What immunizations will Asia be given at this visit; what is the patient education and follow-up?

Week 1 discussionDiscussion: Pediatric Health-Care ServicesThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.For this assignment, make sure you post your initial response to the Discussion Area by Saturday, July 29, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 2, 2017.Using your course textbook readings and the South University Online Library, perform research on the following:Sources of pediatric primary care in the United StatesCurrent status of pediatric health-care services in the United StatesBarriers to health care for children in the United StatesAfter completing your research, answer the following questions:What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?Are there certain pediatric populations that lack access to health-care services? Why?What are the barriers to children in accessing health-care services in the United States? Why do these barriers exist?Week 2 discussionDiscussion: iHuman Case Study – Developmental Assessment and Biological FunctioningThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 5, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 9, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Buddy (Theodore, Jr.) VE.Apply information from the iHuman Case Study to answer the following questions:Why is developmental assessment essential in the provision of primary care for infants, children, and adolescents, and what are the essential components of this assessment on the basis of a childs age?Which tools will you use to assess specific components of development (such as speech, motor skills, social skills, etc.)? Which tools do you think are the most accurate in assessing the developmental components and why?Which components would you consider in assessing the basic biological functioning and well-being of your pediatric patients? Why are these components important in providing primary health-care services to children?Week 3 discussionDiscussion: MedU Case Study – Developmental Evaluation and ScreeningThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 12, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 16, 2017.For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases may be present in the quizzes, the midterm exam, and the final exam.Click here for information on how to access and navigate MedU.This week, complete the MedU case titled FmCase 2: Infant well-child (2, 6, and 9 months) – Asia.Apply information from the MedU Case Study to answer the following questions:Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?What immunizations will Asia be given at this visit; what is the patient education and follow-up?Week 4 discussionDiscussion: iHuman Case Study – HEENT and Respiratory InfectionsThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 19, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 23, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Katherine Harris.Apply information from the iHuman Case Study to answer the following questions:Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.Do the etiology, diagnosis, and management of a child who is wheezing vary according to the childs age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?Week 5 discussionDiscussion: iHuman Case Study – Cardiovascular and Hematologic Disorders in ChildrenThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 26, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 30, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Robert Ross.Apply information from the iHuman Case Study to answer the following questions:Robert Ross is a 17 year-old male who presents with acute chest pain, palpitations, fever and malaise. He has had symptoms suggestive of a viral syndrome for the past week, but otherwise has no significant past medical history.What questions would you ask to gather important diagnostic information?How would you diagnose and manage this 17 year old male whose symptoms include palpitations, fever and malaise?Which diagnostic studies would you recommend for this patient. Include the rationale for ALL diagnostics and Labs?What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case? Identify additional life threatening diagnoses that must be considered when a patient presents with acute chest pain.What is the treatment (including rationale) for Robert and education for the family?Week 6 discussionDiscussion: iHuman Case Study – Common Pediatric IllnessesThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 2, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, September 6, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Samantha Graves, Gastroenteritis.Apply information from the iHuman Case Study to answer the following questions:Which essential questions will you ask a pediatric patient or his or her caregiver when the presenting complaint is bloody diarrhea? Will these questions vary depending upon the childs age? Why or why not? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?What would be three differential diagnoses in this case?How do the common causes of vomiting differ in infants, children, and adolescents? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?Week 8 discussionDiscussion: iHuman Case Study – Neurological Disorders and Cognitive Perceptual Problems in ChildrenThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 16, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, September 20, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Timoth Adams, VE.Apply information from the iHuman Case Study to answer the following questions:What do you believe is your best course of action for this appointment?What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?What would be three differentials in this case?Week 9 discussionDiscussion: Infectious Diseases in ChildrenThe discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 23, 2017.To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment by Wednesday, September 27, 2017.Using your course and textbook readings and the South University Online Library, perform research on the following:Assessment, diagnostic testing, and management of infectious conditions in a pediatric patientDifferential diagnoses for presentation of symptoms involving infectious diseases in pediatric patientsAfter completing your research, consider this scenario:An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:A blood and urine cultureA complete blood countA comprehensive metabolic panelThe culture reports were found to be negative.Today, the vitals of the child are the following:Temperature: 101.5 degrees FahrenheitHeart rate: 120 beats/minuteRespiratory rate: 20 breaths/minuteBlood pressure: 90/40Physical examination of the child indicates the following positive findings:Injected conjunctivaPalmar rednessMagenta-colored lipsRed maculaExcoriating rashes in the diaper areaOn the basis of the above information, respond to the following:What will be your differential diagnoses for this patient?What specific physical exam findings support these differential diagnoses?Of the differential diagnoses you listed, which would be the most concerning?What additional