational interviewing

A

counseling style that guides pts toward behavior change by helping to resolve ambivalence. effective in adolescents

178
Q

transition to adult care depends on three components

A

provider readiness, family readiness, youth readiness

179
Q

10-13. early adolescence: cognitive development. HAY pg 114

A
  • growing capacity for abstract thought
  • interested in present, limited thought of future
  • intellectual interests expand
  • deeper moral thinking
180
Q

14-16. middle adolescence: cognitive development

A
  • continued growth of capacity for abstract thought
  • greater capacity for setting goals
  • interest in moral reasoning
  • thinking about meaning of life
181
Q

early adolescence = 10-13: social/emotional development

A
  • struggle w sense of identity
  • worries about being normal, feels awkward
  • realize parents arent perfect, increased conflict w parents
  • desire for independence
  • tendency to return to childish behavior when stressed
  • moodiness
  • rule & limit testing
  • greater interest in privacy

TENLEY is almost 13. Shes moody, she just wants to be left alone to feel awkward in peace. Shes fighting with her parents and testing the rules. Shes just trying to find her identity.

182
Q

middle adolescence: 14-16: social/emotional development

A
  • intense self-involvement
  • continued adjustment to changing body & worries about being normal
  • distance from parents, drive for independence
  • peers gain importance
  • feelings of love & passion

FOURTEENA only cares about two things: herself & her friends. sometimes she drives around town to get away from her parents. she loves a boy but is worried she’s too weird.

183
Q

fragile X syndrome

A

most common inherited cause of ID

present w: developmental delays, social anxiety, hyperactivity, difficult behavior in early childhood

184
Q

fragile X syndrome in males

A
  • gaze aversion, preservative language, hand biting, significant hypersensitivity to environmental stimuli
  • may meet criteria for ASD (makes sense given above)
  • macroorchidism (big balls)
  • elongated facial features (big face)
185
Q

fragile X syndrome is commonly associated w what conditions

A

seizures, strabismus, otitis media, GERD, mitral valve prolapse, hip dislocation

186
Q

fragile X syndrome in girls

A

*elongated thin face, prominent ears, promoinent jaw & forehead, joint hyperextensibility BUT girls may be less effected since they have another X chromosome

187
Q

fragile X syndrome mgmt

A 
testing for family carriers
treat symptoms (adhd, aggression, moodiness)
188
Q

fetal alcohol syndrome

A

can range from learning disabilities to severe ID

189
Q

features associated w FASD

A
  • facial anomalies: short palpebral fissures, thin upper lip, smooth philtrum
  • poor prenatal or postnatal growth
  • CNS abnormalities like poor brain growth
  • neurobehavioral impairment
  • major congenital cardiac, skeletal, renal, ocular, or auditory malformations or dysplasias
190
Q

________ procedures are the leading source of opioid prescriptions to youth

A

dental

191
Q

most popular supplement abuse in teens

A

anabolic-androgenic steroids, steroid hormone precursors, creatine, human growth hormone, diuretics, protein supplements

192
Q

CAGE questionairre

A 
Feel the need to 
Cut down?
Annoyance if asked about it?
Guilt related to consumption of substance
Eye-opener, needs it in the morning

**2+ highly suggestive of substance abuse

193
Q

stages of change

A
  1. precontemplation
  2. contemplation
  3. determination
  4. action
  5. maintenance
  6. relapse
194
Q

nutrition for children 2y +

A

1) 3 meals/day
2) variety
3) <35% calories from fat
4) cholesterol <100-300
5) carbs 45-65% (<10% from simple sugars)
6) limit grazing, eating while distracted, soft drinks, other sugary beverages
7) limit sodium by limiting processed foods & added salt
8) lean meats, poultry, fish, skim or low fat milk, veggie oils, fruits & veggies

195
Q

severe obesity range

A

99th percentile+

196
Q

Stage 1 HTN in kids:

A

greater than 95th-99th percentile + 12mm Hg

197
Q

stage 2 HTN in kids:

A

greater than the 99th percentile + 12mm Hg

198
Q

kids w HTN should have what labs done

A

CBC, serum nitrogen, creatinine, electrolytes, lipids, glucose, urinalysis, renal ultrasound

199
Q

minimal acceptable visual acuity ages 3-5

A

20/40

200
Q

minimal acceptable visual acuity ages 6+

A

20/30

201
Q

drowning is _____ leading COD in kids 5-19

A

third

202
Q

AAP screen time reccs for 5yo

A

1h/day

203
Q

medical home traits

A

1) accessible
2) family centered
3) continuous
4) comprehensive
5) coordinated
6) compassionate
7) culturally effective

204
Q

growth deficiency def

A

child greater than 6m has not grown for 3 consecutive months

205
Q

PHQ-2:

A

two question questionairre. if pt scores >1+ then admin the PHQ-9

206
Q

PHQ-9:

A 
9 question questionairre. 
1-4 = minimal
5-9 = mild
10-14 = moderate
15-19 = moderate severe
20-27 = severe
IF PT ANSWERS YES TO #9 THEY MUST HAVE FURTHER ASSESSMENT (#9 is a suicide question)
207
Q

Which stage of adolescence is interested in the present, worried about being normal, and has more interest in privacy?

