Peds D119 – WGU EXAM QUESTIONS WITH CORRECT
// // // // // // //
ANSWERS
//
Which //of //the //following //children //requires //a //language //referral //for //further //evaluation? //-
CORRECT //ANSWERS(S)✔✔2 //year //old //who //cannot //put //two //words //together
//
While //evaluating //a //three-day-old //infant, //the //FNP //turns //the //infant //on //the //side //to
//examine //the //back //and //notes //a //sharp //line //of //demarcation //dividing //the //upper //and //lower
//parts //of //the //body. //The //dependent //half //is //bright //red //and //the //superior //half //is //pale. //The
//etiology //of //this //phenomenon //is: //- //CORRECT //ANSWERS(S)✔✔An //immature //autonomic
//regulatory //system, //generally //referred //to //as //the //"Harlequin" //sign
The //FNP //is //measuring //a //newborn's //frontal //occipital //circumference. //What //does //the
//correct //technique //involve? //- //CORRECT //ANSWERS(S)✔✔Placing //the //paper //tape //measure
//at //the //frontal-occipital //prominence //and //just //above //the //eyebrows
The //FNP //notes //an //undescended //testicle //on //a //newborn. //She //understands //that //testicular
//function //and //ability //to //produce //healthy //sperm //as //an //adult //may //be //impaired //if //the
repair //is //not //made //by //age: //- //CORRECT //ANSWERS(S)✔✔1 //year
//
The //FNP //is //examining //a //full-term //infant //who //developed //physiologic //jaundice //and //is
//being //treated //with //phototherapy. //What //is //the //mechanism //of //action //of //phototherapy //in
//the //treatment //of //this //infant? //- //CORRECT //ANSWERS(S)✔✔The //light //is //absorbed //by
//bilirubin //and //promotes //the //conversion //of //a //toxic //bilirubin //to //and //unconjugated //product
//that //can //be //excreted //in //the //bile
Which //newborn //screening //tests //are //mandatory //State //requirements? //- //CORRECT
ANSWERS(S)✔✔Thyroid //function //tests //& //Phenylketonuria //(PKU)
//
,The //FNP //is //assessing //an //infant //that //was //delivered //by //cesarean //section. //What //is //a
//complication //frequently //associated //with //cesarean //delivery? //- //CORRECT
ANSWERS(S)✔✔Respiratory //distress
//
The //FNP //is //performing //a //newborn //assessment //on //a //full-term //infant //approximately //6
//hours //after //birth. //When //evaluating //the //infant's //head, //the //FNP //identifies //an //edematous
//area //that //crosses //the //cranial //suture //lines, //is //soft, //and //varies //with //size. //The //cranial
//suture //lines //have //minimal //space //between //them. //What //is //the //interpretation //of //these
findings? //- //CORRECT //ANSWERS(S)✔✔A //caput //succedaneum //is //present
//
A //typically //developing //6-month-old //would //be //expected //to: //- //CORRECT
ANSWERS(S)✔✔Laugh //and //play //a //clapping //game
//
Which //of //the //following //is //the //leading //cause //of //nonfatal //injury //in //children? //- //CORRECT
ANSWERS(S)✔✔Falls
//
Which //of //the //following //is //the //MOST //appropriate //intervention //for //2-year-old //patient //who
//has //not //received //the //MMR //vaccine? //- //CORRECT //ANSWERS(S)✔✔Administer //two //doses //4
//weeks //apart
The //parent //of //a //newborn //infant //asks //the //Family //nurse //practitioner //when //to //intervene
//to //help //the //infant's //future //intellectual //growth. //What //will //the //nurse //practitioner //tell //the
parent? //- //CORRECT //ANSWERS(S)✔✔language //and //literacy //skills //begin //at //birth
//
The //FNP //performs //a //well-baby //examination //on //a //7-day-old //infant //who //is //nursing //well,
//according //to //the //mother. //The //FNP //notes //that //the //infant //weighed //3250 //grams //at //birth