diagnostic tests will you recommend? Why?What would be your focus for caregiver education?Week 10 discussionDiscussion: iHuman Case Study – Adolescent Risk BehaviorsThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 30, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, October 4, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Angela Cotez VE.Apply information from the iHuman Case Study to answer the following questions:Describe the evaluation tool and explain why this tool is essential in the care of the adolescent patient population.Apply the findings of the scholarly research articles to the use of this evaluation tool and describe its validity and reliability.Apply this evaluation tool to a patient situation and summarize your opinion of the results.Describe a plan of care for the patient, depending upon the results.Week 1 – Assignment 3Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, July 29, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W1_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W1 Assignment 3 Dropbox by Wednesday, August 2, 2017.Week 2 – Assignment 2Assignment 2: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, August 5, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W2_A2_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W2 Assignment 2 Dropbox by Wednesday, August 9, 2017.Week 3 -Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Wednesday, August 16, 2017 enter your patient encounters into eMedley and submit your Pediatric SOAP note document to the W3 Assignment 3 Dropbox.Name your SOAP note document SU_NSG6435_W3_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Week 4 – Assignment 4Assignment 4: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, August 19, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W4 Assignment 4 Dropbox by Wednesday, August 23, 2017.Week 5 – Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, August 26, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W5_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W5 Assignment 3 Dropbox by Wednesday, August 30, 2017.Week 6 – Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 2, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W6_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W6 Assignment 3 Dropbox by Wednesday, September 6, 2017.Week 7 – W7 Assignment 1Assignment 1: Comprehensive Case StudyGeneral Guidelines for Comprehensive Case Study – Week 7 Assignment 1Your case study should not be just a SOAP note of a patient encounterit should be a comprehensive evaluation of an iHuman patient case.You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.Evaluation of the case study should be no more than 3-4 substantive paragraphs. A minimum of five evidence-based sources (in addition to your text) should be used for your case study.Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.This week, complete the iHuman case titled “Tommy Acker, Child Abuse”. Click here for information on how to access and navigate iHuman.Please submit your Comprehensive SOAP Note and Growth Chart in the W7 Assignment 1 Dropbox by Wednesday, September 13, 2017.Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doci-Humani-Human is an interactive cloud based system that provides comprehensive learning thatintegrates clinical experience. The i-Human system helps students develop patient assessmentand diagnostic reasoning skills at various levels of education. Students will receive onlineguidance, feedback, and coaching during the learning process.Student Login Instructions for i-HumanLogging in to i-Human:Log on at:http://toolmanagement.next.ecollege.com/tools/thirdparty/blti.ed?launch=LS:iHuman:PatientsNext Steps:1) If you were unable to attend a Student Orientation Webinar, please watch this introductionvideo: https://vimeo.com/185046053/228aea3fc92) Additional tutorial videos can be found on the i-Human home screen under the title “PlayerScreencast Tutorials”3) After attending the webinar or viewing the tutorial you are ready for your first practicecase.4) The i-Human Student Support Center (link on the home screen under the videos) is aresource for our most frequently asked questions. The Student Manual is also located here.5) If you are having any issues that are not answered through the webinars, videos or supportcenter, you can email: [email protected] 7 – Assignment 2Assignment 2: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 9, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W7_A2_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W7 Assignment 2 Dropbox by Wednesday, September 13, 2017.Week 8 – Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 16, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W8_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W8 Assignment 3 Dropbox by Wednesday, September 20, 2017.Week 9 – Assignment 4Assignment 4: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 23, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W9_A4_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W9 Assignment 4 Dropbox by Wednesday, September 27, 2017.Week 10 – Assignment 2Assignment 2: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 30, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W10_A2_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W10 Assignment 2 Dropbox by Wednesday, October 4, 2017.Week 4 Assignment 3 Quiz1. Question :Which theory focuses on the relationships among individuals as they develop and change in the environment?Ecological theoryCognitive theoryHumanistic theorySociocultural theoryQuestion 2. Question :The Board of Nursing in each state is responsible for _____________.certified medical assistantspharmacy techniciansanesthesiologistsadvanced practice nursesQuestion 3. Question :Stool of a breastfed infant is:hard and dark brownsoft, yellow, and seedyflorescent greenwhite in colorQuestion 4. Question :An essential tool in the evaluation of precocious puberty in girls is:MenarcheGrowth spurtThelarchePubarcheQuestion 5. Question :The incidence of epiglottis has decreased because of which vaccine?HibPrevnarVaricellaMeningococcalQuestion 6. Question :What factors contribute to the inability among children to access health-care services?Inability to obtain health insuranceLanguage and cultural barriersLack of financial resourcesAll of the aboveQuestion 7. Question :An eight-year-old has chronic intermittent nasal congestion. All but which one of the following would support allergic rhinitis?Red swollen turbinatesDarkened areas below eyesIncreased basophils on complete blood count (CBC)Itchy, watery eyesQuestion 8. Question :Parents or guardians of adolescents should ___________________.not be included in the adolescents health carereceive health guidance information at least twice during adolescenceencourage reasonable use of alcohol and tobacco by the adolescentencourage early sexual activity by providing condoms to the adolescentQuestion 9. Question :A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. Which treatment you would expect to have been prescribed?Oral steroidsAzithromycinIncrease rest and fluid intakeAlbuterolQuestion 10. Question :How does cultural sensitivity impact the care