Week 1 - NP role etc

Question 1

Pediatric NP role

Answer 1

i. Primary interface between family and child and health system
ii. Focus on health promotion and protection, disease and disability prevention
iii. First contact point and the hub of care coordination
iv. Continuity and family care

Question 2

Primary care NP role

Answer 2

Favorably influence the natural history of disease, but the anticipatory preventive actions they take are different based on the disease, disease stage, and the provider’s role in the health system

Question 3

Acute care NP role

Answer 3

Managing acute illness

Question 4

Tertiary care

Answer 4

Preventing more disability/death - limit the physical and social consequences of symptomatic disease. The goal is to improve survival and/or quality of life

Question 5

Disability limitation (tertiary care)

Answer 5

Correcting the anatomic and/or physiologic components of disease, thus preventing or limiting the impairment or disability caused by the disease

Question 6

Rehabilitation (tertiary care)

Answer 6

mitigate the ultimate effects of the disease by preventing total social and/or functional disability or by restoring the disabled persons to a useful and self-sufficient role in society through psychosocial, medical, and/or vocational services.

Question 7

Quaternary care

Answer 7

Extension of tertiary care. Includes experimental medicine, rare diagnostic or surgical techniques. Small number of facilities offer these services.

Question 8

Immunizations

Answer 8

Contain a suspension of microorganisms which may be inactivated, partially inactivated and attenuated. Introduction causes an antigen-antibody response to reduce or eliminate disease symptoms in future exposure.

Question 9

Vaccines for children

Answer 9

Vaccines for children (VFC) program which provides free vaccines to uninsured, underinsured, Medicaid eligible and native American clients. 50% of all US vaccinations are provided through this program

Question 10

Sudden infant death syndrome

Answer 10

Unexplained death of infant prior to 1 year of age.

Usually occurs before 6 months old, typically 1-4 months old

Question 11

Prevention of SIDS

Answer 11

i. Sleep on back until age 1
ii. No soft pillows, toys or other objects in the crib
iii. Use infant sleep clothing rather than blankets
iv. Use firm mattress with fitted sheet and no other bedding
v. Offer pacifier during sleep times
vi. Sleep in same room with parents but own bed
vii. Breastfeed if possible
viii. Avoid overheating
ix. Do not use commercial devices for sleep
x. Do not allow smoke, drugs or alcohol in home when caring for child

Question 12

Lead poisoning

Answer 12

Severe lead poisoning may cause anemia, hypertension, and toxicity and lead to coma or death.

Lead can affect brain development, causing lower intelligence quotient (IQ), attention spans, antisocial behaviors, and lower educational attainment

Question 13

Screening and management of lead poisoning

Answer 13

Universal lead screening at 12 months and 24 months

According to the CDC (2021), if the initial lead screening level is higher than 3.5 µg/dl, a venous blood lead level should be obtained to confirm findings.

Question 14

Treatment for lead poisoning

Answer 14

Chelation therapy, a medication that binds to lead to excrete via urine, is recommended for levels greater than 45 µg/dL.