Pediatrics FNP Board Review
(Fitzgerald) Exam_ Updated 2022.
When counseling a breastfeeding woman about alcohol use during lactation, you relate
that:
A. drinking a glass of wine or beer will enhance the let-down reflex.
B. because of its high molecular weight, relatively little alcohol is passed into breast
milk.
C. maternal alcohol use causes a reduction in the amount of milk ingested by the
infant.
D. infant intoxication can be seen with mother's having as few as one to two alcoholic
drinks. - C
At what point after childbirth can a combined oral contraceptive be started without other
risk factors for venous thrombosis in a woman who is not breastfeeding?
A. 1 day
B. 1 week
C. 3 weeks
D. 6 weeks - C
The anticipated average daily weight gain during the first 3 months of life is
approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. - D
The average required caloric intake in an infant from age 0 to 3 months is usually:
A. 40 to 60 kcal/kg/d.
B. 60 to 80 kcal/kg/d.
C. 80 to 100 kcal/kg/d.
D. 100 to 120 kcal/kg/d. - C
Physiologic jaundice usually presents between days 3 and 5 and results from to the
normal breakdown of fetal hemoglobin and immature liver metabolism. ___________
bilirubin is elevated in this process.
- Unconjugated
If there is an increase in ___________ bilirubin or jaundice occurs in the first _____
hours of life, pathological etiologies need to be considered, such as an ABO
incompatibility, familial Gilbert syndrome, or other anomaly.
- conjugated, 24
,Progestin-only oral contraceptive options can be started _________ postpartum if the
woman is not breastfeeding and as early as ____ weeks postpartum if she is
breastfeeding.
- immediately, 3 weeks
31. It is considered a developmental "red flag" if a child does not respond to his or her
name by nine months of age. A. true B. false
-B
One physical sign of fragile X syndrome in males includes: A. large eyes. B. large
forehead. C. small head. D. recessive jaw.
-B
36. Klinefelter syndrome is most commonly marked by: A. language impairment in
males. B. fine motor delay in males. C. hip and breast enlargement in women. D.
attention deficit disorder in males.
-A
38. At which of the following ages in an infant's life is parental anticipatory guidance
about teething most helpful? A. 1 to 2 months B. 2 to 4 months C. 4 to 6 months D. 8 to
10 months
-C
What are some developmental red flags for 6m, 9m, 12m, 24m? -
_________ syndrome, a chromosomal alteration, is the most common known cause of
autism in either gender and occurs in all racial and ethnic groups.
- Fragile X
________ syndrome (XXY male), also is associated with developmental issues, mainly
verbal in nature (Table 17-4). - Klinefelter
Development chart -
Development chart -
Development chart -
At which of the following ages in a young child's life is parental anticipatory guidance
about temper tantrums most helpful? A. 8 to 10 months B. 10 to 12 months C. 12 to 14
months D. 14 to 16 months
-B
At which of the following ages in a young child's life is parental anticipatory guidance
about using "time out" as a discipline method most helpful? A. 12 to 18 months B. 18 to
24 months C. 24 to 30 months D. 30 to 36 months - B
,The following are risk factors for hypertension in children and teens (choose all that
apply):
A. being obese.
B. drinking whole milk.
C. being exposed to second-hand smoke.
D. watching 2 or more hours of television per day. - A and C
Fruit juice intake is acceptable in children 6 months and older per the following
recommendation (choose all that apply):
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
D. The juice is consumed in the morning with breakfast.
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5
years. - ABE
In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive
cardiovascular evaluation should be conducted by the following methods (choose all
that apply):
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. - A and D
At what age is it appropriate to recommend dietary changes to parents if overweight or
obesity is a concern?
A. 12 months old
B. 5 years old
C. 10 years old
D. 18 years old - A
The following are risk factors for type 2 diabetes mellitus in children and teens (choose
all that apply):
A. hyperinsulinemia.
B. abnormal weight-to-height ratio.
C. onset of nonorganic failure to thrive in the toddler years.
D. Native American ancestry. - ABD
Screening children with a known risk factor for type 2 diabetes mellitus is recommended
at age 10 or at onset of puberty, and should be repeated how often?
A. every other year.
B. every year.
C. every six months.
, D. if child presents with a body mass index in the 85th percentile or higher. - B
Prediabetes in children is defined as (choose all that apply):
A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125 mg/dL
or 7 mmol/L).
B. impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11
mmol/L).
C. body mass index in the 85th percentile or higher.
D. body mass index in the 60th percentile or higher. - A and B
Risk factors for dyslipidemia in children include (choose all that apply):
A. blood pressure at the 70th to 80th percentile for age.
B. breastfeeding into the toddler years.
C. family history of lipid abnormalities.
D. family history of type 2 diabetes mellitus. - C and D
Screening cholesterol levels in children with one or more risk factors begins at what
age?
A. birth
B. 2 years
C. 5 years
D. 10 years - B
An acceptable level of total cholesterol (mg/dL) in children and teens is:
A. <170 mg/dL or 9.4 mmol/L.
B. <130 mg/dL or 7.2 mmol/L.
C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L.