of infants in the primary care setting?Health-care providers may possess cultural biases that can impact care.Cultural sensitivities do not exist in health care.Cultural sensitivity only impacts the parents of infants.Cultural sensitivity increases access to timely health-care services for infants.Question 11. Question :The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________.normal chest filmdiffuse airway edemaright upper-lobe infiltratehyperinflationQuestion 12. :A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?Unilateral vs. bilateral presentationType of drainageVision statusHistory of a bacterial infection one month agoQuestion 13. Question :The average adolescent male usually experiences his biggest growth spurt at approximately __________ of age.10.5 years11.5 years12.5 years13.5 yearsQuestion 14. Question :___________ adolescents should be screened for hypertension.AllObeseHigh riskNoQuestion 15. Question :___________ is a natural part of our cultural and ethnic background.FoodRaceLanguageReligionQuestion 16. Question :Physical health is not the only important consideration in providing health care to children. As a nurse practitioner, you will also need to take into account the following:The presence of psychosocial issuesA childs social developmentA childs neurodevelopmentAll of the aboveQuestion 17. Question :Allergic symptoms may cause increased nasal congestion, sneezing, watery eyes, and difficulty in sleeping. What are some of the potential problems that may be present in addition to these symptoms?Gastrointestinal disturbancesDifficulty in concentratingAuditory and visual disturbancesDecrease in asthma exacerbationsQuestion 18. Question :The most common clinical presentations of pneumonia include _____________.cough, fever, and tachypneahemoptysis and putrid breathsudden chest pain and cyanosisretractions and stridorQuestion 19. Question :The average adolescent female usually experiences her biggest growth spurt at approximately ____________ of age:10.5 years11.5 years12.5 years13.5 yearsQuestion 20. Question :An infant should no longer have a head lag when pulled from the supine to sitting position at what age?Two monthsThree monthsSix monthsNine monthsWeek 5 Assignment 4 Midterm Exam (limited questions)5. Question :The incidence of congenital heart defects is estimated to be ________ of all live births.20%10%5%1%Question 9. Question :Breastmilk can be safely stored in a freezer below 0 degrees Fahrenheit for how long?Three monthsSix monthsOne yearTwo yearsQuestion 10. Question :Which foreign body needs immediate removal from a five-year-old boy’s nose?BeanBeadStoneBatteryQuestion 11. Question :The most useful diagnostic test in delayed puberty is _____________________.complete thyroid panelX-Ray of the left wrist and handX-Ray of the right wrist and handX-Ray of the spinal columnQuestion 16. Question :An average vision of a two-year-old child is approximately:20/15020/40020/7020/30Question 17. Question :A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. You would expect which treatment to have been prescribed?Oral steroidsAzithromycinIncrease rest and fluidAlbuterolQuestion 18. Question :An adolescent with a chronic asthma cough notes that symptoms are usually worse _____________.only with exertiononly during the daytimeonly at nightat night and with exertionQuestion 20. Question :An average adolescent female usually experiences her biggest growth spurt at approximately what age?Ten and half yearsEleven and half yearsTwelve and half yearsThirteen and half yearsQuestion 21. Question :If an adolescent has a bone age of 10 but is actually 13 years of age, this patient has ______.an increased risk of fracture in the next three yearsan increased risk of osteoporosis as an adulta higher potential for bone growtha lower potential for bone growthQuestion 24. Question :Gardasil results in greater antibody responses for females who are administered the three-dose series between what ages?Six to twenty-six years of agePrior to eleven years of ageNine to fifteen years of ageNine to twenty-six years of ageQuestion 30. Question :An eight-year old has chronic intermittent nasal congestion. All but which of the following would support allergic rhinitis?Red swollen turbinatesDarkened areas below eyesIncreased basophils on complete blood count (CBC)Itchy, watery eyesQuestion 33. Question :A fifteen-month old failed treatment with amoxicillin for an otitis media. At his two-week recheck, his tympanic membrane remained red with distorted landmarks and he persisted with nasal discharge that is thick and yellowish. The best action for the nursing practitioner should be to prescribe:A ten-day-course of augmentinA three-week-course of a cephalexinA higher dose amoxicillinCeftriaxone and an antihistamineQuestion 36. Question :An infant should be able to say his or her first word by:four to five monthseight to nine monthstwelve to fifteen monthstwenty four to twenty six monthsQuestion 40. Question :The latter part of adolescence includes the ability to develop ________ and _______ means to be a part of society.strong attachments; sexualitycareer; marriagecritical thinking; basic life skillsmoral; intellectual meansQuestion 43. Question :A fourteen-year-old adolescent presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have ____________.ASDpulmonary valve stenosisaortic valve stenosisa ventricular septal defect (VSD)Question 45. Question :A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?Unilateral vs. bilateral presentationType of drainageVision statusHistory of a bacterial infection one month agoQuestion 46. Question :______________ adolescents should be screened for sexually transmitted diseases.MalesFemalesAllSexually activeQuestion 47. Question :An infant should no longer have a head lag when pulled from the supine to sitting position at what age?Two monthsFour monthsSix monthsNine monthsQuestion 50. Question :____________ should be given as a supplement in the management of delayed puberty.Vitamins B1 and B12Vitamins D and EVitamin A and CalciumCalcium and Vitamin DWeek 9 Assignment 3 Quiz (limited questions)1. Question :Secondary causes of headaches in children include head trauma. Which of the following symptoms is not associated with headaches following head trauma?neck painhas starting within 2 weeks of head injuryhas that worsen with activityvomiting without nauseaInstructor Explanation: See Current Diagnosis and Treatment, p 802Question 8. Question :A three-month-old male presents with a cath urine culture result greater than 50,000 E. coli, collected from the ER three days ago. The culture was collected due to an acute febrile presentation in the ER. The child was started on augmentin pending the results of the culture. Your next recommendation would beto repeat the cultureorder a renal ultrasoundno alteration to the current plan, follow up after completion of treatmentrenal ultrasound to be done immediately and a voiding cystourethrogram(VCUG)Question 14. Question :Which of the following results would you most likely see in a child with a viral infection?LeukocytosisLeukopeniaElevated band countIncreased neutrophil countQuestion 17. Question :The best way