//and //2990 //grams //when //discharged //on //the //second //day //of //life. //The //infant //weighs //3080
//grams //at //this //visit. //Which //action //is //correct? //- //CORRECT //ANSWERS(S)✔✔Schedule //a
//weight //check //in //1 //week
,During //an //assessment //of //a //4-week-old //infant, //the //FNP //learns //that //a //breastfed //infant
//nurses //every //2 //hours //during //the //day //but //is //able //to //sleep //for //a //4-hour //period //during
//the //night. //The //infant //has //gained //20 //grams //per //day //in //the //interval //since //last //seen //in
//the //clinic. //What //will //the //FNP //recommend? //- //CORRECT //ANSWERS(S)✔✔Continuing //to
//nurse //the //infant //using //the //current //pattern
The //FNP //is //performing //a //well-baby //examination //on //a //2-month-old //infant //who //has
//gained //25 //grams //per //day //in //the //last //interval. //The //mother //is //nursing //and //tells //the
//nurse //practitioner //that //her //infant //seems //fussy //and //wants //to //nurse //more //often. //What
//will //the //FNP //tell //her? //- //CORRECT //ANSWERS(S)✔✔The //infant //may //be //going //through //an
//expected //growth //spurt
The //mother //of //a //6-week-old //breastfeeding //infant //tells //the //FNP //that //her //baby, //who
//previously //had //bowel //movements //with //each //feeding, //now //has //a //bowel //movement
//once //every //second //day. //What //will //the //FNP //tell //her? //- //CORRECT //ANSWERS(S)✔✔This
//may //be //normal //for //breast //feeding //babies
The //parent //of //a //5-month-old //is //worried //because //the //infant //becomes //fussy //but //doesn't
//always //seem //interested //in //nursing. //What //will //the //nurse //practitioner //tell //this //parent? //-
CORRECT //ANSWERS(S)✔✔The //infant //may //be //expressing //a //desire //to //play //or //to //rest
//
The //mother //of //a //6-month-old //infant //is //distressed //because //the //infant //can //say //"dada"
//but //not //"mama" //and //asks //the //Family //nurse //practitioner //why //this //is //when //she //is //the
//one //who //spends //more //time //with //the //infant. //How //will //the //FNP //respond? //- //CORRECT
ANSWERS(S)✔✔"At //this //age, //your //baby //does //not //understand //the //meaning //of //sounds."
//
The //FNP //is //performing //a //well-child //examination //on //an //8-month-old //infant //whose
//hearing //is //normal //but //who //responds //to //verbal //cues //with //only //single-syllable
//vocalizations. //What //will //the //FNP //recommend //to //the //parents //to //improve //speech //and
//language //skills //in //this //infant? //- //CORRECT //ANSWERS(S)✔✔Read //simple //board //books //to
//the //infant //at //bedtime.
, TheFNP //is //evaluating //a //2-year-old //with //a //documented //speech //delay. //Screenings //to
//assess //motor //skills //and //cognition //are //normal, //and //the //child //passed //a //recent //hearing
//test. //What //will //the //pediatric //FNP //do //next? //- //CORRECT //ANSWERS(S)✔✔Ask //the //child's
//parents //whether //they //read //to //the //child
During //a //well-child //assessment //of //an //18-month-old //child, //the //Family //nurse //practitioner
//observes //the //child //point //to //a //picture //of //a //dog //and //say, //"Want //puppy!" //The //FNP
//recognizes //this //as //an //example //of //what //type //of //speech? //- //CORRECT
ANSWERS(S)✔✔Telegraphic
//
The //FNP //is //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 //will //the //pediatric //FNP //tell //the //parents? //- //CORRECT
//ANSWERS(S)✔✔Most //bilingual //children //are //able //to //shift //from //one //language //to //another
//when //appropriate
The //parent //of //a //24-month-old //child //asks //the //FNP //when //toilet //training //should //begin.
