MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 1 discussion
Growth and
Development
This week’s
Discussion will address the growth and development of the child from neonate to
adolescents, cultural considerations, and the importance of communication with
the child and family in respect to age and developmental considerations. This
will build a solid knowledge base for the provider when caring for the child.
Your
professor will assign you a case to present and, in return, you will reply to
your classmates in the other cases in order to promote a robust discussion.
Please
complete each initial post in APA format following the Discussion Board grading
rubric to include, but not limited to the following:
Apply a
principle of human growth and development related to appropriate age group
Apply
developmental theory related to age group
Discuss
developmental milestones related to the age
Discuss
developmental assessment tool related to the age
Apply
cultural consideration and cultural assessment to presentation
Case 1: A
6-month-old Haitian male, both parents present at the appointment and the third
child for both parents. Child was born at 40 weeks, last seen at 4-month visit
and no concerns at that time. Child is smiling, babbling, rolls both from
abdomen to back and back to abdomen and sits with support.
Case 2: A
2-year-old Hispanic female, mother and grandmother present at the appointment,
first child for mother, sixth grandchild for grandmother. Mother speaks English
as primary language; grandmother speaks Spanish as primary language. Last well
visit was at 18 months of age and was speaking 20 words total, about 10 in
English and 10 in Spanish. Now, mother states that child has about 50 words,
with some in English and some in Spanish.
Case 3: A
4-year-old African American male, with mother, father, and paternal grandmother
present. Child is here for well check for school entry. Child speaks
approximately 100 words and only 50% intelligible.
Case 4: A
7-year-old Mexican American male with mother and maternal grandmother present.
Mother has no concerns except grandmother feels the child is “too skinny.”
Case 5: A
14-year-old Caucasian female from single-parent family with father present.
Father states that “she has always been healthy but I am worried that something
is wrong because she doesn’t talk to me anymore.”
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 2 discussion
Pediatric
Health Maintenance Exam and PPE
The
foundation of pediatric healthcare visits, both sick and well, starts with a
thorough health history; from the data collected, an accurate physical
examination and diagnosis can be made. Primary care healthcare visits are an
integral part of ensuring the health and well-being of the child. In children
that participate in sports, a preparticipation physical examination (PPE) is
required and may be the only contact the healthy child has with their
healthcare provider. This week’s Discussion will focus on these key topics.
Your
professor will assign a topic to present and, in return, you will reply to your
classmates in the other topics in order to promote a robust discussion.
Please complete
each post in APA format following the Discussion Board grading rubric.
Topic 1:
What are the different types of pediatric health histories? When would you use
each specific type?
Topic 2:
What is the review of systems (ROS)? In a SOAP note, where does the ROS belong?
What is the relationship between the ROS and the physical exam?
Topic 3:
Shelby is a 5-year-old female, brought to the clinic by her parents and will be
starting kindergarten in the fall. The parents state that she needs her
physical and shot record to register her for school. The parents state that she
has been healthy and voice no concerns although Shelby is “scared” about the
exam and vaccines. How would you address Shelby’s fear of the exam and
vaccines? What age-appropriate screenings and lab tests are recommended for
Shelby? What immunizations will Shelby require, if any?
Topic 4:
Peyton is a 2-month-old female brought to the clinic by her 18-year-old mother
for her health maintenance exam. What should the physical examination focus on
for this child? What immunizations are due, if any? What age-appropriate
anticipatory guidance topics should be discussed with mom?
Topic 5:
George is a 12-year-old male brought to the clinic by his father and wants to
start playing football and needs a preparticipation physical examination (PPE).
He is an established patient in your practice and his last health maintenance
exam was at 11 years of age. In reviewing his health history, you note that he
has sickle cell trait but otherwise healthy. During his exam, you auscultate a
Grade I murmur, and the remaining exam is normal. Dad asks if you will clear
George to start football practice tomorrow. Would you clear George? Why or why
not? Are there any specialists George needs to see before clearance? What are
some of the preventive measures you would discuss with George and his father
related to playing sports, specifically football?
