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25 Cards in this Set
- Front
- Back
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What can exposure to PCB in utero cause?
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Hypoplastic cerebellum and ataxia
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____ is often the first step in eliciting environmental exposures.
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History
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Why was the pediatric environmental health initiative developed?
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To fill current gaps in education and training
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When should an environmental history be taken?
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1. Health supervision (well child) visits
2. Routine urgent visits (asthma, OM) 3. Other visits for illness (multiple persons with same symptoms |
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Which pediatric questionnaire gives background information for environmental history?
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Pediatric Environmental History Primer
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Where is lead found?
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In the soil
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What environmental health signals should clinicians advise parents to looks for in their children's school?
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-Mold or water damage
-Pets in the classroom -If newly renovated areas are cleaned up or aired out for safe occupancy -the smell of harsh/hazardous cleaning products |
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What does ETS stand for in regards to second hand smoke?
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Environmental tobacco smoke
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What are the clinical effects of second hand smoke?
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-Asthma
-Bronchitis/pneumonia -Otitis media -SIDS |
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Children who are exposed to SHS are more likely to have which complications under general anesthesia?
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respiratory complications
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Why are children who live with smokers at greater risk for injury and death?
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HIgh risk of house fires
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What is the number of the smoking quit line?
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1800 QUIT NOW
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What is in well water that is an environmental toxin?
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nitrates
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What do nitrates cause? what is a common sign of this disorder?
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methemoglobinemia: brown blood
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What 2 toxins should well water be tested for quarterly for 1 year?
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coliforms and nitrates
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___% of lifetime sun exposure occurs during childhood and adolescence.
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25
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What should breast fed babies be supplemented with starting at 4 days of life?
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400units of vitamin D
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What are the major categories that are covered in the screening history for environmental health?
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1. Where the child lives or spends time
2. Exposure to SHS 3. Water sources; food exposures 4. sun exposure 5. exposure related to parents' occupations 6. other concerns elicited from parent |
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What age period is it appropriate to discuss home, ETS, mold occupations exposures and breast/bottle issues with parents in regards to environmental health?
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Prenatal or first visit
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What topics should the nurse include in her discussion of environmental health with parents of a 2 month old?
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ETS, sun exposure, mold
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6 month olds should have an environmental anticipatory guidance for which topics?
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Poisons, household pesticides, lead
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What environmental toxins should parents consider to watch for their preschoolers?
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Arts and Crafts for lead
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What are the anticipatory guidance topics that HCP should discuss in the spring/summer? Fall/winter?
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Spring/Summer: lawn, garden products, services
Fall/winter: wood stoves. heating |
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What topics must be included in an interval history?
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-chief complaint
-HPI -Brief significant past medical history -all meds/confirm drugs -ADLs |
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What is the proper charting of the history and physical?
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-Diagnosis
-Plan -Rx -Diagnosis -Teaching -Referral -Follow-up |