to screen for human papilloma virus in an adolescent female is _________.IN cervical culture and Pap smearvisual inspection and Pap smearvisual inspection onlypap smear onlyQuestion 18. Question :Your fifteen-year-old male patient with cerebral palsy has been experiencing an alteration in mood for the past two days and complains of an unusual odor and then begins to have forceful muscle contractions followed by flaccidity and then lethargy. You would describe this as a _______________.prodromepostictal statetonic-clonic seizurepetit mal seizureQuestion 19. Question :Which statement regarding Duchenne muscular dystrophy is true?Females are not affectedBecause Duchenne muscular dystrophy is X-linked recessive, females are affected and males are carriersBecause Duchenne muscular dystrophy is X-linked recessive, males are affected and females are carriersThe sons of women who are older than forty years of age when pregnant are affectedQuestion 20. Question :Which malignancy is associated with genitourinary anomalies?Acute lymphocytic leukemiaChronic myelogenous leukemiaOsteosarcomaWilms tumorWeek 10 final exam (limited questions)8. Question :The number one psychological disorder in the United States has been identified as _________.depressionanxietyschizophreniabipolar disorderQuestion 10. Question :The most common form of juvenile rheumatoid arthritis is ____________.systemicpauciarticularosteoarticularpolyarticularQuestion 13. Question :An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient?MMRHibPneumococcal conjugate vaccine (PCV) 13DtaPQuestion 15. Question :Attention deficit hyperactivity disorder may be ___________.familiallearnedacquiredtriggered by a virusQuestion 21. Question :Bipolar disease requires _____________ for successful treatment.no medication only cognitive therapya limited amount of medication for a short period of timeno interventionlifetime medicationQuestion 34. Question :The National Youth Risk Behavior Survey (NYRBS) evaluates risk factors that contribute to violence or injuries. Which of the following has the highest percentage of noncompliance for safety?Riding with someone who has been having alcoholDriving while or after using alcoholNot wearing a seatbeltNot wearing a bicycle helmetQuestion 35. Question :A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________.made a conscious decision to miss school (truancy)suffers from attention deficit disordersocial anxiety disorderpanic attacksQuestion 39. Question :Which group of adolescents is more likely to develop Type 2 diabetes?Non-Hispanic white adolescentsAmerican-Indian adolescentsAfrican-American adolescentsPacific Islander adolescentsQuestion 42. Question :The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner?Transport immediately to the ERObtain CBC with diff, urinalysis, urine culture, blood cultureObtain CBC, urinalysis, urine culture and stool cultureObserve since this is not considered aQuestion 47. Question :Genu Varum is considered an abnormal condition when extreme knock knees continuesafter seven years of ageextreme bowing continues after two years of ageparents are concerned about their child’s appearanceevident before two years of ageQuestion 67. Question :Bipolar disease is often diagnosed in ____________________.childhood yearsthe fifth or sixth decademid pubertypost puberty to early adulthoodQuestion 68. Question :Of the following advice, which would be most helpful for the parents of a baby with GERD?Most babies continue to vomit until they are walking.Laying prone after eating will decrease the amount of vomiting.Increase the intervals between feedings to minimum of four hours.Medications are generally necessary to prevent further problems.Question 69. Question :A healthy eleven-year-old male had a Td booster two-year ago after stepping on a nail, but otherwise has had no immunizations since age six when his vaccinations were up to date. Which of the following vaccines would be indicated as a part of his well-child visit?HPV2 (Cervarix)Tdap (Adacel)Meningococcal vaccine (MPSV) 4 (Menomune)Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax)Question 70. Question :The adolescent should be screened for Type 1 diabetes _______________.every yearevery two yearsonce every five yearsneverQuestion 74. Question :Eating disorders are diagnosed during _________________.fifth and six decadeschildhoodadolescent periodany age frameQuestion 77. Question :Which of the following is a very important question to ask during the history taking for a sports evaluation?Has the child ever had a head injury?Has the child ever fainted or lost consciousness during exercise?Does the child ever get short of breath with exercise?Has the child ever had prior surgeryQuestion 79. Question :An adolescent with which of the following would not be considered at an increased risk for dental erosion?Gastroesophageal reflux disease (GERD)AsthmaAnorexia NervosaBulimia NervosaQuestion 82. Question :Secondary hypothyroidism results fromexcessive release of thyroid hormone beyond the newborn periodintrauterine exposure to thyrotoxic drugsdisease or disorder of the thyroid gland itselfdisease or disorder of the hypothalamus or pituitary gland compromising thyroid functionQuestion 84. Question :A nurse practitioner is conducting a four-year olds well-child exam. Which recommendations would be made for this child?Hgb, UA, hearing, vision, Dtap, MMR, Varivax, HibHgb, UA, hearing, vision, MMR, Varivax, PCV, TdaPHgb, UA, hearing, vision, DtaP, IPV, MMR, VarivaxHgb, UA, Dtap, IPV, MMR, VarivaxQuestion 88. Question :_____________children are less likely to be diagnosed with attention deficit disorder than others.African AmericanNon-Hispanic WhiteAsianHispanicQuestion 89. Question :___________ are the first line choice for treatment of attention deficit hyperactivity disorders.Selective serotonin reuptake inhibitorsLong-acting stimulantsTricyclicsDopamine agonist inhibitorsQuestion 91. Question :An example of rapid-acting insulin is ______________________.glarginedetemirneutral protamine hagedornlisproQuestion 92. Question :The best tools for treating adolescents are ______ and ______.your time; moneypatient education; timetheir trust; your timemutual trust; patient educationQuestion 94. Question :Antidepressant medication use in the adolescent age group should be monitored due to __________.risk of pregnancyweight gainnoncompliancerisk of suicidal ideationsQuestion 95. Question :Symptoms of attention deficit hyperactivity disorder are present prior to ________ years of age.tensevenninesixQuestion 98. Question :Type 1 diabetes begins when ____________________.the adolescent is overweightbeta cell production failsinsulin resistance is presentpoor nutrition is presentQuestion 99. Question :Adolescents prefer to betreated like a childtreated like an adulttreated like a teen agertaken seriouslyQuestion 100. Question :Which group of adolescents is more likely to develop Type 1 diabetes?Non-Hispanic white adolescentsAmerican-Indian adolescentsAfrican-American adolescentsPacific Islander adolescentsWeek 1 discussionDiscussion: Pediatric Health-Care ServicesThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.For this assignment, make