Growing Up With US- Children- January 2017

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Alsherm78

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Questions: 10 | Attempts: 178 | Updated: Feb 28, 2023

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Growing Up With US- Children- January 2017 - Quiz

This quiz reflects the January 2017 newsletter about Beta A Hemolytic Strep in Children. To be successful you need to achieve a score of 100%. You can take the quiz as many times a you like to achieve 100%.

Questions and Answers

1.

During your assessment, Jane K. , 10 years old, complains of a sore throat. Her mother and little brothers, Mike age 8, and Sam age 6 are with her. Which of the following assessment findings would most likely suggest that Jane has strep throat?
- A.
  
  Core body temperature of 98.6F
- B.
  
  Generalized body aches
- C.
  
  Beefy red, swollen throat
- D.
  
  Nausea, vomiting and diarrhea
Correct Answer
C. Beefy red, swollen throat

Explanation
A beefy red, swollen throat is a common symptom of strep throat. Strep throat is a bacterial infection that causes inflammation and swelling of the throat, resulting in a sore throat. The redness and swelling are often more pronounced with strep throat compared to other causes of sore throat, such as viral infections. The presence of these specific symptoms, along with the absence of other symptoms such as fever or gastrointestinal symptoms, would suggest that Jane most likely has strep throat.

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2.

The most definitive diagnosis of strep throat is made by the :
- A.
  
  Intensity of the child's throat pain
- B.
  
  Traditional throat culture
- C.
  
  Rapid antigen test
- D.
  
  Color of the child's tongue
Correct Answer
B. Traditional throat culture

Explanation
The most definitive diagnosis of strep throat is made by a traditional throat culture. This involves taking a swab from the back of the throat and culturing it in a laboratory to identify the presence of the Streptococcus bacteria, which causes strep throat. This method is considered the gold standard for diagnosing strep throat as it provides accurate results. The intensity of the child's throat pain, rapid antigen tests, and the color of the child's tongue are not reliable or specific enough to definitively diagnose strep throat.

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3.

Jane most likely did not contract GABHS from:
- A.
  
  Her friend , who is an asymptomatic carrier
- B.
  
  An infected classmate who coughed or sneezed near her
- C.
  
  Borrowing and wearing pants from an infected friend
- D.
  
  Sharing popcorn and a soda with a child infected with GABHS.
Correct Answer
C. Borrowing and wearing pants from an infected friend

Explanation
GABHS (Group A Beta-hemolytic Streptococcus) is primarily transmitted through respiratory droplets, such as coughing or sneezing. It can also be spread through direct contact with infected surfaces or objects. However, borrowing and wearing pants from an infected friend would not typically lead to GABHS transmission, as the bacteria is not commonly found on clothing. Therefore, it is unlikely that Jane contracted GABHS from borrowing and wearing pants from an infected friend.

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4.

Strep throat is confirmed in Jane and her mother is given a prescription for oral antibiotics. A priority discharge intervention is for the healthcare profession to instruct Jane's mother to:
- A.
  
  Recheck Jane's temperature every 8 hours
- B.
  
  Keep her NPO for 24 hours
- C.
  
  Complete the full course of antibiotics
- D.
  
  Keep her out of school at least 10 days
Correct Answer
C. Complete the full course of antibiotics

Explanation
The correct answer is to complete the full course of antibiotics. This is a priority discharge intervention because it is important for Jane's mother to understand the importance of finishing the entire prescribed course of antibiotics. Stopping the medication early can lead to incomplete treatment and the development of antibiotic resistance. By completing the full course, Jane will have a higher chance of fully recovering from strep throat and avoiding any potential complications.

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5.

Because of his age, Sam age 6 years old, is low risk for contracting strep throat?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The statement suggests that Sam, who is 6 years old, is low risk for contracting strep throat due to his age. However, this statement is false. Age alone does not determine the risk of contracting strep throat. Strep throat is a bacterial infection that can affect individuals of any age, including children. The risk of contracting strep throat is influenced by various factors such as exposure to the bacteria, weakened immune system, and personal hygiene practices. Therefore, Sam's age does not automatically make him low risk for contracting strep throat.

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6.

Jane's mother asks, " How can I prevent my boys from getting this?" You respond:
- A.
  
  'It's not highly contagious. It's more like a normal childhood illness."
- B.
  
  "You really can't. Once one child has it, it runs through the whole family."
- C.
  