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 3 discussion
Topic 1:
Pediatric Conditions Affecting the Eyes, Ears, Mouth, and Gastrointestinal
System
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to the eyes, ears, mouth, and gastrointestinal system. You are
expected to present your initial topic including, but not limited to, the
following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
1.
Sensorineural and conductive hearing loss
2. Otitis
media (all types)
3.
Conjunctivitis (all types) and nystagmus
4. Amblyopia
and strabismus
5.
Retinopathy of prematurity
6. Dental
caries, candidiasis, aphthous ulcers
7.
Retinoblastoma
8.
Gastroesophageal reflux disease in pediatrics
9. Peptic
ulcer disease in pediatrics
10.
Appendicitis and functional abdominal pain syndrome
11.
Intussusception and pyloric stenosis
12. Malabsorption
syndromes: Celiac disease, lactose intolerance, cow’s milk protein intolerance
or allergy
13. Failure
to thrive
14. Acute
gastroenteritis and intestinal parasites
15.
Constipation and encopresis
16.
Periorbital cellulitis and orbital cellulitis
17. Otitis
externa and mastoiditis
18. Glaucoma
and cataracts in pediatrics
19. Corneal
ulcers and hordeolum
20. Cyclic
vomiting syndrome
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 4 discussion
Topic 1:
Cardiac and Pulmonic Pediatric Conditions
This week,
cardiac and pulmonic conditions will be assigned to you by your instructor. You
are expected to present your initial topic including, but not limited to, the
following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
Murmurs
(innocent and pathologic)
Congestive
heart disease in children
Left to
right shunting: ASD, VSD
Left to
right shunting: Atrioventricular septal defect, PDA
Right to
left shunting: Transposition of the great arteries (TGA), tetralogy of fallot,
hypoplastic left heart syndrome
Hypertension
in children
Kawasaki
Disease, acute rheumatic fever
Infective
endocarditis, pericarditis
Myocarditis,
cardiomyopathy
Syncope
Cardiac
dysrhythmias
Upper
respiratory disorders: The common cold, rhinosinusitis
Pharyngitis,
tonsillitis
Diphtheria,
pertussis
Recurrent
epistaxis, nasal foreign body
Croup,
epiglottitis
Foreign body
aspiration (laryngeal, tracheal, bronchial)
Nonbacterial
and bacterial pneumonia
Cystic
fibrosis
Pectus
deformity
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 5 discussion
Topic 1:
Pain Management, Palliative Care, Metabolic, Endocrine, Genetic, and Chronic
Conditions and Management Plans
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to metabolic, endocrine, genetic, and chronic conditions. You are
expected to present your initial topic including, but not limited to, the
following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
Precocious
puberty
Pediatric
obesity
Hypothyroidism
Hyperthyroidism
Growth
hormone deficiency
Constitutional
growth delay
Adrenal
Insufficiency
Type 1
diabetes
Type 2
diabetes
Inborn
errors of metabolism
Phenylketonuria
Dyslipidemia
Trisomy 21
Trisomy 18
Turner
syndrome
Fragile X
syndrome
Klinefelter
syndrome
Neurofibromatosis
Fever in children
Pain in
children
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 6 discussion
Topic 1:
Pediatric Atopic, Immunologic, Infectious Disease, and Integumentary Conditions
and Management Plans
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to atopic, immunologic, infectious disease, and integumentary
conditions. You are expected to present your initial topic including, but not
limited to, the following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
1. Pediatric
asthma (0–4 years of age)
2. Allergic
rhinitis
3. Atopic
dermatitis, contact dermatitis
4. Juvenile
idiopathic arthritis
5. Systemic
lupus erythematosus
6. Acute
rheumatic fever
7.
Henoch-Schonlein purpura
8. Pediatric
asthma (5–11 years of age)
9. Pediatric
asthma (>12 years of age)
10. Impetigo
11.
Cellulitis
12.
