NURS 6541 Midterm Exam Review Week 1 to 6


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NURS 6541 Midterm Exam Review (Week 1-6)

Week 1: Growth and Development

  • Safety with Car Seats – remain rear facing for as long as possible until they reach weight or height of seat.
  • Vaccination Schedules and contraindications –
  • Child Abuse mandatory reporting–any reason to believe that there is abuse or neglect, you do not have to have burden of proof,
  • Failure to thrive causes
  • Breastfed baby’s possible health problems
  • Normal birth weights and growth–birth to 6 months growth ½ – 1 inch a month and gain 5-7 ounces a week. Double birth weight by 5 months
  • Normal reflexes in newborns
  • Language development issues
  • Fine motor skills
  • Signs of puberty
  • Piaget developmental stages
  • Normal vital signs for various age groups
  • Congenital infection with cytomegalovirus, complications of prematurity
  • Crawling (7-10 months), sitting (4-7 months without support 8 months), rolling over (tummy to back early as 4 months – 5-6 months back to front), walking milestones (9-12 months)

Week 2: Infants, Toddlers, and Preschoolers

  • Normal premature infant growth
  • Protein calorie malnutrition
  • Small size differentials
  • Poor weight gain differentials
  • Well Child Visit standards for these age groups
  • Normal sequencing of development in a toddler
  • Treatment for teething
  • Early interventions services for speech
  • Sleep refusal
  • Bowel training issues
  • Breath holding
  • Bilingual children and expectations
  • Vaccination schedule
  • Normal sleep patterns
  • Correct order for introduction of food
  • Screening for TB
  • Normal breastfeeding schedules

Week 3: School-Age Children and Adolescents

  • Drug Screening adolescents
  • Vaccination catch up schedule
  • Routine lab screenings
  • Anticipatory guidance for each age group
  • Bedwetting
  • Erickson’s stages of development
  • Safety concerns
  • Bullying
  • Puberty
  • Adolescent substance abuse
  • Lab screenings in adolescents
  • Female peak height velocity

Week 4: HEENT

  • Differential diagnoses for patients with HEENT disorders
  • Various treatment options for common HEENT disorders
  • Evaluate pattern recognition in patient diagnoses

Week 5: Respiratory, Cardiovascular and Genetic Disorders

  • RSV
  • Pneumonia–bacterial, mycobacterial, viral, fungal, or parasitic
  • Bronchitis
  • Asthma
  • Croup–acute inflammation, caused by parainfluenza virus type 1 infection
  • Bronchiolitis – acute viral infection of lower resp tract
  • Foreign body aspiration
  • Epiglottitis
  • Tonsillectomy and adenoidectomy
  • Down syndrome – Trisomy 21
  • Edwards syndrome – Trisomy 18
  • Turner syndrome
  • Fragile x syndrome–genetic abnormality of the X chromosome that causes intellectual disability and behavioral disorders. Abnormality of FMR1 gene unstable triplet repeat expansion; Fragile X syndrome is not a chromosome abnormality
  • XYY male
  • Klinefelter syndrome
  • Cystic fibrosis

Week 6: Behavioral and Mental Health Issues

  • Child abuse
  • Adhd–symptoms can appear btwn 3-6 and continue
  • Autism
  • Dyslexia – learning disorder involving problems in reading, mathematics, spelling, written expression or handwriting
  • Fetal alcohol syndrome – alcohol exposure in utero increases risk for Spontaneous AB, decrease birth weight,
  • Depression


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