A

Early adolescence , age 10-13

208
Q

Which stage of adolescence sets goals, thinks about the meaning of life and has deeper moral thinking? They also have a drive for independence and thinks peers are very important

A

Middle adolescence, age 14-16

209
Q

Which stage of adolescence thinks through ideas, has concerns for the future, is more emotionally stable, and has greater concern for other people?

A

Late adolescence, age 17 +

210
Q

subtypes of ADHD disorder

A
  • hyperactive-impulsive
  • inattentive
  • combined
211
Q

subtypes of ADHD disorder

A
  • hyperactive-impulsive
  • inattentive
  • combined (most common)
212
Q

normal hearing definition kids >5y

A

can hear 500, 1000, 2000 and 4000hz frequencies at 0-20 decibels. if need volume over 20 decibels. indicates hearing loss. refer.

213
Q

when to refer kids >5y for hearing issues

A

any child requiring volume greater than 20 decibels in order to hear 500, 1000, 2000, and 4000hz frequencies

214
Q

when to refer kids for vision issues

A
  • 3-5y if vision <20/40
  • 6+y if vision <20/30
  • anyone with a two-line discrepancy between eyes (even if the scores are still passing)
  • children w fam hx amblyopia, strabismus, retinoblastoma, retinal degeneration
  • children w down syndrome
215
Q

memory trick for ages 5-6 development

A

FIVEL plays ball on a team of 10 other self-proclaimed 5-6 year olds. He is number 8. He can catch with his left AND right hand. Sometimes he skips bases bc he’s dreaming of his favorite TV show. At home, he is a fearless but good boy; helps with simple chores, and even catches the bus by himself.

(ages 5-6)(catches ball)(concept of ten)(tells age)(8 detail person)(knows left from right)(skips smoothly)(describes fav tv show in some detail)(not aware of danger)(simple chores)(catches bus or goes to school unattended)

216
Q

memory trick for ages 6-7 development

A

SIX in the morning is too early. Why are you awake drawing a triangle, the number 12, and random 1-syllable words???? This is of no use to anyone!

(ages 6-7)(knows morning & afternoon)(draws a triangle, a 12 detail person)(can read 1-syllable words)(knows words by their use)

217
Q

memory trick for ages 7-8 development

A

SEVERINA laces up her diamond dance shoes and counts by 2’s and 5’s. It is Wednesday which means she has dance class with 16 other little girls. Her homework today is to read 1 paragraph & practice single digit addition & subtraction.

(ages 7-8)(can tie shoes)(can draw diamond)(can count by 2’s & 5’s)(knows day of week)(16 detail person)(Durrell paragraph 1, can add & subtract 1-digit numbers)

218
Q

memory trick for ages 8-9 development

A

EIGHT minutes is all it took the overly useful children to read 2 paragraphs and answer the moral based
questions. Give or take a few seconds. You can borrow the book, I’ll carry it for you.

(ages 8-9)(defines words by more than use)(Durrell paragraph 2)(can appropriately answer moral questions)(addition & subtraction)(is learning borrowing & carrying)

219
Q

memory trick ages 9-10 development

A

3 x 3 is NINE. today is september, 9th, 2020.

(simple multiplication) (makes a sentence w three words) (reads durrell paragraph 3) (ages 9-10) (knows months of year & today’s date)

220
Q

memory trick ages 10-12 development

A

TENLEY does her multiplication & division tables 5 times a day

(ages 10-12)(multiplication & simple division)(durrell paragraph 5)

221
Q

memory trick ages 12-15 development

A

TWELVE problems of math homework. You must add & subtract fractions & then reduce them to their lowest form. 7 questions will be long division.

(ages 12-15)(add/subtract fractions & reduce)(durrell paragraph 7)(long division)

222
Q

temperament is an _______ psychological attribute that is expressed as a response to an _____ stimulus

A

temperament is an INDEPENDENT psychological attribute that is expressed as a response to an EXTERNAL stimulus

223
Q

temperament is:

A

the style in which the child interacts w its environment

USA-FNP: CMN 571 (5 decks)

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