Candidiasis, all types
13. Tinea
capitis, tinea corporis
14. Tinea
versicolor, pityriasis rosea
15. Scabies,
pediculosis
16. Acne
vulgaris
17.
Stevens-Johnson syndrome
18. Herpes
simplex virus
19.
Infectious mononucleosis
20. Fever of
unknown origin
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 7 discussion
Topic 1:
Musculoskeletal, Hematologic, and Oncologic Conditions in Children and
Management Plans
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to musculoskeletal, hematologic, and oncologic conditions. You are
expected to present your initial topic including, but not limited to, the
following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
Microcytic
anemia
Thalassemias
Hemolytic
anemia
Sickle cell
anemia and trait
Hereditary
spherocytosis
Idiopathic
thrombocytopenic purpura
Hemophilias
Leukemia
Non-Hodgkin
lymphoma
Hodgkin
lymphoma
Brachial
plexus injury
Clavicle fracture
Costochondritis
Scoliosis
Developmental
dysplasia of the hip
Legg-Calve-Perthes
disease
Slipped
capital femoral epiphysis
Genu varum,
genu valgum
Osgood-Schlatter
disease
Subluxation
of the radial head
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 8 discussion
Topic 1:
Neurologic and Mental Health Conditions and Management Plans
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to neurologic and mental health conditions. You are expected to
present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
Night
terrors, nightmares
Attention-deficit/hyperactivity
disorder
Learning
disorders
Sensory
processing disorder
Autistic
spectrum disorders
Anxiety
disorder (separation and generalized)
Obsessive-compulsive
disorder
Tic
disorders
Posttraumatic
stress disorder
Depression
Bipolar
disorder
Oppositional
defiant disorder
Eating
disorders
Cerebral
palsy
Epilepsy and
seizure disorder
Headaches in
children
Disturbances
of head growth
Guillain-Barre
syndrome
Head injury
CNS
infection
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 9 discussion
Topic 1:
Genitourinary, Gynecologic, and Adolescent Health and Management Plans
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to genitourinary, gynecologic, and adolescent health conditions. You
are expected to present your initial topic including, but not limited to, the
following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans
and referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
Urinary
tract infection, pyelonephritis
Vesicoureteral
reflux
Hematuria
Proteinuria
Hypospadias
Cryptorchidism
Hydrocele
Varicocele
Inguinal
hernia
Labial
adhesions
Vulvovaginitis
Dysmenorrhea
Amenorrhea
Dysfunctional
uterine bleeding
Vaginitis
Polycystic
ovary syndrome
Gynecomastia
in adolescent males
Adolescent
pregnancy
Suicidality
in adolescents
Substance
abuse in adolescents
MN580 FNP II - Primary Care of
Children and Adolescents Health
Unit 10 discussion
Topic 1:
Assessment of the Neonate, Child Abuse and Neglect, Environmental Health, and
Complementary Therapies in Pediatrics
This week,
there will be a variety of conditions assigned to you by your instructor
pertaining to the neonate, child abuse, child neglect, and environmental health
conditions. You are expected to present your initial topic including, but not
limited to, the following items:
Pathophysiology
Epidemiology
Physical
exam findings
Differential
diagnoses and rationale
Management
plan to include diagnostic testing, medications if applicable, follow-up plans and
referrals if needed
In addition,
you are required to follow the Discussion Board grading rubric and respond to
at least three of your classmates. Topics may include:
Milia,
erythema toxicum, cutis marmorata
Branchial
cleft, thyroglossal cyst
Caput succedaneum,
cephalhematoma
Cleft lip
and palate
Pyloric
stenosis
Neonatal
jaundice
Sudden
infant death syndrome, apparent life-threatening events
Mercury
poisoning
Lead
poisoning
Environmental
tobacco smoke exposure
Carbon
monoxide poisoning
Pesticide
exposure
Noise
pollution
Child
neglect
Physical
abuse
Sexual abuse
Emotional
abuse
Verbal abuse
Mold
exposure
Burns