sure you post your initial response to the Discussion Area by Saturday, July 29, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 2, 2017.Using your course textbook readings and the South University Online Library, perform research on the following:Sources of pediatric primary care in the United StatesCurrent status of pediatric health-care services in the United StatesBarriers to health care for children in the United StatesAfter completing your research, answer the following questions:What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?Are there certain pediatric populations that lack access to health-care services? Why?What are the barriers to children in accessing health-care services in the United States? Why do these barriers exist?Week 2 discussionDiscussion: iHuman Case Study – Developmental Assessment and Biological FunctioningThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 5, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 9, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Buddy (Theodore, Jr.) VE.Apply information from the iHuman Case Study to answer the following questions:Why is developmental assessment essential in the provision of primary care for infants, children, and adolescents, and what are the essential components of this assessment on the basis of a childs age?Which tools will you use to assess specific components of development (such as speech, motor skills, social skills, etc.)? Which tools do you think are the most accurate in assessing the developmental components and why?Which components would you consider in assessing the basic biological functioning and well-being of your pediatric patients? Why are these components important in providing primary health-care services to children?Week 3 discussionDiscussion: MedU Case Study – Developmental Evaluation and ScreeningThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 12, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 16, 2017.For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases may be present in the quizzes, the midterm exam, and the final exam.Click here for information on how to access and navigate MedU.This week, complete the MedU case titled FmCase 2: Infant well-child (2, 6, and 9 months) – Asia.Apply information from the MedU Case Study to answer the following questions:Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?What immunizations will Asia be given at this visit; what is the patient education and follow-up?Week 4 discussionDiscussion: iHuman Case Study – HEENT and Respiratory InfectionsThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 19, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 23, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Katherine Harris.Apply information from the iHuman Case Study to answer the following questions:Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.Do the etiology, diagnosis, and management of a child who is wheezing vary according to the childs age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?Week 5 discussionDiscussion: iHuman Case Study – Cardiovascular and Hematologic Disorders in ChildrenThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 26, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 30, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Robert Ross.Apply information from the iHuman Case Study to answer the following questions:Robert Ross is a 17 year-old male who presents with acute chest pain, palpitations, fever and malaise. He has had symptoms suggestive of a viral syndrome for the past week, but otherwise has no significant past medical history.What questions would you ask to gather important diagnostic information?How would you diagnose and manage this 17 year old male whose symptoms include palpitations, fever and malaise?Which diagnostic studies would you recommend for this patient. Include the rationale for ALL diagnostics and Labs?What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case? Identify additional life threatening diagnoses that must be considered when a patient presents with acute chest pain.What is the treatment (including rationale) for Robert and education for the family?Week 6 discussionDiscussion: iHuman Case Study – Common Pediatric IllnessesThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 2, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, September 6, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Samantha Graves, Gastroenteritis.Apply information from the iHuman Case Study to answer the following questions:Which essential questions will you ask a pediatric patient or his or her caregiver when the presenting complaint is bloody diarrhea? Will these questions vary depending upon the childs age? Why or why not? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?What would be three differential diagnoses in this case?How do the common causes of vomiting differ in infants, children, and adolescents? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?Week 8 discussionDiscussion: iHuman Case Study – Neurological Disorders and Cognitive Perceptual Problems in ChildrenThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 16, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, September 20, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Timoth Adams, VE.Apply information from the iHuman Case Study to answer the following questions:What do you believe is your best course of action for this appointment?What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?What would be three differentials in this case?Week 9 discussionDiscussion: Infectious Diseases in ChildrenThe discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 23, 2017.To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment by Wednesday, September 27, 2017.Using your course and textbook readings and the South University Online Library, perform research on the following:Assessment, diagnostic testing, and management of infectious conditions in a pediatric patientDifferential diagnoses for presentation of symptoms involving infectious diseases in pediatric patientsAfter completing your research, consider this scenario:An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:A blood and urine cultureA complete blood countA comprehensive metabolic panelThe culture reports were found to be negative.Today, the vitals of the child are the following:Temperature: 101.5 degrees FahrenheitHeart rate: 120 beats/minuteRespiratory rate: 20 breaths/minuteBlood pressure: 90/40Physical examination of the child indicates the following positive findings:Injected conjunctivaPalmar rednessMagenta-colored lipsRed maculaExcoriating rashes in the diaper areaOn the basis of the above information, respond to the following:What will be your differential diagnoses for this patient?What specific physical exam findings support these differential diagnoses?Of the differential diagnoses you listed, which would be the most concerning?What additional diagnostic tests will you recommend? Why?What would be your focus for caregiver education?Week 10 discussionDiscussion: iHuman Case Study – Adolescent Risk BehaviorsThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 30, 