NR 602 Midterm Test Bank: Pediatric Care Topics questions with 100% correct answers + rationales -Chamberlain

Functional health pattern alteration

A possible change in health behavior, such as a parent smoking around a child with asthma despite advice against it.

Infant's weight below the 3rd percentile

A condition indicating potential health issues, especially when the mother does not comply with the feeding regimen.

Concrete operational stage

A developmental stage where children can understand the link between stress and symptoms of diseases like irritable bowel syndrome (IBS).

Health behavior prediction model

A framework used to discuss lifestyle changes, such as the behavioral change model, health belief model, health promotion model, or transtheoretical model.

Health belief and self-efficacy model

A teaching approach that encourages children to manage asthma by understanding their health and the importance of medication adherence.

Stage of change

The phase in which an individual expresses a desire to lose weight but is reluctant to give up certain foods, indicating contemplation.

Maintenance stage of change

A phase where an individual who quit smoking experiences cravings and must manage social situations involving smoking.

Diabetes management

The process of monitoring and controlling blood sugar levels, which may involve assessing parental support and knowledge.

Motivational Interviewing

A counseling approach that involves enhancing a patient's motivation to change by exploring and resolving ambivalence.

Reframing Technique

A technique used to help clients view a situation from a different perspective, often to reduce negative feelings.

FleschKincaid Readability Test

A tool used to estimate the reading level of English texts.

Gunning Fog Index

A readability test that estimates the years of formal education needed to understand a text.

SMOG

A readability formula that estimates the years of education needed to understand a piece of writing.

Health Literacy

The ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions.

Sleep Disorders

Conditions that impact the quality, timing, and amount of sleep, which can affect overall health.

Leptin

A hormone that helps to regulate energy balance by inhibiting hunger.

Ghrelin

A hormone that stimulates appetite, increasing food intake and promoting fat storage.

Sudden Infant Death Syndrome (SIDS)

The sudden and unexplained death of an otherwise healthy infant, usually during sleep.

Optimal Sleep for Infants

The recommended amount of sleep for a 2-week-old infant is 15 to 18 hours per day.

Bedsharing and SIDS

Bedsharing with infants greatly increases the risk of SIDS.

Breastfeeding and SIDS

Breastfeeding does not appear to have any influence on SIDS risk.

Day Care and SIDS

Infants who attend day care have a higher than usual incidence of SIDS.

Immunization and SIDS

There is no difference in SIDS rates in immunized versus nonimmunized infants.

Child Sleep Patterns

Most sleep disorders in children are benign and will be outgrown.

Sleep Log

A record kept by parents to track their child's sleep patterns.

Weight Management in Adolescents

Counseling strategies for obese adolescents to help them manage weight without giving up favorite foods.

Nicotine Withdrawal Symptoms

Symptoms experienced after quitting smoking, which are typically temporary.

Consultation with a Dietician

A recommendation for developing an appropriate diet for children who are overweight.

Sleep Study

An assessment conducted to diagnose sleep disorders.

Child's Daytime Naps

Children may need longer daytime naps to compensate for lost sleep.

Obesity in Adolescents

A condition where adolescents have excessive body fat that may impair health.

Parental Involvement in Care

The active participation of parents in their child's health and treatment.

Assessment of Sleep Disorders

Evaluating sleep patterns and behaviors to identify potential sleep disorders.

Importance of Diabetes Control

Reminding parents about the significance of managing their child's diabetes effectively.

Social Worker Referral

Referring families to social workers to help overcome obstacles to care.

Child's Health Literacy

Ensuring that parents understand health information related to their child's care.

Child's Cravings and Behavior

Understanding the relationship between a child's cravings for high-calorie foods and their behavior.

Sleep resistance

A common developmental problem in toddlers where they resist going to sleep.

Cosleeping

Sleeping in the same bed as the child to alleviate possible nighttime fears.

Sleep disorders clinic referral

A recommendation for evaluation of sleep-disordered breathing.

Second morning nap

Reintroducing a second nap to compensate for lost sleep in toddlers.

Child falling asleep without a parent

A situation where a child cannot sleep unless a parent is present.

Reward system for sleep

Offering a reward for each night the child falls asleep without the parent.

Sleep hygiene

Practices that promote good sleep quality and duration.

Sleep interfering behaviors

Actions that disrupt a child's ability to fall asleep.

Diphenhydramine

An antihistamine that can be used as a sleep aid.

Lorazepam

A medication that can be prescribed for sleep difficulties.

Melatonin

A hormone that regulates sleep-wake cycles and can be used as a supplement.

Zolpidem

A medication used for the short-term treatment of insomnia.

