Pediatric Nurse Practitioner Certification Review Guide: Primary Care
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Pediatric Nurse Practitioner Certification Review Guide: Primary Care, Sixth Edition is an essential resource for nurses preparing to take certification examinations offered by the Pediatric Nursing Certification Board (PNCB) and the American Nurses Credentialing Center (ANCC). Completely updated and revised, it reflects the most current guidelines and standards of practice. The Sixth Edition includes new content on asthma, learning disabilities, mental and behavioral health problems, obesity, violence, substance abuse, and sexually transmitted infections. Also incorporated are the concepts of health care homes or medical homes, providing culturally sensitive and competent care, and the use of complementary and alternative medicine (CAM). Each new print copy includes Navigate 2 Preferred Access that unlocks a comprehensive and interactive eBook and Navigate 2 TestPrep.
the gold standard in diagnosing asthma in children older than 4 to 5 years; demonstrates obstruction and assess reversibility a. Lower airway obstruction indicated by a reduction in the values for both FEV1 (the forced expiratory in 1 second) and the FEV1/FVC (forced volume vital capacity [or FEV1/ FEV6]) relative to reference or predicted values b. Reversibility—FEV1 increases at least 12% from baseline OR FEV1 increases of at least 10% of predicted after using a short-acting inhaled beta2
viral infection, or drug ingestion (3) Webbed neck—common in Turner’s syndrome, a chromosomal abnormality occurring 99% of the time in females which results in webbed neck, widespread nipples, abnormal ears, micrognathia, and lymphedema of hands and feet (4) Unusual position of trachea could indicate serious lung problem (5) Mass in the neck (a) Thyroglossal duct cyst—usually seen near midline of neck; cyst moves up and down with protrusion of tongue; may become infected and present as an
Questions 34 53 14 11 12 16 53 29 3 8 3 5 5 Knowledge Level 10 Percent of Test 23% 35% 9% 7% 8% 11% 35% 20% 2% 5% 2% 3% 3% Hours for Study 7% Adapted from PNCB Primary Care Pediatric Practitioner Detailed Content Outline (2009). Bolded/shaded headings represent major categories of the test. Note those content areas that have high percentages on the examination, and ensure sufficient study time dedicated to these areas based upon self-assessment. A more detailed study plan can be developed
Nugent, P. M., & Vitale, B. A. (2008). Test success: Testtaking techniques for beginning nursing Students (5th ed.). Philadelphia: F.A. Davis. Pediatric Nursing Certification Board. (2009). Primary care PNP exam administration. Retrieved June 1, 2009, from http://www.pncb.org/ptistore/control/ exams/pnp/admin Rea, K. (2003). Home health certification: Recognition for specialty practice. Home Healthcare Nurse, 21(11), 761–768. Springhouse review for critical care nursing certification (4th ed.).
Symptoms 1. Vary in severity and over course of illness 2. Acute phase—lasts about 10 days; most of diagnostic criteria are noted at some point during this time period a. Preceding or concurrent respiratory symptoms—runny nose, cough, ear infection 128 CHAPTER 5 Cardiovascular Disorders 3. 4. • • Diarrhea, vomiting, or abdominal pain (common) c. Irritability d. Persistent high fever Ͼ 5 days e. Reddened eyes f. Red tongue and throat g. Redness and/or swelling of hands and feet h. Rash i.