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Galen Peds Exam 1 questions with answers
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Enabling |- |CORRECT |ANSWERS |✔✔families |are |given |the | opportunity |to |display |caring |behaviors empowerment |- |CORRECT |ANSWERS |✔✔families |are |given | opportunities |to |maintain |sense |of |control |and |make |positive | changes Influences |on |Childs |health |- |CORRECT |ANSWERS |✔✔social |(primary | vs. |secondary), |self |esteem, |community, |peer |groups, |culture, | religion Trust |vs. |Mistrust |- |CORRECT |ANSWERS |✔✔(0-1yr) |If |needs |are | dependably |met, |infants |develop |a |sense |of |basic |trust Autonomy |vs. |Shame |and |Doubt |- |CORRECT |ANSWERS |✔✔(1-3yrs) | Erikson's |stage |in |which |a |toddler |learns |to |exercise |will |and |to |do | things |independently; |failure |to |do |so |causes |shame |and |doubt
Initiative |vs. |Guilt |- |CORRECT |ANSWERS |✔✔(3-6yrs) |Erikson's |third | stage |in |which |the |child |finds |independence |in |planning, |playing | and |other |activities Industry |vs. |Inferiority |- |CORRECT |ANSWERS |✔✔Erikson's |stage | between | 6 |and | 11 |years, |when |the |child |learns |to |be |productive identity |vs. |role |confusion |- |CORRECT |ANSWERS |✔✔(12-18yrs) | Erikson's |stage |during |which |teenagers |and |young |adults |search | for |and |become |their |true |selves sensorimotor |stage |- |CORRECT |ANSWERS |✔✔in |Piaget's |theory, |the | stage |(from |birth |to |about | 2 |years |of |age) |during |which |infants | know |the |world |mostly |in |terms |of |their |sensory |impressions |and | motor |activities preoperational |stage |- |CORRECT |ANSWERS |✔✔in |Piaget's |theory, | the |stage |(from |about | 2 |to | 6 |or | 7 |years |of |age) |during |which |a | child |learns |to |use |language |but |does |not |yet |comprehend |the | mental |operations |of |concrete |logic concrete |operational |stage |- |CORRECT |ANSWERS |✔✔in |Piaget's | theory, |the |stage |of |cognitive |development |(from | 7 |to | 11 |years |of | age) |during |which |children |gain |the |mental |operations |that |enable | them |to |think |logically |about |concrete |events
cooperative |play |- |CORRECT |ANSWERS |✔✔play |in |which |children | genuinely |interact |with |one |another, |taking |turns, |playing |games, | or |devising |contests |(school |age) Developmental |Milestone | 1 |month |- |CORRECT |ANSWERS |✔✔flexed | position, |can |turn |head |side |to |side developmental |milestone | 2 |month |- |CORRECT |ANSWERS | ✔✔vocalizes |distinct |from |crying, |social |smile developmental |milestone | 3 |month |- |CORRECT |ANSWERS |✔✔holds | objects |but |will |not |reach |for |them, |turns |head |to |follow |sounds, | coos/squeals |to |show |pleasure developmental |milestone |4month |- |CORRECT |ANSWERS |✔✔moro, | tonic |neck, |rooting |reflexes |gone, |almost |no |head |lag, |rolls |from | back |to |side, |plays |with |hands, |laughs developmental |milestone | 5 |month |- |CORRECT |ANSWERS |✔✔rolls | from |abdomen |to |back, |grasps |objects |voluntarily developmental |milestone |6month |- |CORRECT |ANSWERS |✔✔teething | (2 |lower |central |incisors), |imitates |sounds, |babbles |one |syllable, | briefly |searches |for |dropped |objects
