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SCHOOL NURSE CERTIFICATION EXAM 2 NBCSN - 2025
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What is the first sign of puberty in females? - correct answers Breast development approx age 10 (7-13), about 3 years to develop When does Menses begin? - correct answers ages 8 - 16 first is irregular and w/o ovulation What is FSH? What does it do in females? - correct answers FSH - follicle stimulating hormone Females - stimulates ovarian development and estrogen production. What is FSH? What does it do in males? - correct answers FSH - follicle stimulating hormone males - develops tubes in testes --> spermatogenesis & fertility What age does penis reach adult size? - correct answers 17 What age does sperm emission start? - correct answers age 13 What is the first sign of puberty in males, and around what age? - correct answers Testicular enlargement - around age 11- 15 What is LH? - correct answers Luteninizing hormone (LH)
What does LH do? - correct answers stimulates testosterone release from leydig cells (testicular enlargement) Does sperm emission happen before or after pubic hair development and growth spurt
- correct answers Before Role of Pituitary gland in puberty - correct answers Releases Luteninizing hormone (LH) and follicle stimulating hormone (FSH) Role of Hypothalamus in puberty - correct answers produces gonadotropin-releasing hormone. starts the process. this tells the Pituitary gland to start Define Puberty - correct answers the physical changes to the body due to hormone activity as per the Tanner Scale What is the Tanner Scale - correct answers The hormone activity which produces secondary sex characteristics. 13 - 19 Developmental Tasks
ability to analyze and synthesize use logic Begins awareness of the long-term consequences of their actions. Nutritional intake influences adult health status how? - correct answers Calcium - needed for bone health High cholesterol can compromise cardiovascular health Diet habits of teens - correct answers skipping meals (esp bkst) increased snacking fast food
early sexual activity teen pregnancy poor academic outcome Pair of ACEs - correct answers Adverse Childhood Experiences + Adverse Community Environments Biologic family - correct answers born into Source Family - correct answers legally and pragmatically functions as the biologic family Non-compliant parent - correct answers - seek and understanding of the issues and rationales for their decision
Family dysfunction - correct answers a result of interaction among members and is not caused by any one person % of children raised by grandparents - correct answers 4% % of children raised by 2 parents - correct answers 66% (2/3) % children living in one parent homes - correct answers 23% What type of rules govern foster care? - correct answers Guardianship/kinship care What type of rules govern rights of children and families? - correct answers State Laws What type of rules supersede state laws? - correct answers Tribal or federal laws Define homelessness - correct answers living temporarily without a permanent address (includes living with friends or family) Homeless children are higher risk of: - correct answers behavioral/emotional problems child abuse & neglect communicable diseases chronic absenteeism lower academics lower graduation rates McKinney-Vento Homeless Assistance Act - correct answers The primary piece of federal legislation dealing with the education of homeless children in public schools. What does M/V Act assure? - correct answers FAPE (Free and appropriate education) How does a child indirectly see domestic violence in their home? - correct answers Observe bruises, broken furniture, etc.
cultural competence - correct answers having an awareness and acceptance of cultures and the ability to interact effectively with people of diverse cultures cultural congruence - correct answers applying nursing practice that is in agreement with the client's preferred cultural values cultural humility - correct answers communal reflection to analyze the root cause of suffering and create a more inclusive world view. goal of cultural humility - correct answers to address health disparities and inequities in medicine What assumption cannot be made about a family and their culture? - correct answers That they follow all of the prescribed practices of that culture. ASK define school nursing - correct answers a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. Role of school nurse - correct answers Bridges health care and education delivers care provides health education help keep children healthy, safe, and ready to learn What does a wellness program include? - correct answers health promotion and disease prevention Difference between School Nursing and public health - correct answers School nursing - student focused PH = focuses on the group and not the individual Principles of Public Health - correct answers 1. focus on the aggregate
(mass screening & herd immunity)
cognitive skills and attitudes 10 Components of WSCC Model - correct answers Health Education PE and Activity Nutrition services Health services Counseling Social & Emotional Climate Physical Environment Employee Wellness Family engagement Community Involvement Nursing Process - correct answers Assessment Diagnosis Planning Implementation Evaluation 3 Focuses of school health programs - correct answers - wellness
Define period of communicability - correct answers when the disease is contagious (transmissible) may be before symptoms appear Define convalescent period - correct answers time between decrease of disease symptoms and complete return to wellness What OTC med should NOT be given for pain relief after vaccine? - correct answers Aspirin Three focuses of Student Athlete Sports Nutrition - correct answers hydration, fueling, recovery Low economic status would be associated with which types of hazards - correct answers psychological There are two primary sources for obtaining the data necessary for building a successful employee wellness program - correct answers an employee health risk appraisal and an individual interest survey Blood levels of 10 mcg/dL of lead have been shown to produce a drop in IQ of - correct answers 7.4 points Screening tools must be specific and sensitive for the targeted health issue. They must measure what it says it does and correctly classify participants. This quality is which of the following? - correct answers validity The Individualized Education Program for students eligible for the services of IDEA has two general purposes. These are: - correct answers to set reasonable learning goals and to state the services that the school district will provide In terms of semantics related to the computerization of medical and health records, the first-level product that brings together information for other sources is known as which of the following? - correct answers automated medical record
Complications of pertussis - correct answers infants and children: pneumonia, convulsions, apnea, encephalopathy, death teens/adults: weight loss, loss of bladder control, passing out, rib fractures Schedule for DTaP - correct answers 2, 4, 6, 15-18 months and between 4-6 years Contraindication for pertussis vaccine - correct answers an active neurologic condition ie: seizures When will you see side effects of Dtap? - correct answers w/in 72 hours. fever, irritability, site pain somnolence, loss of appetite Another name for M, M, & R - correct answers Measles (Rubeola) Mumps (Parotitis) Rubella (German Measles) How are MMR spread? - correct answers by respiratory drops Symptoms of congenital rubella - correct answers - miscarriage
Must be distanced by 4 weeks Why isn't oral polio vaccine given anymore? - correct answers disease was contracted by immunocompromised people who handled the feces of vaccinated infants Is IPV a live vaccine? - correct answers No. It is a trivalent enhanced inactivated (killed) vaccine What is the difference between the nasal Flu vaccine and the Injected Flu vaccine? - correct answers - Nasal is a live attenuated vaccine. Has been approved for > 24mos but usually > age 5. Can have a small case of the flu