NURS 651- Module 3 Quiz
1. Which of the following infant's growth and development abilities is most
concerning?
a. 6-month-old with head lag when pulled to sit
b. 5-month-old that does not use single consonant sounds
c. 12-month-old who has tripled their birth weight
d. 1-month-old with fisted hands
2. A 5-day-old infant who was delivered at home has abdominal distension and
poor feeding. The mother is worried that the infant is constipated because he
didn't have a first stool until yesterday and has only passed a small amount
of meconium. What will the primary care pediatric nurse practitioner do?
a. Suggest that the mother increase her fluid intake to help with
constipation
b. Obtain a sweat chloride skin test to evaluate for possible cystic fibrosis
c. Prescribe glycerin suppositories to use as needed until bowel function
is normal.
d. Order an abdominal radiograph and refer the infant to a pediatric
surgeon.
3. A child who is developing independence, courage, and a sense of purpose is
most likely
a. 7-10 years of age
b. 11-14 years of age
c. 4-6 years of age
d. 1-3 years of age
4. The primary care pediatric nurse practitioner 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 nurse practitioner tell the parents?
a. Children with multi-language proficiency do not understand that others
cannot do this
b. Most bilingual children are able to shift from one language to another
when appropriate
c. Children who learn two languages simultaneously often confuse them
in conversation
d. Learning two languages at an early age prevents children from
developing a dominant language
,5. Anticipatory guidance regarding safe sleeping practice includes
a. apply bumper pads and comforter
b. elevating the head of bed 30 degrees
c. covering the mattress with one fitted sheet
d. encourage co-sleeping in the parents bed
6. The primary care pediatric nurse practitioner is examining a newborn infant
recently discharged from the neonatal intensive care unit after a premature
birth. The parent is upset and expresses worry about whether the infant will
be normal. What will the nurse practitioner do in this situation?
a. Explain to the parent that developmental delays often do not manifest
at first
b. Perform a developmental assessment and tell the parent which delays
are evident
c. Refer the infant to a developmental specialist for a complete
evaluation
d. Point out the tasks that the infant can perform while conducting the
assessment
7. Which of the following best describes growth and nutrition in the 12-month-
old?
a. Most infants have transitioned to 3 meals with two snacks
b. Height growth accelerates during this period
c. Usual weight gain is 4 pounds per month starting at 12 months
d. Infants should be introduced to peanuts at this age
8. Anticipatory guidance for parents of a circumcised newborn includes
a. clean the tip of the penis with isopropyl alcohol once daily
b. instructing the parents to forcefully retract the foreskin before cleaning
c. apply petroleum jelly to tip of penis with each diaper change for the
first 3-5 days
d. use Q-tips to dislodge any scabs that develop.
9. The parent of a 24-month-old child asks the primary care pediatric nurse
practitioner when toilet training should begin. How will the pediatric nurse
practitioner respond?
a. "Early toilet training is often linked with intelligence"
b. "Most children are capable by age 2 years."
, c. "Begin by reading to your child about toileting."
d. "Readiness cues will help guide you on when to begin toilet training"
10.The mother of a 6-month-old infant is distressed because the infant can say
"dada" but not "mama" and asks the primary care pediatric nurse practitioner
why this is when she is the one who spends more time with the infant. How
will the nurse practitioner respond?
a. "Most sounds made by babies at this age are accidental"
b. "This may mean that your baby doesn't hear well"
c. "Babies at this age cannot make the 'ma' sound."
d. "At this age, your baby does not understand the meaning of sounds."
1. Which of the following infant's growth and development abilities is most
concerning?
a. 6-month-old with head lag when pulled to sit
b. 5-month-old that does not use single consonant sounds
c. 12-month-old who has tripled their birth weight
d. 1-month-old with fisted hands
2. A 5-day-old infant who was delivered at home has abdominal distension and
poor feeding. The mother is worried that the infant is constipated because he
didn't have a first stool until yesterday and has only passed a small amount
of meconium. What will the primary care pediatric nurse practitioner do?
a. Suggest that the mother increase her fluid intake to help with
constipation
b. Obtain a sweat chloride skin test to evaluate for possible cystic fibrosis
c. Prescribe glycerin suppositories to use as needed until bowel function
is normal.
d. Order an abdominal radiograph and refer the infant to a pediatric
surgeon.
3. A child who is developing independence, courage, and a sense of purpose is
most likely
a. 7-10 years of age
b. 11-14 years of age
c. 4-6 years of age
d. 1-3 years of age
4. The primary care pediatric nurse practitioner 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 nurse practitioner tell the parents?
a. Children with multi-language proficiency do not understand that others
cannot do this
b. Most bilingual children are able to shift from one language to another
when appropriate
c. Children who learn two languages simultaneously often confuse them
in conversation
d. Learning two languages at an early age prevents children from
developing a dominant language
,5. Anticipatory guidance regarding safe sleeping practice includes
a. apply bumper pads and comforter
b. elevating the head of bed 30 degrees
c. covering the mattress with one fitted sheet
d. encourage co-sleeping in the parents bed
6. The primary care pediatric nurse practitioner is examining a newborn infant
recently discharged from the neonatal intensive care unit after a premature
birth. The parent is upset and expresses worry about whether the infant will
be normal. What will the nurse practitioner do in this situation?
a. Explain to the parent that developmental delays often do not manifest
at first
b. Perform a developmental assessment and tell the parent which delays
are evident
c. Refer the infant to a developmental specialist for a complete
evaluation
d. Point out the tasks that the infant can perform while conducting the
assessment
7. Which of the following best describes growth and nutrition in the 12-month-
old?
a. Most infants have transitioned to 3 meals with two snacks
b. Height growth accelerates during this period
c. Usual weight gain is 4 pounds per month starting at 12 months
d. Infants should be introduced to peanuts at this age
8. Anticipatory guidance for parents of a circumcised newborn includes
a. clean the tip of the penis with isopropyl alcohol once daily
b. instructing the parents to forcefully retract the foreskin before cleaning
c. apply petroleum jelly to tip of penis with each diaper change for the
first 3-5 days
d. use Q-tips to dislodge any scabs that develop.
9. The parent of a 24-month-old child asks the primary care pediatric nurse
practitioner when toilet training should begin. How will the pediatric nurse
practitioner respond?
a. "Early toilet training is often linked with intelligence"
b. "Most children are capable by age 2 years."
, c. "Begin by reading to your child about toileting."
d. "Readiness cues will help guide you on when to begin toilet training"
10.The mother of a 6-month-old infant is distressed because the infant can say
"dada" but not "mama" and asks the primary care pediatric nurse practitioner
why this is when she is the one who spends more time with the infant. How
will the nurse practitioner respond?
a. "Most sounds made by babies at this age are accidental"
b. "This may mean that your baby doesn't hear well"
c. "Babies at this age cannot make the 'ma' sound."
d. "At this age, your baby does not understand the meaning of sounds."