developmental |milestone |7months |- |CORRECT |ANSWERS |✔✔sits, | leans |forward |on |hands, |transfers |objects |from |one |hand |to | another, |increased |stranger |danger developmental |milestone |8months |- |CORRECT |ANSWERS |✔✔sits | steadily |unsupported developmental |milestone |9months |- |CORRECT |ANSWERS |✔✔pulls | self |to |standing |position, |creeps |along |furniture, |crude |pincer |grasp developmental |milestone | 10 |month |- |CORRECT |ANSWERS | ✔✔develops |object |permanence developmental |milestone |11month |- |CORRECT |ANSWERS |✔✔cruises | or |walks |with |both |hands |held developmental |milestone | 12 |months |- |CORRECT |ANSWERS |✔✔birth | weight |tripled, |birth |length |increased |by |50%, |walks |with | 1 |hand | held, |says |3-5 |words |besides |mama |or |dada developmental |milestone | 15 |months |- |CORRECT |ANSWERS | ✔✔steady |growth, |creeps |up |stairs, |says |4-6 |words
developmental |milestones |11-14yrs |- |CORRECT |ANSWERS |✔✔body | image |issues, |mood |swings, |conforms |to |group |norms developmental |milestones |15-17yr |- |CORRECT |ANSWERS |✔✔abstract | thinking, |self |centered developmental |milestones |18-20yrs |- |CORRECT |ANSWERS | ✔✔physically |mature, |able |to |view |problems, |increase |in |self | esteem, |emotional/physical |separation how |does |infant |react |to |hospitalization/illness |- |CORRECT | ANSWERS |✔✔reliant |on |parent, |needs |primary |nurse |and |routine how |does |toddler |react |to |hospitalization/illness |- |CORRECT | ANSWERS |✔✔disrupts |autonomy, |may |cause |regression, |needs | daily |routine how |does |preschooler |react |to |hospitalization/illness |- |CORRECT | ANSWERS |✔✔may |see |as |punishment, |needs |reassurance how |does |school |age |react |to |hospitalization/illness |- |CORRECT | ANSWERS |✔✔strives |for |independence |but |fears |abandonment, | injury, |death
how |does |adolescent |react |to |hospitalization/illness |- |CORRECT | ANSWERS |✔✔may |cause |anger, |benefits |from |contact |with |peers seperation |anxiety:protest |phase |- |CORRECT |ANSWERS |✔✔clings |to | parents, |cries |and |screams seperation |anxiety: |despair |phase |- |CORRECT |ANSWERS |✔✔stops | crying |and |shows |signs |of |depression seperation |anxiety: |detachment |phase |- |CORRECT |ANSWERS | ✔✔denial |and |resentment |but |will |be |content Nutrition: |infant |- |CORRECT |ANSWERS |✔✔Breast |milk |or |formula |is | best, |don't |microwave, |solid |foods |after |6months Nutrition: |toddler |- |CORRECT |ANSWERS |✔✔may |present |with | physiological |anorexia, |wants |sense |of |self |control Nutrition: |preschool |- |CORRECT |ANSWERS |✔✔growth |slows |and | stabilizes, |needs | 1800 |calories/day nutrition: |school |age |- |CORRECT |ANSWERS |✔✔wt |doubles, |ht | increases |2inch/yr, |needs |balanced |diet
moderate-severe: |opioids, |morphine, |dilaudid Heart |Diagnostic |Tests |- |CORRECT |ANSWERS |✔✔H&P, |ecg, |echo, | heart |cath Heart |problem |indicators |- |CORRECT |ANSWERS |✔✔poor |feeding, | failure |to |thrive, |developmental |delays, |family |hx Increased |Pulmonary |Blood |Flow |Defects |- |CORRECT |ANSWERS | ✔✔too |much |blood |coming |from |heart, |all |blood |doesn't |pump | when |needed, |atrial |septal |defect, |left |to |right |shunting, |hole | between |two |atriums |in |top |chambers, |baby |will |appear |pink VSD |(ventricular |septal |defect) |- |CORRECT |ANSWERS |✔✔most | common |congenital |heart |defect, |left |to |right |shunting, |hole |in | bottom |chambers, |may |close |on |its |own |or |need |mesh |to |repair, | baby |will |appear |blue |and |have |murmur PDA |(patent |ductus |arteriosus) |- |CORRECT |ANSWERS |✔✔Failure |of | the |ductus |arteriosus |to |close |after |birth, |allowing |blood |to |flow | from |the |aorta |into |the |pulmonary |(lung) |artery (less |vascular |resistance |after |lungs |inflate |reverses |fetal |blood |flow | through |DA) Indomethacin |drug |therapy |or |heart |surgery |to |prevent |CHF, | emboli.