  "Replace all of their toothbrushes when you get home"
- D.
  
  "One way is to make sure all family members practice good hand washing."
Correct Answer
D. "One way is to make sure all family members practice good hand washing."

Explanation
The correct answer suggests that practicing good hand washing is one way to prevent the boys from getting the illness. This implies that the illness is likely to be spread through contact with contaminated hands, and by maintaining proper hygiene, the chances of transmission can be reduced.

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7.

Five days later, Jane's brother Mike, 8 years old , is also diagnosed with strep throat. Scarlet fever is also suspected. Which of the following describes the characteristic rash with scarlet fever?
- A.
  
  Small vesicles, surrounded by a circle of red skin
- B.
  
  Bright red, which is more intense in areas , such as the neck and axilla
- C.
  
  Pinkish color, which is more intense on the face
- D.
  
  Patches of red skin the weep fluid
Correct Answer
B. Bright red, which is more intense in areas , such as the neck and axilla

Explanation
The characteristic rash with scarlet fever is described as bright red, which is more intense in areas such as the neck and axilla.

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8.

Mrs. K., says, "Why is his tongue white?" You respond:
- A.
  
  "Has he been drinking enough? It looks dry and cracked too."
- B.
  
  "I'm not sure, it should be red and swollen like a strawberry, with scarlet fever."
- C.
  
  "I've never seen that. You'll have to ask the doctor."
- D.
  
  "Initially , with scarlet fever , the tongue becomes covered with a white coating."
Correct Answer
D. "Initially , with scarlet fever , the tongue becomes covered with a white coating."

Explanation
The correct answer explains that with scarlet fever, the tongue initially becomes covered with a white coating. This suggests that the white tongue observed in the situation could be a symptom of scarlet fever.

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9.

Mrs. K., says, 'My youngest , Sam has impetigo. There was an outbreak at school. What is the best way to protect him and my others from this in the future?" You respond:
- A.
  
  "Make sure they don't share clothing or bath towels."
- B.
  
  "Keep them indoors and away from others as much as possible."
- C.
  
  "Be sure they are up to date on their immunizations."
- D.
  
  "Isolate your children , as soon as you notice one of them has a fever."
Correct Answer
A. "Make sure they don't share clothing or bath towels."

Explanation
The correct answer suggests that the best way to protect both Sam and the other children from impetigo in the future is to ensure that they do not share clothing or bath towels. Impetigo is a highly contagious skin infection that spreads through direct contact with the infected person's skin or personal items. By avoiding sharing clothing or towels, the transmission of the infection can be minimized, reducing the risk of spreading it to others.

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10.

Undiagnosed or incompletely treated GABHS infections can result in serious , life- threatening infections, such as rheumatic fever, meningitis and acute glomerulonephritis?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Undiagnosed or incompletely treated GABHS (Group A Streptococcus) infections can lead to severe complications like rheumatic fever, meningitis, and acute glomerulonephritis. These conditions can be life-threatening and require immediate medical attention. It is important to properly diagnose and treat GABHS infections to prevent the development of these serious complications.

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Current Version
Feb 28, 2023

Quiz Edited by
ProProfs Editorial Team
Mar 06, 2017

Quiz Created by
Alsherm78

Growing Up With US- Children- January 2017

During your assessment, Jane K. , 10 years old, complains of a sore throat. Her mother and little brothers, Mike age 8, and Sam age 6 are with her. Which of the following assessment findings would most likely suggest that Jane has strep throat?

The most definitive diagnosis of strep throat is made by the :

Jane most likely did not contract GABHS from:

Strep throat is confirmed in Jane and her mother is given a prescription for oral antibiotics. A priority discharge intervention is for the healthcare profession to instruct Jane's mother to:

Because of his age, Sam age 6 years old, is low risk for contracting strep throat?

Jane's mother asks, " How can I prevent my boys from getting this?" You respond:

Five days later, Jane's brother Mike, 8 years old , is also diagnosed with strep throat. Scarlet fever is also suspected. Which of the following describes the characteristic rash with scarlet fever?

Mrs. K., says, "Why is his tongue white?" You respond:

Mrs. K., says, 'My youngest , Sam has impetigo. There was an outbreak at school. What is the best way to protect him and my others from this in the future?" You respond:

Undiagnosed or incompletely treated GABHS infections can result in serious , life- threatening infections, such as rheumatic fever, meningitis and acute glomerulonephritis?