2017.To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, October 4, 2017.For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.Here you can view information on how to access and navigate iHuman.This week, complete the iHuman case titled Angela Cotez VE.Apply information from the iHuman Case Study to answer the following questions:Describe the evaluation tool and explain why this tool is essential in the care of the adolescent patient population.Apply the findings of the scholarly research articles to the use of this evaluation tool and describe its validity and reliability.Apply this evaluation tool to a patient situation and summarize your opinion of the results.Describe a plan of care for the patient, depending upon the results.Week 1 – Assignment 3Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, July 29, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W1_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W1 Assignment 3 Dropbox by Wednesday, August 2, 2017.Week 2 – Assignment 2Assignment 2: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, August 5, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W2_A2_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W2 Assignment 2 Dropbox by Wednesday, August 9, 2017.Week 3 -Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Wednesday, August 16, 2017 enter your patient encounters into eMedley and submit your Pediatric SOAP note document to the W3 Assignment 3 Dropbox.Name your SOAP note document SU_NSG6435_W3_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Week 4 – Assignment 4Assignment 4: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, August 19, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W4 Assignment 4 Dropbox by Wednesday, August 23, 2017.Week 5 – Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, August 26, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W5_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W5 Assignment 3 Dropbox by Wednesday, August 30, 2017.Week 6 – Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 2, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W6_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W6 Assignment 3 Dropbox by Wednesday, September 6, 2017.Week 7 – W7 Assignment 1Assignment 1: Comprehensive Case StudyGeneral Guidelines for Comprehensive Case Study – Week 7 Assignment 1Your case study should not be just a SOAP note of a patient encounterit should be a comprehensive evaluation of an iHuman patient case.You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.Evaluation of the case study should be no more than 3-4 substantive paragraphs. A minimum of five evidence-based sources (in addition to your text) should be used for your case study.Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.This week, complete the iHuman case titled “Tommy Acker, Child Abuse”. Click here for information on how to access and navigate iHuman.Please submit your Comprehensive SOAP Note and Growth Chart in the W7 Assignment 1 Dropbox by Wednesday, September 13, 2017.Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doci-Humani-Human is an interactive cloud based system that provides comprehensive learning thatintegrates clinical experience. The i-Human system helps students develop patient assessmentand diagnostic reasoning skills at various levels of education. Students will receive onlineguidance, feedback, and coaching during the learning process.Student Login Instructions for i-HumanLogging in to i-Human:Log on at:http://toolmanagement.next.ecollege.com/tools/thirdparty/blti.ed?launch=LS:iHuman:PatientsNext Steps:1) If you were unable to attend a Student Orientation Webinar, please watch this introductionvideo: https://vimeo.com/185046053/228aea3fc92) Additional tutorial videos can be found on the i-Human home screen under the title “PlayerScreencast Tutorials”3) After attending the webinar or viewing the tutorial you are ready for your first practicecase.4) The i-Human Student Support Center (link on the home screen under the videos) is aresource for our most frequently asked questions. The Student Manual is also located here.5) If you are having any issues that are not answered through the webinars, videos or supportcenter, you can email: [email protected] 7 – Assignment 2Assignment 2: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 9, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W7_A2_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W7 Assignment 2 Dropbox by Wednesday, September 13, 2017.Week 8 – Assignment 3Assignment 3: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 16, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W8_A3_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W8 Assignment 3 Dropbox by Wednesday, September 20, 2017.Week 9 – Assignment 4Assignment 4: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 23, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W9_A4_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W9 Assignment 4 Dropbox by Wednesday, September 27, 2017.Week 10 – Assignment 2Assignment 2: SOAP NoteEach week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.Submission Details:By Saturday, September 30, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.Name your SOAP note document SU_NSG6435_W10_A2_LastName_FirstInitial.doc.Include the reference number from eMedley in your document.Submit your document to the W10 Assignment 2 Dropbox by Wednesday, October 4, 2017.Week 4 Assignment 3 Quiz1. Question :Which theory focuses on the relationships among individuals as they develop and change in the environment?Ecological theoryCognitive theoryHumanistic theorySociocultural theoryQuestion 2. Question :The Board of Nursing in each state is responsible for _____________.certified medical assistantspharmacy techniciansanesthesiologistsadvanced practice nursesQuestion 3. Question :Stool of a breastfed infant is:hard and dark brownsoft, yellow, and seedyflorescent greenwhite in colorQuestion 4. Question :An essential tool in the evaluation of precocious puberty in girls is:MenarcheGrowth spurtThelarchePubarcheQuestion 5. Question :The incidence of epiglottis has decreased because of which vaccine?HibPrevnarVaricellaMeningococcalQuestion 6. Question :What factors contribute to the inability among children to access health-care services?Inability to obtain health insuranceLanguage and cultural barriersLack of financial resourcesAll of the aboveQuestion 7. Question :An eight-year-old has chronic intermittent nasal congestion. All but which one of the following would support allergic rhinitis?Red swollen turbinatesDarkened areas below eyesIncreased basophils on complete blood count (CBC)Itchy, watery eyesQuestion 8. Question :Parents or guardians of adolescents should ___________________.not be included in the adolescents health carereceive health guidance information at least twice during adolescenceencourage reasonable use of alcohol and tobacco by the adolescentencourage early sexual activity by providing condoms to the adolescentQuestion 9. Question :A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. Which treatment you would expect to have been prescribed?Oral steroidsAzithromycinIncrease rest and fluid