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NR 602 Primary Care of the Childbearing and Childrearing Family Practicum Midterm Review

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 8 pages. Originally published on StudyMerit.

Pages
8
Academic year
2025/2026
Language
English

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NR602 – Primary Care of the Childbearing & Childrearing Family Practicum Exam Study Guide – Midterm (Weeks 1-4)  Week One: Primary Care Foundations in Pediatric and Women’s Health o Nurse Practitioner Roles-  Pediatric NP- Focuses on providing primary care to children and families. Emphasizes health promotion, protection, and disease prevention. Originated in 1965 through the work of Dr. Loretta Ford and Dr. Henry Silver.  Primary Care NP- Cares for well children and manages common acute and chronic pediatric conditions. Provides continuous, relationship-based care.  Acute Care PNP- Cares for acutely or critically ill children, including those with life-threatening conditions or technological dependencies. The key difference is patient acuity, not the site of care. o Tertiary Care- Involves specialized expertise and equipment . Treats complex or advanced health conditions typically requiring hospitalization. Often includes specialty pediatric services like pediatric cardiology, neurology, or oncology. o Quaternary Care- Involves highly specialized care for rare or complex conditions , often within academic or research hospitals. Requires cutting-edge technologies and rare expertise . Examples: organ transplantation, experimental therapies. o Immunizations- specific protection within primary prevention ( prevent disease before onset ). Supported by national initiatives like Bright Futures and recommendations from the CDC and AAP o Vaccines for Children (VIC)- federally funded program that provides free vaccines to eligible children who are uninsured, underinsured, medicaid-eligible, or american indian/alaskan native, ensure equitable access o Sudden Infant Death Syndrome (SIDS) Prevention- best prevented through safe sleeping practices like infants sleeping on their back using a firm mattress with no bedding and avoiding co-sleeping. Supoorted by Bright Futures and AAP guidelines. o Lead Poisoning- preventable environmental health hazard by screening and early detection (secondary prevention). Primary care providers must assess risk factors, educate parents, and cooridinate testing and treatment if needed o Infant sleeping position- should sleep on their backs to significantly reduce risk of SIDS. Recommendations- room shared Downloaded by Aisyln Vaughn (samuelkingstone40@gmail.com) lOMoARcPSD|14174986

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without bed shared, avoidance of shared substances, avoid bumper pads and use of bedding, avoid overheating. Breastfeeding and immunizations. Education- safe sleeping. Alcohol and drugs use prenatal and after the child is born. o Primary, Secondary, Tertiary Infections-  Primary - Prevents disease before it occurs. Examples: vaccinations, health education, nutrition.  Secondary Prevention: Detects and treats disease in early stages. Examples: screenings, early diagnosis, treatment of lead poisoning.  Tertiary Prevention: Reduces complications and improves quality of life after disease onset. Examples: rehabilitation after illness or disability, asthma education to reduce ER visits. o Burns-  Prevention (e.g., smoke detectors, water heater temperature limits) is a primary prevention strategy.  Immediate treatment of burns and preventing infection represents secondary prevention.  Rehabilitation and scar management for burn victims is part of tertiary prevention. o Immunity- A physiological defense mechanism against infectious diseases. Can be active (from natural infection or vaccines) or passive (from maternal antibodies or immunoglobulin administration) . Building immunity through vaccination is a primary prevention approach.  Week Two: Pediatric Well-Child Assessment and Growth and Development Milestones o Newborn assessment (including eye screenings) o Newborn digestive system and nutrition o Well-Child Visits o Anticipatory guidance o Screening for abuse o Privacy and mandatory reporting o Gender identity development o Pediatric Assessment o Pediatric physical exam o Growth and development o Development milestones and screenings (motor skills, weight) o Tanner stages o Puberty in male vs female o Common growth and development health problems (developmental delays) o Endocrine/Metabolic (Adrenal insufficiency, Hypothyroidism) o Adolescent sexuality, gender identity and gender expression Downloaded by Aisyln Vaughn (samuelkingstone40@gmail.com) lOMoARcPSD|14174986

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o HEEADSS o Non-suicidal self-injury (NSSI) o Gender dysphoria o Fetal alcohol spectrum disorder o Genetic testing o Down’s Syndrome o Fragile X o Marfan Syndrome o Cri-du-cat syndrome  Week Three: Fever, Eye, Ear, Nose, Mouth, Throat, and Respiratory Conditions o Fever o Dermatologic disorders (skin rashes: Contact dermatitis, scabies, chiggers, Pediculosis, Nevi, port wine stain) o Eye disorders (eye injuries, congenital cataracts, antibiotics for eye infections, Retinoblastoma o Reflex Eye Exam o Ear disorders (Otitis media, otitis externa, foreign body, etc) o Allergic rhinitis o Mouth and throat disorders (streptococcal pharyngitis, scarlet fever, pharyngitis, Mastoiditis, Peritonsillar abscess o Respiratory disorders (Upper respiratory infection, Asthma, Acute viral bronchitis, Spirometry, Respiratory syncytial virus (RSV), exercise-induced asthma, Cystic fibrosis o Croup o epiglottitis o The American Association of Ophthalmic Oncologist and Pathologists (AAOOP) screening recommendations for children at risk for retinoblastoma  Week Four: Pediatric Cardiovascular/Hematological, Neurological and Musculoskeletal Conditions Cardiovascular ‣ Kawasaki disease ‣ Atrial Septal defect, Ventricular septal defect, heart failure, normal physiological murmur ‣ Hypertension assessment and management in a child ‣ Scarlett Fever ‣ Coarctation of the aorta Neurological ‣ Headache (migraine) ‣ Secondary or pathological headaches ‣ Concussions ‣ Cerebral Palsy Downloaded by Aisyln Vaughn (samuelkingstone40@gmail.com) lOMoARcPSD|14174986

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