Podcast
Questions and Answers
What blood lead level is considered to be indicative of lead poisoning in children?
What blood lead level is considered to be indicative of lead poisoning in children?
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Which of the following values are NOT within the normal range for Rachel, who is a 10 year old child with no prior medical history?
Which of the following values are NOT within the normal range for Rachel, who is a 10 year old child with no prior medical history?
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Which of the following approaches is a potential cause of inappropriate dosing of therapeutic agents in children?
Which of the following approaches is a potential cause of inappropriate dosing of therapeutic agents in children?
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Which type of medication is more likely to improve adherence in children?
Which type of medication is more likely to improve adherence in children?
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Which of the following involves gathering information about the child’s milestones, such as motor skills and language skills?
Which of the following involves gathering information about the child’s milestones, such as motor skills and language skills?
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Which of the following can increase the discomfort and hinder smooth progress of the physical examination of a toddler?
Which of the following can increase the discomfort and hinder smooth progress of the physical examination of a toddler?
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What is the term used to describe the macular areas of bluish pigmentation found on the lower back region of newborns?
What is the term used to describe the macular areas of bluish pigmentation found on the lower back region of newborns?
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Which of the following tools for pain assessment in infants has been validated in primary pediatrics and in intensive care units?
Which of the following tools for pain assessment in infants has been validated in primary pediatrics and in intensive care units?
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Which of the following signs indicates a healthy motor development in an infant?
Which of the following signs indicates a healthy motor development in an infant?
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Which of the five senses develops first in an infant and is as acute as that of an adult?
Which of the five senses develops first in an infant and is as acute as that of an adult?
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Which of the following serves as an indication of developmental issues in a 3-year-old child?
Which of the following serves as an indication of developmental issues in a 3-year-old child?
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Which of the following reflexes is exhibited by a toddler when about to fall?
Which of the following reflexes is exhibited by a toddler when about to fall?
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What is the average visual acuity of a 5-year-old child?
What is the average visual acuity of a 5-year-old child?
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Which of the following is a potential consequence of negative body image during school age?
Which of the following is a potential consequence of negative body image during school age?
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What is the average daily recommended intake of fat for a school-age child?
What is the average daily recommended intake of fat for a school-age child?
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Which of the following is assessed using Tanner stages?
Which of the following is assessed using Tanner stages?
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Which of the following is the first sign of puberty in males?
Which of the following is the first sign of puberty in males?
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Which of the following is the correct order of typical pubertal development observed in females?
Which of the following is the correct order of typical pubertal development observed in females?
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Which of the following screening methods is recommended in a primary care setting to identify adolescents at risk for depression and suicide ideation?
Which of the following screening methods is recommended in a primary care setting to identify adolescents at risk for depression and suicide ideation?
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Which of the following findings in a newborn is a cause of concern?
Which of the following findings in a newborn is a cause of concern?
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What is the main cause of strabismus in children?
What is the main cause of strabismus in children?
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Which of the following eye disorders is characterized by a painless, granulomatous inflammation of the meibomian gland?
Which of the following eye disorders is characterized by a painless, granulomatous inflammation of the meibomian gland?
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Which of the following eye disorders is characterized by the obstruction of nasolacrimal duct?
Which of the following eye disorders is characterized by the obstruction of nasolacrimal duct?
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Which of the following are the common infectious and inflammatory disorders that affect a child’s ears?
Which of the following are the common infectious and inflammatory disorders that affect a child’s ears?
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What is a common symptom of herpangina?
What is a common symptom of herpangina?
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Which of the following is the most appropriate treatment plan for a 2-year-old child with white-spot lesions on the front teeth and light brown spots cavities on a few other teeth?
Which of the following is the most appropriate treatment plan for a 2-year-old child with white-spot lesions on the front teeth and light brown spots cavities on a few other teeth?
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Which of the following are symptoms commonly associated with kidney tumors in children?
Which of the following are symptoms commonly associated with kidney tumors in children?