intakeAlbuterolQuestion 10. Question :How does cultural sensitivity impact the care of infants in the primary care setting?Health-care providers may possess cultural biases that can impact care.Cultural sensitivities do not exist in health care.Cultural sensitivity only impacts the parents of infants.Cultural sensitivity increases access to timely health-care services for infants.Question 11. Question :The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________.normal chest filmdiffuse airway edemaright upper-lobe infiltratehyperinflationQuestion 12. :A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?Unilateral vs. bilateral presentationType of drainageVision statusHistory of a bacterial infection one month agoQuestion 13. Question :The average adolescent male usually experiences his biggest growth spurt at approximately __________ of age.10.5 years11.5 years12.5 years13.5 yearsQuestion 14. Question :___________ adolescents should be screened for hypertension.AllObeseHigh riskNoQuestion 15. Question :___________ is a natural part of our cultural and ethnic background.FoodRaceLanguageReligionQuestion 16. Question :Physical health is not the only important consideration in providing health care to children. As a nurse practitioner, you will also need to take into account the following:The presence of psychosocial issuesA childs social developmentA childs neurodevelopmentAll of the aboveQuestion 17. Question :Allergic symptoms may cause increased nasal congestion, sneezing, watery eyes, and difficulty in sleeping. What are some of the potential problems that may be present in addition to these symptoms?Gastrointestinal disturbancesDifficulty in concentratingAuditory and visual disturbancesDecrease in asthma exacerbationsQuestion 18. Question :The most common clinical presentations of pneumonia include _____________.cough, fever, and tachypneahemoptysis and putrid breathsudden chest pain and cyanosisretractions and stridorQuestion 19. Question :The average adolescent female usually experiences her biggest growth spurt at approximately ____________ of age:10.5 years11.5 years12.5 years13.5 yearsQuestion 20. Question :An infant should no longer have a head lag when pulled from the supine to sitting position at what age?Two monthsThree monthsSix monthsNine monthsWeek 5 Assignment 4 Midterm Exam (limited questions)5. Question :The incidence of congenital heart defects is estimated to be ________ of all live births.20%10%5%1%Question 9. Question :Breastmilk can be safely stored in a freezer below 0 degrees Fahrenheit for how long?Three monthsSix monthsOne yearTwo yearsQuestion 10. Question :Which foreign body needs immediate removal from a five-year-old boy’s nose?BeanBeadStoneBatteryQuestion 11. Question :The most useful diagnostic test in delayed puberty is _____________________.complete thyroid panelX-Ray of the left wrist and handX-Ray of the right wrist and handX-Ray of the spinal columnQuestion 16. Question :An average vision of a two-year-old child is approximately:20/15020/40020/7020/30Question 17. Question :A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. You would expect which treatment to have been prescribed?Oral steroidsAzithromycinIncrease rest and fluidAlbuterolQuestion 18. Question :An adolescent with a chronic asthma cough notes that symptoms are usually worse _____________.only with exertiononly during the daytimeonly at nightat night and with exertionQuestion 20. Question :An average adolescent female usually experiences her biggest growth spurt at approximately what age?Ten and half yearsEleven and half yearsTwelve and half yearsThirteen and half yearsQuestion 21. Question :If an adolescent has a bone age of 10 but is actually 13 years of age, this patient has ______.an increased risk of fracture in the next three yearsan increased risk of osteoporosis as an adulta higher potential for bone growtha lower potential for bone growthQuestion 24. Question :Gardasil results in greater antibody responses for females who are administered the three-dose series between what ages?Six to twenty-six years of agePrior to eleven years of ageNine to fifteen years of ageNine to twenty-six years of ageQuestion 30. Question :An eight-year old has chronic intermittent nasal congestion. All but which of the following would support allergic rhinitis?Red swollen turbinatesDarkened areas below eyesIncreased basophils on complete blood count (CBC)Itchy, watery eyesQuestion 33. Question :A fifteen-month old failed treatment with amoxicillin for an otitis media. At his two-week recheck, his tympanic membrane remained red with distorted landmarks and he persisted with nasal discharge that is thick and yellowish. The best action for the nursing practitioner should be to prescribe:A ten-day-course of augmentinA three-week-course of a cephalexinA higher dose amoxicillinCeftriaxone and an antihistamineQuestion 36. Question :An infant should be able to say his or her first word by:four to five monthseight to nine monthstwelve to fifteen monthstwenty four to twenty six monthsQuestion 40. Question :The latter part of adolescence includes the ability to develop ________ and _______ means to be a part of society.strong attachments; sexualitycareer; marriagecritical thinking; basic life skillsmoral; intellectual meansQuestion 43. Question :A fourteen-year-old adolescent presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have ____________.ASDpulmonary valve stenosisaortic valve stenosisa ventricular septal defect (VSD)Question 45. Question :A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?Unilateral vs. bilateral presentationType of drainageVision statusHistory of a bacterial infection one month agoQuestion 46. Question :______________ adolescents should be screened for sexually transmitted diseases.MalesFemalesAllSexually activeQuestion 47. Question :An infant should no longer have a head lag when pulled from the supine to sitting position at what age?Two monthsFour monthsSix monthsNine monthsQuestion 50. Question :____________ should be given as a supplement in the management of delayed puberty.Vitamins B1 and B12Vitamins D and EVitamin A and CalciumCalcium and Vitamin DWeek 9 Assignment 3 Quiz (limited questions)1. Question :Secondary causes of headaches in children include head trauma. Which of the following symptoms is not associated with headaches following head trauma?neck painhas starting within 2 weeks of head injuryhas that worsen with activityvomiting without nauseaInstructor Explanation: See Current Diagnosis and Treatment, p 802Question 8. Question :A three-month-old male presents with a cath urine culture result greater than 50,000 E. coli, collected from the ER three days ago. The culture was collected due to an acute febrile presentation in the ER. The child was started on augmentin pending the results of the culture. Your next recommendation would beto repeat the cultureorder a renal ultrasoundno alteration to the current plan, follow up after completion of treatmentrenal ultrasound to be done immediately and a voiding cystourethrogram(VCUG)Question 14. Question :Which of the following results would you most likely see in a child with a viral infection?LeukocytosisLeukopeniaElevated