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Finall Exam:l NRl 602/l NR602l (Latestl
2026/l 2027l Update)l Primaryl Carel ofl thel Childbearingl andl Childrearingl Familyl Practicuml Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain
Q:l Mongolianl spots
Answer:
-Congenitall dermall melanocytosis;l flatl bluish-grayl skinl markingsl commonlyl appearingl atl birthl orl shortlyl thereafter;l theyl appearl commonlyl atl thel basel ofl thel spine,l onl thel buttocksl andl backl andl alsol canl appearl onl thel shoulders -Al benignl condition
Q:l Leadl poisoning
Answer:
-Alsol calledl plumbism;l screenl atl 9-12l monthsl andl againl atl 24l months;l initiall leadl levell ofl >5mcg/dll isl al concern -developmentall delay,l learningl difficulties,l irritability,l lossl ofl appetite,l weightl loss,l sluggishness/fatigue,l abdominall pain,l vomiting,l constipation,l hearingl loss,l seizures,l pica -TX:l removel sourcel ofl contamination,l chelationl therapy,l EDTAl chelationl therapyl (injection)
Q:l Headaches
Answer:
-Redl flagsl includel suddenl onset,l worseningl patterns,l systemicl illness,l focall neurologicall signs,l andl papilledema -Triggeredl byl Valsalva,l cough,l exertion,l duringl pregnancy,l orl postpartuml shouldl bel addressedl immediately 1 / 4
Q:l Tensionl headache
Answer:
-Tighteningl feelingl (non-pulsating),l withl orl withoutl photophobia,l withoutl N/V,l orl exacerbationl duringl activity;l txl involvesl avoidingl triggersl andl NSAIDsl forl painl relief
Q:l Migraine
Answer:
-Atl leastl 3l ofl thel following-visual,l sensoryl orl motorl aura;l abdominall pain,l n/v,l throbbingl HA,l unilaterall location,l relievedl afterl sleep,l andl familyl history;l usuallyl frontal;l occipitall headachesl arel rarel andl requirel STATl evaluation -School-agel childrenl mayl presentl withoutl headachel butl withl visuall aural xl 10l minutesl andl resolingl withinl anl hour;l considerl triggers-stress,l fatigue,l anxiety,l andl diet
Q:l Headachel Diagnostics
Answer:
-Nol initiall tests -EEG,l CT/MRIl neuroimagingl ifl nol improvement,l neurologicl changesl noted,l orl worseningl HA
Q:l Headachel TX
Answer:
-Avoidl triggers,l encouragel biofeedback,l schedulel regularl activitiesl (meals,l exercise,l sleeping) -Tylenoll 10-15mg/kgl everyl 4-6l hours;l ibuprofenl 10mg/kgl everyl 6-8l hours;l codeinel forl childrenl >l 12l yearsl old;l cyclizinel (antiemetic)l 25mgl everyl 6-8l hoursl inl childrenl >l 6l yearsl old -Consultl specialistsl forl usel ofl triptans-notl approvedl forl pediatricl use
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Q:l Headachel prevention
Answer:
-Betal blockers,l CCB,l antiepileptics,l cyproheptadine
Q:l Musculoskeletall assessmentl ofl thel infant
Answer:
-Observation,l palpation,l rangel ofl motion,l strengthl testing,l andl functionall assessment.l Observationl focusesl onl posture,l bodyl symmetry,l andl movement.l Palpationl shouldl includel thel skin,l muscles,l andl joints
Q:l Cysticl Fibrosis
Answer:
-Newbornl screeningl includesl IRTl usingl thel Guthriel card.l Ifl IRTl isl elevated,l al sweatl chloridel testl orl genel analysisl shouldl bel obtained.l Ifl CFl isl confirmed,l referl tol pulmonaryl specialist
Q:l Cysticl fibrosisl treatment
Answer:
-Infants-saltl supplementation;l olderl children-saltl food;l goall forl infantsl isl tol bel abovel 50thl percentilel weight-for-length -High-fatl dietl withl wholel milk;l informl CFl centerl forl weightl lossl orl lackl ofl weightl gain -ABXl arel initiatedl atl al lowerl thresholdl forl childrenl withl CFl andl mayl continuel forl al longerl duration -Lifel expectancyl isl steadilyl increasingl andl isl dependentl onl dailyl preventivel care;l alwaysl askl aboutl CFl regimenl adherence -Nol personl tol personl interactionsl withl othersl withl CFl tol preventl cross-infection
Q:l Concussion
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Answer:
-Traumaticl brainl injuriesl duel tol directl headl injuryl resultingl inl thel brainl movingl backl andl forthl rapidly -Assessl forl changesl inl cognition,l mentall status,l memory,l attention,l coordination,l hematomas,l andl clearl fluidl drainagel froml thel nosel orl ears -Neurol referrall isl warrantedl ifl symptomsl persistl >l 2l weeks
-Treatment:l Tylenol;l closel observationl isl key,l avoidl straining
Q:l TBI
Answer:
-Falls,l sports-relatedl injuries,l motorl vehiclel accidents,l violencel andl assaults,l andl beingl struckl byl orl againstl objects -Boysl experiencel headl injuryl twicel asl frequentlyl asl girls -Childrenl withl impulsel controll issuesl mayl experiencel morel headl trauma -Childrenl whol survivel theirl injuriesl mayl havel significantl long-terml disability -CTl scanl isl preferredl inl emergencyl situations
Q:l Sicklel Celll Anemia
Answer:
-Geneticl conditionl preventingl thel bodyl froml formingl Hgbl Al moleculel butl ratherl hemoglobinl S,l whichl carriesl thel aminol acidl valinel insteadl ofl glutamicl acid,l causingl RBCsl tol havel al sickledl shape -Thel sickledl shapel isl rigidl andl clogsl smalll bloodl vesselsl producingl ischemia,l pain,l andl otherl vasoocclusivel problems;l causesl chronicl hemolyticl anemia -Fatigue,l anemia,l abdominall pain,l painl crises,l swellingl ofl thel hands/feetl (dactylitis),l arthritis,l bacteriall infections,l legl ulcers,l eyel damage,l lung/heartl injury,l asepticl necrosis,l priapism,l poolingl ofl splenicl bloodl (sequestration),l liverl congestion
Q:l SSAl TX
Answer:
-Referl tol pediatricl hematologist
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