Midterm Exam: NR 602 NR602

Midterm Exam: NR 602 / NR602

(Latest Update 2025 / 2026) Primary Care of the Childbearing and Childrearing Family Practicum | Questions & Answers | Grade A | 100% Correct – Chamberlain

Question:

What are the symptoms of epiglottitis?

Answer:

Abrupt onset of fever, irritability, muffled voice, severe sore throat, dyspnea, dysphagia leading to drooling and increased respiratory distress; inspiratory and sometimes expiratory stridor.

Question:

What position do patients with epiglottitis typically adopt?

Answer:

Tripod sitting position with arms back, trunk forward, neck hyperextended, and chin thrust forward.

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Question:

What radiological sign is associated with epiglottitis?

Answer:

Thumb sign on X-ray.

Question:

How long does an acute epiglottitis infection usually last?

Answer:

It does not usually last more than 48-72 hours.

Question:

When should the airway be assessed in a patient with epiglottitis?

Answer:

Airway assessment should only be done in the OR when there is ventilatory support nearby.

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Question:

What is the prophylactic treatment for household contacts if H. Influenzae is identified as the causative agent of epiglottitis?

Answer:

Rifampin prophylaxis of 20 mg per kilogram in a single dose up to 600 mg for four days for infants and children, and 600 mg once a day for adults for four days.

Question:

When to assess for Retinoblastoma in high risk patients

Answer:

● High risk children require dilated fundus examinations by an ophthalmologist ○ monthly for the first twelve months of life ○ every 2 months for ages 12 to 24 months ○ every 3 months from ages 24 to 36 months ○ every 4 months from ages 36 to 48 months ○ every 6 months from ages 48 months to 7 years

And ay every well child visit for average risk

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Question:

Kawasaki Disease

Answer:

unknown cause; winter and spring can cause serious cardiac complications including coronary artery aneurysms

Fever 5+ days unresponsive to abx, erythema of the palms and soles with periungual peeling, polymorphous rash that appears on the trunks, extremities, and perineum, conjunctival injection, strawberry tongue, unilateral cervical lymphedema, irritability, mild hepatitis, arthritis, arthralgia, pericarditis, valvular dysfunction

Tx: IVIG within 10 days to reduce cardiac complications, ASA (high dose for

inflammation then Low dose for antiplatelet)

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