//How //will //the //pediatric //FNP //respond? //- //CORRECT //ANSWERS(S)✔✔"Tell //me //about //your
//child's //daily //habits"
The //FNP //performs //a //physical //examination //on //a //9-month-old //infant //and //notes //two
//central //incisors //on //the //lower //gums. //The //parent //states //that //the //infant //nurses, //take
//solid //foods //three //times //daily, //and //occasionally //take //water //from //a //cup. //What //will //the
//pediatric //FNP //counsel //the //parent //to //promote //optimum //dental //health? //- //CORRECT
ANSWERS(S)✔✔To //make //an //appointment //for //an //initial //dental //examination
//
During //a //well-child //visit, //a //mother //expressed //concern //that //her //three-year-old //has
//recently //started //to //stutter //when //excited. //The //FNP //informs //the //mother //that //stuttering
//in //a //preschool-age //child: //- //CORRECT //ANSWERS(S)✔✔Is //a //normal //characteristic //of
//language //development
// // // // // // //
ANSWERS
//
Which //of //the //following //children //requires //a //language //referral //for //further //evaluation? //-
CORRECT //ANSWERS(S)✔✔2 //year //old //who //cannot //put //two //words //together
//
While //evaluating //a //three-day-old //infant, //the //FNP //turns //the //infant //on //the //side //to
//examine //the //back //and //notes //a //sharp //line //of //demarcation //dividing //the //upper //and //lower
//parts //of //the //body. //The //dependent //half //is //bright //red //and //the //superior //half //is //pale. //The
//etiology //of //this //phenomenon //is: //- //CORRECT //ANSWERS(S)✔✔An //immature //autonomic
//regulatory //system, //generally //referred //to //as //the //"Harlequin" //sign
The //FNP //is //measuring //a //newborn's //frontal //occipital //circumference. //What //does //the
//correct //technique //involve? //- //CORRECT //ANSWERS(S)✔✔Placing //the //paper //tape //measure
//at //the //frontal-occipital //prominence //and //just //above //the //eyebrows
The //FNP //notes //an //undescended //testicle //on //a //newborn. //She //understands //that //testicular
//function //and //ability //to //produce //healthy //sperm //as //an //adult //may //be //impaired //if //the
repair //is //not //made //by //age: //- //CORRECT //ANSWERS(S)✔✔1 //year
//
The //FNP //is //examining //a //full-term //infant //who //developed //physiologic //jaundice //and //is
//being //treated //with //phototherapy. //What //is //the //mechanism //of //action //of //phototherapy //in
//the //treatment //of //this //infant? //- //CORRECT //ANSWERS(S)✔✔The //light //is //absorbed //by
//bilirubin //and //promotes //the //conversion //of //a //toxic //bilirubin //to //and //unconjugated //product
//that //can //be //excreted //in //the //bile
Which //newborn //screening //tests //are //mandatory //State //requirements? //- //CORRECT
ANSWERS(S)✔✔Thyroid //function //tests //& //Phenylketonuria //(PKU)
//
,The //FNP //is //assessing //an //infant //that //was //delivered //by //cesarean //section. //What //is //a
//complication //frequently //associated //with //cesarean //delivery? //- //CORRECT
ANSWERS(S)✔✔Respiratory //distress
//
The //FNP //is //performing //a //newborn //assessment //on //a //full-term //infant //approximately //6
//hours //after //birth. //When //evaluating //the //infant's //head, //the //FNP //identifies //an //edematous
//area //that //crosses //the //cranial //suture //lines, //is //soft, //and //varies //with //size. //The //cranial
//suture //lines //have //minimal //space //between //them. //What //is //the //interpretation //of //these
findings? //- //CORRECT //ANSWERS(S)✔✔A //caput //succedaneum //is //present
//
A //typically //developing //6-month-old //would //be //expected //to: //- //CORRECT
ANSWERS(S)✔✔Laugh //and //play //a //clapping //game
//
Which //of //the //following //is //the //leading //cause //of //nonfatal //injury //in //children? //- //CORRECT
ANSWERS(S)✔✔Falls
//
Which //of //the //following //is //the //MOST //appropriate //intervention //for //2-year-old //patient //who
//has //not //received //the //MMR //vaccine? //- //CORRECT //ANSWERS(S)✔✔Administer //two //doses //4
//weeks //apart
The //parent //of //a //newborn //infant //asks //the //Family //nurse //practitioner //when //to //intervene
//to //help //the //infant's //future //intellectual //growth. //What //will //the //nurse //practitioner //tell //the
parent? //- //CORRECT //ANSWERS(S)✔✔language //and //literacy //skills //begin //at //birth
//
The //FNP //performs //a //well-baby //examination //on //a //7-day-old //infant //who //is //nursing //well,
//according //to //the //mother. //The //FNP //notes //that //the //infant //weighed //3250 //grams //at //birth
