Description

NR 602 Week 4 Midterm Study Guide (84 Pages)

NR 602 Week 1: Early child development notes (Chapter 6)
Articulation:
Lexicon:
Syntax:
Peer relationships:
Body image:
Theories:
Developmental Assessment:
Screening Tools:
Safety
Gross Motor Development
Sleep

School Age Children
Growth and Development 
Physical development: 
Psychosocial development: 
Conceptual vs perceptual thinking: 
Communication and language development: 
Language development:
Social/Emotional: 
Common fears: 
Symptoms of stress / fear: 
Physical characteristics: 
Dental: 
Nutrition: 
Sleep: 
Safety:

NR 602 Week 2 Chapter 8
Adolescent
Physiologic Changes of the Adolescent
Tanner stages: 
Female stages: 
Male stages: 
Egocentrism of adolescents: 
Principles and approaches to assessment:
Physical Assessment:
Cognitive development:
Phases of adolescence:
• Early adolescence (11-14 years old): most difficult period 
• Middle Adolescence (15-17 years old): stand out for their unique appearance
• Late Adolescence (18 to 21 years old): autonomy 
Risk behavior assessment:
Sexual Activity
Nutritional Needs
• Adolescent interviewing

NR 602 Week 5: Pediatric Orthopedics
Age and likelihood of disorder
Obtaining hx
Sprains
Treatment of sprains:
Strain
Fractures

Neuromuscular conditions
Cerebral Palsy
Diagnosis plan for CP
Problems associated with CP
Signs of possible CP
Goals for CP
Treatment 
CP and IQ

Muscular dystrophies (MD)
Duchenne Muscular Dystrophy
Case Study: 15 yr old male, Dx with DMD at age 5, Wheelchair bound since age 9, Bipap at night, 5kg wt loss in 3 mths, now with complaints of difficulty swallowing, 
• What diagnostic work-up is indicated? Swallow study (condition may cause aspiration), EMG (electromyography) to check muscles nr 602 week 4 midterm
• What is the prognosis for this condition (life span mid 20s) nr 602 week 4 midterm
• Wha.t tx/therapies are needed (thicken feeds, slow softer foods, feeding tube, speech, PT)
• What consult/referrals should be placed?
Characteristics
Dx eval
Manifestation
Management
Guillian-Barre syndrome (GBS)
Case Study: 17 year old male, Hx influenza 2 wks ago, Ataxia, HA, blurred vision, Limping unable to stand on 1 foot, Denies fever, Labs norm CBC and electrolytes, What other studies would you do Laboratory Imaging: MRI or CT scan nr 602 week 4 midterm
Prognosis
Manifestation
Dx eval
Management

Myasthenia Gravis (MG)
Case study (recommended reading): 2 y.o. girl presents with refusal to walk, symptoms started 3 wks ago with fever of 104 and difficulty bearing weight on both lower extremities. xray unremarkable at the time but was positive for AOM which was tx’d with amoxicillin. 1 wk later limp worsened, tx at a community clinic was NSAIDs and heating pads. Further progression brings her to the hospital; no hx of trauma or resp. s/s but 3 mths prior had bloody diarrhea +ve for E. coli and Shigella. Immunizations UTD.
PE: Afebrile, HR 100, RR 24 BP 84/60. full ROM bil. at hips and knees, no deep tendon reflexes in LE at both knees and ankles, limited dorsoflexion of the R foot, no swelling, erythema at any joints. other exam was normal. nr 602 week 4 midterm
Labs: CBC, CMP, CK, CRP, antinuclear antibodies WNL but ESR slightly elevated at 25mm/hr. LE xray and bone scan are -ve
What further test would you do? MRI and CSF
Neonatal MG: 
Juvenile MG: 
Manifestation
Dx eval
Management
Nursing Considerations: 

NR 602 Week 4 (3/22) Mental Health
Common Pediatric Psych Diagnoses
Treating Depression & SSRI use from readings
ADHD Medication Management – from readings
Pediatric Surgery 2/22/18
Pediatric Oncology
Morphologic Diagnosis
Leukemia
Hodgkin’s Disease
Non-hodgkins lymphoma 
Wilms tumor
Osteosarcoma
Ewing Sarcoma
Retinoblastoma
Rhabdosarcoma
Brain Tumors
Cancer Treatment
Post consolidation immunotherapy
Radiation
Bone Marrow Transplant
Hyperleukocytosis
Fever and Neutropenia 
Typhlitis
Superior Vena Cava Syndrome
Spinal Cord Compression
Cancer Treatment Side effects
Cardiotoxicity
Pulmonary Complications
Pulmonary Infections
Neurotoxicity
Guidelines for management of cancer survivors nr 602 week 4 midterm

             ————–84 Pages Document————-

NR 602 week 4 Midterm

pediatric primary care midterm exam