May |have |no |cyanosis. coarctation |of |the |aorta |- |CORRECT |ANSWERS |✔✔congenital |cardiac | condition |characterized |by |a |narrowing |of |the |aorta, |increased | pressure |to |head/neck, |decreased |pressure |to |lower |extremeties aortic |stenosis |- |CORRECT |ANSWERS |✔✔narrowing, |pertaining |to | aorta, |weak |pulse, |hypotension, |increased |HR, |tx: |balloon | angioplasty pulmonic |stenosis |- |CORRECT |ANSWERS |✔✔narrowing |of |the | opening |and |valvular |area |between |the |pulmonary |artery |and |right | ventricle Tetralogy |of |Fallot |(TOF) |- |CORRECT |ANSWERS |✔✔set |of |four | congenital |heart |defects |occurring |together, |baby |will |appear |blue, | tet |spell, |knee |to |chest |position |to |ease |work |of |breathing Transposition |of |the |great |arteries |- |CORRECT |ANSWERS | ✔✔Newborn |is |cyanotic |@ birth, |O2 |does |not |improve Truncus |arteriosus |- |CORRECT |ANSWERS |✔✔Gives |rise |to |ascending | aorta |and |pulmonary |trunk
s/s: |fever |>102.2, |strawberry |tongue, |red |soles |of |feet/hands, | conjunctiva |redness, |rash |on |trunk |and |peri |area, |lethargy management: |high |dose |IVIG, |no |live |vaccines |for | 11 |months tonsillitis |- |CORRECT |ANSWERS |✔✔inflammation |of |the |tonsils s/s: |difficulty |swallowing, |mouth |breathing management: |pain |management, |antibiotics, |tonsillectomy |(post-op: | clear |liquids, |no |coughing/crying/screaming, |call |MD |if |vomiting | bright |red |blood) otitis |media |- |CORRECT |ANSWERS |✔✔inflammation |of |the |middle | ear |with |acute |symptoms |(fever |and |pain), |caused |by |RSV, |flu, |viral | infections OME |- |CORRECT |ANSWERS |✔✔Otitis |media |with |effusion Fluid |in |middle |ear |but |no |inflammation croup |- |CORRECT |ANSWERS |✔✔an |acute |respiratory |syndrome |in | children |and |infants |characterized |by |obstruction |of |the |larynx, | hoarseness, |and |a |barking |cough Epiglottitis |- |CORRECT |ANSWERS |✔✔inflammation |of |the |epiglottis- EMERGENCY s/s |- |drooling, |stridor, |retraction, |tripoding
LTB |- |CORRECT |ANSWERS |✔✔laryngotracheobronchitis, |usually | caused |by |RSV s/s: |low |grade |fever, |night |time |barking |cough, |stridor, |retractions management: |breathing |tx, |steroids, |humidified |cool |air what |are |general |croup |management |? |- |CORRECT |ANSWERS | ✔✔airway, |maintain |hydration, |high |humidity |w/cool |mist, |nebulizer | tx, |epinephrine, |steroids Bronchiolitis |- |CORRECT |ANSWERS |✔✔Inflammation |of |the | bronchioles, |caused |by |RSV s/s: |fever, |cough, |retractions, |wheezing, |crackles, |tachypnea management: |humidified |o2, |nasal |suction, |continuous |O2 |monitor Pertussis |(whooping |cough) |- |CORRECT |ANSWERS |✔✔severe |cough, | antibiotics, |highly |contagious, |isolate |for | 5 |days |after |starting | antibiotics asthma |- |CORRECT |ANSWERS |✔✔chronic |inflammatory |disorder, | wheezing, |breathlessness, |chest |tightness, |PFTs, |PEFR, | bronchodilators, |corticosteroids, |inhaler, |avoid |allergens
childhood: |constipation, |ribbon-like, |distention, |peristalsis Esophageal |Atresia |and |Tracheoesophageal |Fistula |- |CORRECT | ANSWERS |✔✔failure |of |the |esophagus |to |develop |as |a |continuous | passage |during |fetal |development. s/s: |apnea, |increase |respiratory |distress, |coughing, |choking NPO, |IVF, |bed |at | 30 |degrees, |antibiotics Hypertrophic |Pyloric |Stenosis |(HPS) |- |CORRECT |ANSWERS | ✔✔Constriction |of |the |pyloric |sphincter |with |obstruction |of |the | gastric |outlet s/s: |vomiting |30-60min |after |feeding, |no |pain, |chronic |hunger, |wt | loss, |dehydration, |palpable |olive-like |mass dx: |ultrasounds surgical |correction intussusception |- |CORRECT |ANSWERS |✔✔telescoping |of |the | intestines |(more |common |in |males) Intussusception |treatment |- |CORRECT |ANSWERS |✔✔NG |tube |for | decompression operation |to |pull |intestine |out |of |itself; |if |necrotic, |they |have |to |cut | that |section |out
intussusception |symptoms |- |CORRECT |ANSWERS |✔✔intense | abdominal |pain, |abdominal |distention, |jelly |stools, |bilious |vomit, | lethargy, |shallow |breathing celiac |disease |- |CORRECT |ANSWERS |✔✔disease |caused |by | sensitivity |to |gluten symptoms |of |celiac |disease |- |CORRECT |ANSWERS |✔✔diarrhea, | abdominal |distention, |fat |malabsorption, |weight |loss Celiac |disease |diagnosis |- |CORRECT |ANSWERS |✔✔Intestinal |biopsy, | clinical |improvement |w/gluten-free |diet, |serologic |testing gastroesophageal |reflux |disease |(GERD) |- |CORRECT |ANSWERS | ✔✔backflow |of |contents |of |the |stomach |into |the |esophagus, |often | resulting |from |abnormal |function |of |the |lower |esophageal | sphincter, |causing |burning |pain |in |the |esophagus