Sleepwalking

A disorder characterized by walking or performing other complex behaviors while asleep.

Sleep terror

A type of sleep disorder that involves episodes of terror during sleep, typically resolving over time.

Parasomnia

A disorder characterized by abnormal or unusual behavior during sleep.

Ferritin level of 30

A measure indicating potential iron deficiency, which can affect sleep.

Clonazepam

A medication that may be used for treating sleep disorders.

Ferrous sulfate

An iron supplement that may be used to treat iron deficiency.

Gabapentin

A medication that may be used to treat certain types of pain and seizures, and can also help with sleep.

Sertraline

An antidepressant that may also improve sleep patterns.

Sleep hygiene program

A structured approach to improve sleep quality through lifestyle changes.

Craniofacial surgery

A surgical intervention that may be discussed for children with sleep disordered breathing.

Oral appliances

Devices used to treat obstructive sleep apnea by keeping the airway open.

Positive airway pressure therapy

A treatment for obstructive sleep apnea that uses a machine to keep the airway open.

Supplemental oxygen

Additional oxygen provided to patients with sleep disordered breathing.

Staccato cough and fever in infants

A 2-month-old infant presenting with these symptoms requires careful history taking to determine the diagnosis.

Viral infection indicator in WBC count

An elevated lymphocyte count suggests a viral infection.

Concerning lab value for bacterial infection in infants

A white blood cell count of 14 is most concerning in an infant with fever and suspected bacterial infection.

Laboratory test for monitoring osteomyelitis therapy

Erythrocyte sedimentation rate (ESR) is ordered to monitor response to long-term antibiotic therapy.

Populations with higher under-immunization rates

Populations with lower rates of primary providers may have higher rates of under-immunization.

Initial step for parents reluctant to vaccinate

Providing Vaccine Information Statements for the parent to review is an initial step in addressing concerns.

Vaccine adverse reactions information

The primary care pediatric nurse practitioner will inform the parent that there is some risk of CNS disorders associated with the hepatitis B vaccine.

Comfort medications after infant immunizations

Administering ibuprofen or acetaminophen as needed is recommended to increase comfort and minimize fever.

Reason for MMR vaccine timing

Maternal antibodies neutralize some vaccines and are delayed until 12 months, explaining why MMR is not given at 2, 4, and 6 months.

Action for adopted child with vaccination records

The nurse practitioner should find out whether the vaccines were provided by reliable suppliers.

MMR immunization timing issue

The nurse practitioner will recommend the next dose of MMR vaccine at 4 to 5 years of age if given too soon.

DTaP

Vaccine given to a 5-year-old child with a history of pertussis infection.

HPV vaccine

Protects against HPV oncogenic types even if already exposed.

PCV7

Vaccine ordered for an 18-month-old child with bronchopulmonary dysplasia to prevent pneumococcal disease.

MMR and Tdap

Vaccines ordered for a 5-year-old child who received VariZIG after exposure to varicella.

HAV vaccine

Treatment warranted for a 3-year-old child with symptoms of hepatitis.

Consult a pediatric infectious disease specialist

Action for managing a 10-month-old infant with chronic hepatitis B infection.

Obtain regular absolute neutrophil counts

Management for an infant taking oral acyclovir after neonatal herpetic infection.

Perform serologic testing for human herpes virus 6 and human herpes virus 7

Action for a 9-month-old infant with fever and rash.

Administer varicella immune globulin (VariZIG)

Action for an immunocompromised child with fever and rash.

The child may attend day care

Advice for a child exposed to chickenpox without symptoms.

Consider therapy with rimantadine

Action for an 18-month-old child with upper respiratory symptoms and negative influenza test.

Tdap

Vaccine option for older children and adults.

DTP

Older version of the diphtheria, tetanus, and pertussis vaccine.

Td

Tetanus and diphtheria vaccine for older children and adults.

PCV13

Vaccine for pneumococcal disease, often given to children.

PCV23

Pneumococcal vaccine recommended for older children and adults.

PCV33

Not a standard pneumococcal vaccine.

MMR

Vaccine for measles, mumps, and rubella.

Varivax

Vaccine for varicella (chickenpox).

Interferonalfa

Treatment option for chronic hepatitis B infection.

Supportive care

General treatment for various pediatric conditions.

Papanicolaou screening

Cervical cancer screening test.

Immunoglobulin G

Treatment option for hepatitis exposure.

Oral acyclovir

Antiviral medication for herpes simplex virus.

Intravenous acyclovir

Treatment for severe herpes virus infections.

Intravenous immunoglobulin

Treatment option for immunocompromised patients.

Rimantadine

Antiviral medication considered for influenza treatment.