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Which of the following is NOT revealed in the health history, examination and workup of a child diagnosed with non-Hodgkin’s lymphoma?
Which of the following is NOT revealed in the health history, examination and workup of a child diagnosed with non-Hodgkin’s lymphoma?
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Which of the following strategies should the FNP not offer to concerned parents of newborns and infants to decrease spitting-up in infants?
Which of the following strategies should the FNP not offer to concerned parents of newborns and infants to decrease spitting-up in infants?
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Which of the following is a common symptom of iron-deficiency anemia in children?
Which of the following is a common symptom of iron-deficiency anemia in children?
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Study Notes
Lead Poisoning and Health Assessment
- Blood lead level of 5 µg/dL or higher is indicative of lead poisoning in children.
- Values outside the normal range for a healthy 10-year-old like Rachel may include abnormal blood pressure, cholesterol, or blood glucose readings.
Medication Dosing and Adherence
- Inappropriate dosing of therapeutic agents in children can result from weight miscalculations, lack of standardization, or underestimating developmental differences.
- Liquid formulations are more likely to improve adherence in children due to easier administration and better taste options.
Developmental Milestones and Exam Comfort
- Gathering information about a child’s developmental milestones involves evaluating skills in motor function and language development.
- Discomfort during a physical exam in toddlers may be increased by factors such as fear of strangers or being restrained.
Dermatological and Pain Assessment in Newborns
- Macular bluish pigmentation on the lower back of newborns is referred to as "Mongolian spots."
- The FLACC scale for pain assessment in infants has been validated both in primary pediatrics and intensive care settings.
Motor Development and Sensory Development
- Signs of healthy motor development in infants include rolling over, sitting unsupported, and crawling.
- The sense of hearing is the first to develop in infants and is acute by the time of birth.
Developmental Indicators and Reflexes
- Delays in social interaction or communication are potential indicators of developmental issues in a 3-year-old.
- The Parachute reflex is exhibited by toddlers when they sense a fall.
Visual Acuity and Body Image
- Average visual acuity in a 5-year-old child is approximately 20/30.
- Negative body image during school age can lead to issues such as low self-esteem or eating disorders.
Nutritional Intake and Tanner Stages
- The average daily recommended fat intake for a school-age child is 25-35% of total daily calories.
- Tanner stages are used to assess sexual maturation during puberty.
Puberty Development
- The first sign of puberty in males typically includes testicular enlargement.
- The typical order of pubertal development in females starts with breast development, followed by pubic hair and then menarche.
Adolescent Screening and Health Concerns
- Recommended screening methods in primary care for adolescents include the PHQ-9 for risk of depression and suicidal ideation.
- Concerns in newborns may arise from findings like abnormal reflexes or jaundice that lasts beyond a typical duration.
Strabismus and Eye Disorders
- The main cause of strabismus in children is often muscle imbalance or neurological issues.
- Chalazion is characterized by a painless, granulomatous inflammation of the meibomian gland, while nasolacrimal duct obstruction leads to excessive tearing.
Ear Disorders and Other Health Conditions
- Common infectious and inflammatory disorders affecting children’s ears include otitis media and swimmer’s ear.
- Symptoms of herpangina typically include fever, sore throat, and vesicular lesions in the mouth.
Dental Treatment and Cancer Considerations
- Appropriate treatment for a 2-year-old with dental decay may involve fluoride varnish and dietary counseling.
- Common symptoms associated with kidney tumors in children may include flank pain, palpable mass, or hematuria.
Iron Deficiency and Parental Guidance
- Common symptoms of iron-deficiency anemia in children include fatigue, pallor, and irritability.
- Providing advice on feeding positions or timing may not reduce spitting-up in infants effectively, but rather may focus on smaller, more frequent feedings.
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Description
Test your knowledge on pediatric nursing concepts including blood lead levels indicating lead poisoning, abnormal values for a 10 year old child, factors leading to inappropriate dosing of therapeutic agents, medication types promoting adherence, assessment of developmental milestones, and challenges in conducting physical examination on toddlers.