band countIncreased neutrophil countQuestion 17. Question :The best way to screen for human papilloma virus in an adolescent female is _________.IN cervical culture and Pap smearvisual inspection and Pap smearvisual inspection onlypap smear onlyQuestion 18. Question :Your fifteen-year-old male patient with cerebral palsy has been experiencing an alteration in mood for the past two days and complains of an unusual odor and then begins to have forceful muscle contractions followed by flaccidity and then lethargy. You would describe this as a _______________.prodromepostictal statetonic-clonic seizurepetit mal seizureQuestion 19. Question :Which statement regarding Duchenne muscular dystrophy is true?Females are not affectedBecause Duchenne muscular dystrophy is X-linked recessive, females are affected and males are carriersBecause Duchenne muscular dystrophy is X-linked recessive, males are affected and females are carriersThe sons of women who are older than forty years of age when pregnant are affectedQuestion 20. Question :Which malignancy is associated with genitourinary anomalies?Acute lymphocytic leukemiaChronic myelogenous leukemiaOsteosarcomaWilms tumorWeek 10 final exam (limited questions)8. Question :The number one psychological disorder in the United States has been identified as _________.depressionanxietyschizophreniabipolar disorderQuestion 10. Question :The most common form of juvenile rheumatoid arthritis is ____________.systemicpauciarticularosteoarticularpolyarticularQuestion 13. Question :An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient?MMRHibPneumococcal conjugate vaccine (PCV) 13DtaPQuestion 15. Question :Attention deficit hyperactivity disorder may be ___________.familiallearnedacquiredtriggered by a virusQuestion 21. Question :Bipolar disease requires _____________ for successful treatment.no medication only cognitive therapya limited amount of medication for a short period of timeno interventionlifetime medicationQuestion 34. Question :The National Youth Risk Behavior Survey (NYRBS) evaluates risk factors that contribute to violence or injuries. Which of the following has the highest percentage of noncompliance for safety?Riding with someone who has been having alcoholDriving while or after using alcoholNot wearing a seatbeltNot wearing a bicycle helmetQuestion 35. Question :A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________.made a conscious decision to miss school (truancy)suffers from attention deficit disordersocial anxiety disorderpanic attacksQuestion 39. Question :Which group of adolescents is more likely to develop Type 2 diabetes?Non-Hispanic white adolescentsAmerican-Indian adolescentsAfrican-American adolescentsPacific Islander adolescentsQuestion 42. Question :The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner?Transport immediately to the ERObtain CBC with diff, urinalysis, urine culture, blood cultureObtain CBC, urinalysis, urine culture and stool cultureObserve since this is not considered aQuestion 47. Question :Genu Varum is considered an abnormal condition when extreme knock knees continuesafter seven years of ageextreme bowing continues after two years of ageparents are concerned about their child’s appearanceevident before two years of ageQuestion 67. Question :Bipolar disease is often diagnosed in ____________________.childhood yearsthe fifth or sixth decademid pubertypost puberty to early adulthoodQuestion 68. Question :Of the following advice, which would be most helpful for the parents of a baby with GERD?Most babies continue to vomit until they are walking.Laying prone after eating will decrease the amount of vomiting.Increase the intervals between feedings to minimum of four hours.Medications are generally necessary to prevent further problems.Question 69. Question :A healthy eleven-year-old male had a Td booster two-year ago after stepping on a nail, but otherwise has had no immunizations since age six when his vaccinations were up to date. Which of the following vaccines would be indicated as a part of his well-child visit?HPV2 (Cervarix)Tdap (Adacel)Meningococcal vaccine (MPSV) 4 (Menomune)Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax)Question 70. Question :The adolescent should be screened for Type 1 diabetes _______________.every yearevery two yearsonce every five yearsneverQuestion 74. Question :Eating disorders are diagnosed during _________________.fifth and six decadeschildhoodadolescent periodany age frameQuestion 77. Question :Which of the following is a very important question to ask during the history taking for a sports evaluation?Has the child ever had a head injury?Has the child ever fainted or lost consciousness during exercise?Does the child ever get short of breath with exercise?Has the child ever had prior surgeryQuestion 79. Question :An adolescent with which of the following would not be considered at an increased risk for dental erosion?Gastroesophageal reflux disease (GERD)AsthmaAnorexia NervosaBulimia NervosaQuestion 82. Question :Secondary hypothyroidism results fromexcessive release of thyroid hormone beyond the newborn periodintrauterine exposure to thyrotoxic drugsdisease or disorder of the thyroid gland itselfdisease or disorder of the hypothalamus or pituitary gland compromising thyroid functionQuestion 84. Question :A nurse practitioner is conducting a four-year olds well-child exam. Which recommendations would be made for this child?Hgb, UA, hearing, vision, Dtap, MMR, Varivax, HibHgb, UA, hearing, vision, MMR, Varivax, PCV, TdaPHgb, UA, hearing, vision, DtaP, IPV, MMR, VarivaxHgb, UA, Dtap, IPV, MMR, VarivaxQuestion 88. Question :_____________children are less likely to be diagnosed with attention deficit disorder than others.African AmericanNon-Hispanic WhiteAsianHispanicQuestion 89. Question :___________ are the first line choice for treatment of attention deficit hyperactivity disorders.Selective serotonin reuptake inhibitorsLong-acting stimulantsTricyclicsDopamine agonist inhibitorsQuestion 91. Question :An example of rapid-acting insulin is ______________________.glarginedetemirneutral protamine hagedornlisproQuestion 92. Question :The best tools for treating adolescents are ______ and ______.your time; moneypatient education; timetheir trust; your timemutual trust; patient educationQuestion 94. Question :Antidepressant medication use in the adolescent age group should be monitored due to __________.risk of pregnancyweight gainnoncompliancerisk of suicidal ideationsQuestion 95. Question :Symptoms of attention deficit hyperactivity disorder are present prior to ________ years of age.tensevenninesixQuestion 98. Question :Type 1 diabetes begins when ____________________.the adolescent is overweightbeta cell production failsinsulin resistance is presentpoor nutrition is presentQuestion 99. Question :Adolescents prefer to betreated like a childtreated like an adulttreated like a teen agertaken seriouslyQuestion 100. Question :Which group of adolescents is more likely to develop Type 1 diabetes?Non-Hispanic white adolescentsAmerican-Indian adolescentsAfrican-American adolescentsPacific Islander adolescents

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