//and //2990 //grams //when //discharged //on //the //second //day //of //life. //The //infant //weighs //3080
//grams //at //this //visit. //Which //action //is //correct? //- //CORRECT //ANSWERS(S)✔✔Schedule //a
//weight //check //in //1 //week
,During //an //assessment //of //a //4-week-old //infant, //the //FNP //learns //that //a //breastfed //infant
//nurses //every //2 //hours //during //the //day //but //is //able //to //sleep //for //a //4-hour //period //during
//the //night. //The //infant //has //gained //20 //grams //per //day //in //the //interval //since //last //seen //in
//the //clinic. //What //will //the //FNP //recommend? //- //CORRECT //ANSWERS(S)✔✔Continuing //to
//nurse //the //infant //using //the //current //pattern
The //FNP //is //performing //a //well-baby //examination //on //a //2-month-old //infant //who //has
//gained //25 //grams //per //day //in //the //last //interval. //The //mother //is //nursing //and //tells //the
//nurse //practitioner //that //her //infant //seems //fussy //and //wants //to //nurse //more //often. //What
//will //the //FNP //tell //her? //- //CORRECT //ANSWERS(S)✔✔The //infant //may //be //going //through //an
//expected //growth //spurt
The //mother //of //a //6-week-old //breastfeeding //infant //tells //the //FNP //that //her //baby, //who
//previously //had //bowel //movements //with //each //feeding, //now //has //a //bowel //movement
//once //every //second //day. //What //will //the //FNP //tell //her? //- //CORRECT //ANSWERS(S)✔✔This
//may //be //normal //for //breast //feeding //babies
The //parent //of //a //5-month-old //is //worried //because //the //infant //becomes //fussy //but //doesn't
//always //seem //interested //in //nursing. //What //will //the //nurse //practitioner //tell //this //parent? //-
CORRECT //ANSWERS(S)✔✔The //infant //may //be //expressing //a //desire //to //play //or //to //rest
//
The //mother //of //a //6-month-old //infant //is //distressed //because //the //infant //can //say //"dada"
//but //not //"mama" //and //asks //the //Family //nurse //practitioner //why //this //is //when //she //is //the
//one //who //spends //more //time //with //the //infant. //How //will //the //FNP //respond? //- //CORRECT
ANSWERS(S)✔✔"At //this //age, //your //baby //does //not //understand //the //meaning //of //sounds."
//
The //FNP //is //performing //a //well-child //examination //on //an //8-month-old //infant //whose
//hearing //is //normal //but //who //responds //to //verbal //cues //with //only //single-syllable
//vocalizations. //What //will //the //FNP //recommend //to //the //parents //to //improve //speech //and
//language //skills //in //this //infant? //- //CORRECT //ANSWERS(S)✔✔Read //simple //board //books //to
//the //infant //at //bedtime.
, TheFNP //is //evaluating //a //2-year-old //with //a //documented //speech //delay. //Screenings //to
//assess //motor //skills //and //cognition //are //normal, //and //the //child //passed //a //recent //hearing
//test. //What //will //the //pediatric //FNP //do //next? //- //CORRECT //ANSWERS(S)✔✔Ask //the //child's
//parents //whether //they //read //to //the //child
During //a //well-child //assessment //of //an //18-month-old //child, //the //Family //nurse //practitioner
//observes //the //child //point //to //a //picture //of //a //dog //and //say, //"Want //puppy!" //The //FNP
//recognizes //this //as //an //example //of //what //type //of //speech? //- //CORRECT
ANSWERS(S)✔✔Telegraphic
//
The //FNP //is //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 //will //the //pediatric //FNP //tell //the //parents? //- //CORRECT
//ANSWERS(S)✔✔Most //bilingual //children //are //able //to //shift //from //one //language //to //another
//when //appropriate
The //parent //of //a //24-month-old //child //asks //the //FNP //when //toilet //training //should //begin.
//How //will //the //pediatric //FNP //respond? //- //CORRECT //ANSWERS(S)✔✔"Tell //me //about //your
//child's //daily //habits"
The //FNP //performs //a //physical //examination //on //a //9-month-old //infant //and //notes //two
//central //incisors //on //the //lower //gums. //The //parent //states //that //the //infant //nurses, //take
//solid //foods //three //times //daily, //and //occasionally //take //water //from //a //cup. //What //will //the
//pediatric //FNP //counsel //the //parent //to //promote //optimum //dental //health? //- //CORRECT
ANSWERS(S)✔✔To //make //an //appointment //for //an //initial //dental //examination
//
During //a //well-child //visit, //a //mother //expressed //concern //that //her //three-year-old //has
//recently //started //to //stutter //when //excited. //The //FNP //informs //the //mother //that //stuttering
//in //a //preschool-age //child: //- //CORRECT //ANSWERS(S)✔✔Is //a //normal //characteristic //of
//language //development