1|Page
WGU D119 Objective Assessment Final Exam Version
2 Preparation Newest Verified Exam With Complete
Questions And Correct Detailed Answers| Newest
Exam!!
During a well-child assessment of an 18-month-old child,
you observe the child becoming irritable and
uncooperative. The parent tells the child to stop fussing.
What should you do?
Offer the child a book or toy.
Allow the parent to put the child in a time-out.
Stop the examination because the child is having a
meltdown.
Ask the parent about usual discipline practices. - Answers-
Correct! Children of this age require frequent
entertainment and interaction. It is normal for a child to
become fussy during an assessment that requires the
child to remain still for a time, and this is an opportunity for
parental education. Educate the parent that providing easy
toys for entertainment will be more effective than
discipline. The child is not misbehaving but needs a
diversion. Providing a diversion through toys or other
entertainment will help diffuse the situation.
,2|Page
You conduct a well-baby examination on an eight-month-
old infant and note mild gross motor delays but no delays
in other areas.
Which initial course of action should you take?
Consult a developmental specialist for a complete
evaluation.
Teach the parents to provide exercises to encourage
motor development.
Prepare the parents for diagnosis of a potentially serious
developmental disorder.
Refer the infant to an early intervention program for
physical therapy. - Answers-Correct! All children progress
at different rates. Encouraging play that engages gross
motor movement will help with development. Other actions
would be considered if the examination showed multiple
delays.
You perform a physical examination on a nine-month-old
infant and note two central incisors on the lower gums.
The parent states that the infant nurses, takes solid foods
three times daily, and occasionally takes water from a cup.
What should you tell the parent to promote optimal dental
health?
Discontinue giving fluoride supplements
,3|Page
Begin brushing the infant's teeth with toothpaste
Make an appointment for an initial dental examination
Consider weaning the infant from breastfeeding -
Answers-Correct! Dental examinations should begin when
teeth appear. Toothpaste is not yet required. Breastfeeding
cessation is not required and should continue. Fluoride
supplements should continue as well.
You are offering anticipatory guidance to the parents of a
12-month-old child. The parents are bilingual in Spanish
and English and have many Spanish-speaking relatives
nearby. They are resisting exposing the child to Spanish
out of concern that the child will not learn English well.
What should you tell the parents?
Children who learn two languages simultaneously often
confuse them in conversation.
Learning two languages at an early age prevents children
from developing a dominant language.
Children with multi-language proficiency do not
understand that other people are not bilingual.
Most bilingual children are able to shift from one language
to another when appropriate. - Answers-Correct! Most
children easily learn two languages and will easily move
between the two when learning to talk.
, 4|Page
An advanced practice registered nurse (APRN) is
evaluating a four-month-old infant during a well-child visit,
and the infant's parent mentions the infant is waking up
and crying several times a night, but after a short time of
rocking, the baby will go back to sleep. The parent asks
the APRN how to reduce the frequency of this problem.
Which recommendation should the APRN suggest to this
parent?
Instruct the parent to have the child sleep with the parent
Allow the child to self-soothe when awaking at night
Give the child a bottle to help him return to sleep
Provide soothing music to help the child maintain sleep -
Answers-Correct! Infants need to be allowed to self-soothe
when they awaken at night. Infants who are placed in cribs
while drowsy but not yet asleep are more likely to go back
to sleep without comfort from the parent when they wake.
An advanced practice registered nurse (APRN) is caring
for a 12-month-old infant brought in by the infant's mother
and father for a well-child exam. The parents speak some
English but require an interpreter during medical visits.
Assessment findings include the following for the infant:
• experiences night awakening that persists
WGU D119 Objective Assessment Final Exam Version
2 Preparation Newest Verified Exam With Complete
Questions And Correct Detailed Answers| Newest
Exam!!
During a well-child assessment of an 18-month-old child,
you observe the child becoming irritable and
uncooperative. The parent tells the child to stop fussing.
What should you do?
Offer the child a book or toy.
Allow the parent to put the child in a time-out.
Stop the examination because the child is having a
meltdown.
Ask the parent about usual discipline practices. - Answers-
Correct! Children of this age require frequent
entertainment and interaction. It is normal for a child to
become fussy during an assessment that requires the
child to remain still for a time, and this is an opportunity for
parental education. Educate the parent that providing easy
toys for entertainment will be more effective than
discipline. The child is not misbehaving but needs a
diversion. Providing a diversion through toys or other
entertainment will help diffuse the situation.
,2|Page
You conduct a well-baby examination on an eight-month-
old infant and note mild gross motor delays but no delays
in other areas.
Which initial course of action should you take?
Consult a developmental specialist for a complete
evaluation.
Teach the parents to provide exercises to encourage
motor development.
Prepare the parents for diagnosis of a potentially serious
developmental disorder.
Refer the infant to an early intervention program for
physical therapy. - Answers-Correct! All children progress
at different rates. Encouraging play that engages gross
motor movement will help with development. Other actions
would be considered if the examination showed multiple
delays.
You perform a physical examination on a nine-month-old
infant and note two central incisors on the lower gums.
The parent states that the infant nurses, takes solid foods
three times daily, and occasionally takes water from a cup.
What should you tell the parent to promote optimal dental
health?
Discontinue giving fluoride supplements
,3|Page
Begin brushing the infant's teeth with toothpaste
Make an appointment for an initial dental examination
Consider weaning the infant from breastfeeding -
Answers-Correct! Dental examinations should begin when
teeth appear. Toothpaste is not yet required. Breastfeeding
cessation is not required and should continue. Fluoride
supplements should continue as well.
You are offering anticipatory guidance to the parents of a
12-month-old child. The parents are bilingual in Spanish
and English and have many Spanish-speaking relatives
nearby. They are resisting exposing the child to Spanish
out of concern that the child will not learn English well.
What should you tell the parents?
Children who learn two languages simultaneously often
confuse them in conversation.
Learning two languages at an early age prevents children
from developing a dominant language.
Children with multi-language proficiency do not
understand that other people are not bilingual.
Most bilingual children are able to shift from one language
to another when appropriate. - Answers-Correct! Most
children easily learn two languages and will easily move
between the two when learning to talk.
, 4|Page
An advanced practice registered nurse (APRN) is
evaluating a four-month-old infant during a well-child visit,
and the infant's parent mentions the infant is waking up
and crying several times a night, but after a short time of
rocking, the baby will go back to sleep. The parent asks
the APRN how to reduce the frequency of this problem.
Which recommendation should the APRN suggest to this
parent?
Instruct the parent to have the child sleep with the parent
Allow the child to self-soothe when awaking at night
Give the child a bottle to help him return to sleep
Provide soothing music to help the child maintain sleep -
Answers-Correct! Infants need to be allowed to self-soothe
when they awaken at night. Infants who are placed in cribs
while drowsy but not yet asleep are more likely to go back
to sleep without comfort from the parent when they wake.
An advanced practice registered nurse (APRN) is caring
for a 12-month-old infant brought in by the infant's mother
and father for a well-child exam. The parents speak some
English but require an interpreter during medical visits.
Assessment findings include the following for the infant:
• experiences night awakening that persists
