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NU 518 – Advanced Nursing Practice,
Theoretical Foundations, Pediatric Assessment,
Child Development & Evidence-Based Practice
A 38-week gestation, 2500-gram infant is placed on your service. How would
she be described?
A) Term, normal birth weight
B) Term, low birth weight
C) Preterm, normal birth weight
D) Preterm, low birth weight .....answer .... A
You are observing an infant who is able to pull to a stand, uses "mama" and
"dada" specifically, and indicates his wants by vocalization and pointing.
Where would you place this child's developmental age?
A) 12 months
B) 10 months
C) 8 months
D) 6 months .....answer. .... C
Which of the following will help to optimize yield from a pediatric
examination?
A) Doing the examination out of order if necessary to take advantage
of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination
SH
TS
, 2|Page
C) Using firmness as needed to make it through your examination
D) Making sure to place the infant on the table during the examination while
mom watches close by .....answer. A
A 6-month-old infant is brought in for a well check. It is noted his head
circumference is off the chart and at a much higher percentile than was
previously measured. What should you do next?
A) Recommend a neurology consult.
B) Order a CT of the head.
C) Remeasure the circumference.
D) Admit the child to the hospital for further workup. .....answer. C
You are examining an infant in the nursery and notice a soft bump over the
posterior right side of the skull. It is not evident on the left. What does this
represent?
A) Caput succedaneum
B) Plagiocephaly
C) Craniosynostosis
D) Cephalohematoma .....answer. D
You are assessing an infant and notice that his nares flare, he has a soft grunt
with each breath, and the skin between his ribs is pulled inward with
inhalation. What is the significance of these findings?
A) These are indicative of a CNS process.
B) These are indicative of respiratory distress.
C) These are indicative of muscular dystrophy.
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D) These are frequently accompanied by stridor. .....answer. .... B
A mother brings her infant to you because of a "rattle" in his chest with
breathing. Which of the following would you hear if there were a problem in
the upper airway?
A) Different sounds from the nose and chest
B) Asymmetric sounds
C) Inspiratory sounds
D) Sounds louder in the lower chest .....answer. .... C
An infant presents with a heart rate of 180, a respiratory rate of 68, and an
enlarged liver. What diagnosis does this suggest?
A) Pneumonia
B) Heart failure
C) Sepsis
D) Necrotizing enterocolitis .....answer. ....B
You have been unable to hear normal S2 splitting in children up to this
point. What technique will maximize your chances of hearing this
phenomenon?
A) Listen with the diaphragm over the left lower sternal border.
B) Listen with the bell over the 2nd left intercostal space.
C) Listen with the bell over the apex.
D) Listen with the diaphragm in the axilla. .....answer. .... B
SH
TS
, 4|Page
A mother is upset because she was told by another provider that her child
has a worrisome murmur. You listen near the clavicle and notice both a
systolic and diastolic sound. You remember that diastolic murmurs are
usually indicative of bad pathology. What would you do next?
A) Cardiology referral
B) Echocardiogram
C) Supine examination
D) Reassure the mother .....answer. ... C
A toddler is able to jump in place and balance on one foot as well. She can
also speak in full sentences and feed herself. What is the approximate
developmental age of this child?
A) 2 years
B) 3 years
C) 4 years
D) 5 years .....answer. ... B
You are having trouble examining the abdomen of a school-aged child due to
ticklishness. What should you do?
A) Have the child press on your hand.
B) Have the parent insist that the child allow you to examine her.
C) Ask the parent to leave the room.
D) Make the child realize that this is part of the examination and must be
done. .....answer .... A
You are examining a 5-year-old before he begins school. You notice a
SH
systolic, grade II/VI vibratory murmur over the LLSB and apex with normal
TS
NU 518 – Advanced Nursing Practice,
Theoretical Foundations, Pediatric Assessment,
Child Development & Evidence-Based Practice
A 38-week gestation, 2500-gram infant is placed on your service. How would
she be described?
A) Term, normal birth weight
B) Term, low birth weight
C) Preterm, normal birth weight
D) Preterm, low birth weight .....answer .... A
You are observing an infant who is able to pull to a stand, uses "mama" and
"dada" specifically, and indicates his wants by vocalization and pointing.
Where would you place this child's developmental age?
A) 12 months
B) 10 months
C) 8 months
D) 6 months .....answer. .... C
Which of the following will help to optimize yield from a pediatric
examination?
A) Doing the examination out of order if necessary to take advantage
of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination
SH
TS
, 2|Page
C) Using firmness as needed to make it through your examination
D) Making sure to place the infant on the table during the examination while
mom watches close by .....answer. A
A 6-month-old infant is brought in for a well check. It is noted his head
circumference is off the chart and at a much higher percentile than was
previously measured. What should you do next?
A) Recommend a neurology consult.
B) Order a CT of the head.
C) Remeasure the circumference.
D) Admit the child to the hospital for further workup. .....answer. C
You are examining an infant in the nursery and notice a soft bump over the
posterior right side of the skull. It is not evident on the left. What does this
represent?
A) Caput succedaneum
B) Plagiocephaly
C) Craniosynostosis
D) Cephalohematoma .....answer. D
You are assessing an infant and notice that his nares flare, he has a soft grunt
with each breath, and the skin between his ribs is pulled inward with
inhalation. What is the significance of these findings?
A) These are indicative of a CNS process.
B) These are indicative of respiratory distress.
C) These are indicative of muscular dystrophy.
SH
TS
, 3|Page
D) These are frequently accompanied by stridor. .....answer. .... B
A mother brings her infant to you because of a "rattle" in his chest with
breathing. Which of the following would you hear if there were a problem in
the upper airway?
A) Different sounds from the nose and chest
B) Asymmetric sounds
C) Inspiratory sounds
D) Sounds louder in the lower chest .....answer. .... C
An infant presents with a heart rate of 180, a respiratory rate of 68, and an
enlarged liver. What diagnosis does this suggest?
A) Pneumonia
B) Heart failure
C) Sepsis
D) Necrotizing enterocolitis .....answer. ....B
You have been unable to hear normal S2 splitting in children up to this
point. What technique will maximize your chances of hearing this
phenomenon?
A) Listen with the diaphragm over the left lower sternal border.
B) Listen with the bell over the 2nd left intercostal space.
C) Listen with the bell over the apex.
D) Listen with the diaphragm in the axilla. .....answer. .... B
SH
TS
, 4|Page
A mother is upset because she was told by another provider that her child
has a worrisome murmur. You listen near the clavicle and notice both a
systolic and diastolic sound. You remember that diastolic murmurs are
usually indicative of bad pathology. What would you do next?
A) Cardiology referral
B) Echocardiogram
C) Supine examination
D) Reassure the mother .....answer. ... C
A toddler is able to jump in place and balance on one foot as well. She can
also speak in full sentences and feed herself. What is the approximate
developmental age of this child?
A) 2 years
B) 3 years
C) 4 years
D) 5 years .....answer. ... B
You are having trouble examining the abdomen of a school-aged child due to
ticklishness. What should you do?
A) Have the child press on your hand.
B) Have the parent insist that the child allow you to examine her.
C) Ask the parent to leave the room.
D) Make the child realize that this is part of the examination and must be
done. .....answer .... A
You are examining a 5-year-old before he begins school. You notice a
SH
systolic, grade II/VI vibratory murmur over the LLSB and apex with normal
TS
