CMN568/ CMN 568 (Latest 2023/ 2024) Intro to Family NP Unit 4 Exam Questions and Verified Answers| 100% Correct| Grade A
CMN568/ CMN 568 (Latest 2023/ 2024) Intro
to Family NP Unit 4 Exam Questions and
Verified Answers| 100% Correct| Grade A
Q: What are contraindication s to an air contrast enema?
Answer:
perforation, shock, and peritonitits
Q: What is usually classic hx of appendicitis?
Answer:
abd pain that starts in the periumbilical area and migrates to the right lower quadrant, along with
low-grade fever, a small amount of emesis, and anorexia
Q: What exacerbates the pain associated with appendicitis?
Answer:
movement and the child frequently walks stooped over
Q: What does examination of a child with appendicitis usually reveal?
Answer:
point tenderness in the right lower quadrant with voluntary guarding, and perhaps some rebound
tenderness. He or she will typically move slowly, grimace with sitting up, and grab his or her
right side at the first jumping attempt.
Q: How can pain in the RLQ be illicited in a child that has suspected appendicitis?
Answer:
Hitting the soles of the feet and jumping up and down
Q: What findings would be indicative of an appendix rupture?
Answer:
peritoneal signs: decreased bowel sounds, a distended abdomen, and tenderness and guarding in
all quadrants with palpation and percussion
Q: What should you order if you suspect appendicitis, and what should you initiate?
Answer:
CBC, electrolytes, and a u/a. Aggressive IV hydration.
Q: What difference is seen in the cbc of a child with appendicitis vs. a ruptured appendix?
Answer:
mildly elevated white blood count (WBC) with a left shift vs. a white count is often markedly
elevated, with a left shift and an increased band count
Q: What can often mimic appendicitis?
Answer:
ovarian torsion
Q: The menstruating child will often be midcycle with an ovarian torsion? T/F
Answer:
T
Q: What should you order if you suspect an ovarian torsion?
Answer:
A CT or U/S and surgery consult
Q: What reflex will be absent in a testicular torsion?
Answer:
cremasteric reflex
Q: Any male child that presents with abdominal pain
Answer:
Q: A child who present to the ED with testicular pain requires what?
Answer:
u/a and u/s
Q: If the manual reduction of an incarcerated inguinal hernia is unsuccessful and there is blood
in the stool upon rectal exam, or if the hernia has been incarcerated for more than 12 hours, what
should you do?
Answer:
order surgical consult
Q: What are 2 serious causes of hematochezia?
Answer:
meckel’s diverticulum and intussusception
Q: The patient with Meckel’s diverticulum often has no abdominal pain but may become
profoundly __?
Answer:
anemic
Q: What labs should be ordered in a pt. with suspected meckel’s diverticulum?
Answer:
H/H and type and crossmatch
Q: What is the most useful method of detecting Meckel’s diverticulum?
Answer:
technetium-99m pertechnetate scanning
Q: What is celiac disease?
Answer:
an inherited autoimmune disorder involving the small bowel that results from an inflammatory
reaction to gliadin (wheat, rye, and barley)
Q: What occurs in the small intestine due to inflammation in celiac disease?
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