6541 Pediatric Midterm Exam - Questions With Answers

1. Child abuse- When is it necessary to report child abuse as a NP? Who do you report to? Do you risk anything by reporting? {Ans: · As nurses we are mandated reporters of child abuse. · Each state has their own child abuse law. And who it is reported to. But typically, it is a child abuse hotline. There is a national line 1-800-4-A-CHILD · Child abuse is a HIPAA exception. So, no you will not get in trouble.}What kinds of problems occur in newborns from Vitamin A deficiency? {Ans: Common in resource limited countries, associated with xeropthalmia and other ocular signs. Earliest symptom is night blindness, followed by xerosis (dryness of conjunctive and cornea-image). Progression leads to ulcerations, perforation and scarring of cornea. Other symptoms may include hyperkeratosis, pruritus, growth retardation and increased risk to infection.}Inactivated poliovirus (IPV <18 yrs) {Ans: 1st dose 2 mo, 2nd dose 4 mo, and 3rd dose between 6-18 months. 4th dose btw 4-6 years old}What age can an infant sit up on their own? {Ans: 6-7 Months}Influenza (IIV) OR Influenza (LAIV) {Ans: 1st dose for (IIV) 6 months-6 years old, 1st dose for (LAIV) starts at 2-3