D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - A
T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes - True
T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level ≥100
mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-
hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11 mmol/L) or an A1C of 5.7% to
6.4%. - True
Screening for type 2 diabetes begins at age ____ or at onset of puberty and continues
every 2 years until adulthood; at that point, the adult guidelines should be followed. - 10
The AAP screening guidelines for total cholesterol levels in children and adolescents
aged 2 to 19 years old are as follows:
(Fitzgerald) Exam_ Updated 2022.
When counseling a breastfeeding woman about alcohol use during lactation, you relate
that:
A. drinking a glass of wine or beer will enhance the let-down reflex.
B. because of its high molecular weight, relatively little alcohol is passed into breast
milk.
C. maternal alcohol use causes a reduction in the amount of milk ingested by the
infant.
D. infant intoxication can be seen with mother's having as few as one to two alcoholic
drinks. - C
At what point after childbirth can a combined oral contraceptive be started without other
risk factors for venous thrombosis in a woman who is not breastfeeding?
A. 1 day
B. 1 week
C. 3 weeks
D. 6 weeks - C
The anticipated average daily weight gain during the first 3 months of life is
approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. - D
The average required caloric intake in an infant from age 0 to 3 months is usually:
A. 40 to 60 kcal/kg/d.
B. 60 to 80 kcal/kg/d.
C. 80 to 100 kcal/kg/d.
D. 100 to 120 kcal/kg/d. - C
Physiologic jaundice usually presents between days 3 and 5 and results from to the
normal breakdown of fetal hemoglobin and immature liver metabolism. ___________
bilirubin is elevated in this process.
- Unconjugated
If there is an increase in ___________ bilirubin or jaundice occurs in the first _____
hours of life, pathological etiologies need to be considered, such as an ABO
incompatibility, familial Gilbert syndrome, or other anomaly.
- conjugated, 24
,Progestin-only oral contraceptive options can be started _________ postpartum if the
woman is not breastfeeding and as early as ____ weeks postpartum if she is
breastfeeding.
- immediately, 3 weeks
31. It is considered a developmental "red flag" if a child does not respond to his or her
name by nine months of age. A. true B. false
-B
One physical sign of fragile X syndrome in males includes: A. large eyes. B. large
forehead. C. small head. D. recessive jaw.
-B
36. Klinefelter syndrome is most commonly marked by: A. language impairment in
males. B. fine motor delay in males. C. hip and breast enlargement in women. D.
attention deficit disorder in males.
-A
38. At which of the following ages in an infant's life is parental anticipatory guidance
about teething most helpful? A. 1 to 2 months B. 2 to 4 months C. 4 to 6 months D. 8 to
10 months
-C
What are some developmental red flags for 6m, 9m, 12m, 24m? -
_________ syndrome, a chromosomal alteration, is the most common known cause of
autism in either gender and occurs in all racial and ethnic groups.
- Fragile X
________ syndrome (XXY male), also is associated with developmental issues, mainly
verbal in nature (Table 17-4). - Klinefelter
Development chart -
Development chart -
Development chart -
At which of the following ages in a young child's life is parental anticipatory guidance
about temper tantrums most helpful? A. 8 to 10 months B. 10 to 12 months C. 12 to 14
months D. 14 to 16 months
-B
At which of the following ages in a young child's life is parental anticipatory guidance
about using "time out" as a discipline method most helpful? A. 12 to 18 months B. 18 to
24 months C. 24 to 30 months D. 30 to 36 months - B
,The following are risk factors for hypertension in children and teens (choose all that
apply):
A. being obese.
B. drinking whole milk.
C. being exposed to second-hand smoke.
D. watching 2 or more hours of television per day. - A and C
Fruit juice intake is acceptable in children 6 months and older per the following
recommendation (choose all that apply):
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
D. The juice is consumed in the morning with breakfast.
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5
years. - ABE
In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive
cardiovascular evaluation should be conducted by the following methods (choose all
that apply):
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. - A and D
At what age is it appropriate to recommend dietary changes to parents if overweight or
obesity is a concern?
A. 12 months old
B. 5 years old
C. 10 years old
D. 18 years old - A
The following are risk factors for type 2 diabetes mellitus in children and teens (choose
all that apply):
A. hyperinsulinemia.
B. abnormal weight-to-height ratio.
C. onset of nonorganic failure to thrive in the toddler years.
D. Native American ancestry. - ABD
Screening children with a known risk factor for type 2 diabetes mellitus is recommended
at age 10 or at onset of puberty, and should be repeated how often?
A. every other year.
B. every year.
C. every six months.
, D. if child presents with a body mass index in the 85th percentile or higher. - B
Prediabetes in children is defined as (choose all that apply):
A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125 mg/dL
or 7 mmol/L).
B. impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11
mmol/L).
C. body mass index in the 85th percentile or higher.
D. body mass index in the 60th percentile or higher. - A and B
Risk factors for dyslipidemia in children include (choose all that apply):
A. blood pressure at the 70th to 80th percentile for age.
B. breastfeeding into the toddler years.
C. family history of lipid abnormalities.
D. family history of type 2 diabetes mellitus. - C and D
Screening cholesterol levels in children with one or more risk factors begins at what
age?
A. birth
B. 2 years
C. 5 years
D. 10 years - B
An acceptable level of total cholesterol (mg/dL) in children and teens is:
A. <170 mg/dL or 9.4 mmol/L.
B. <130 mg/dL or 7.2 mmol/L.
C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L.
D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - A
T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes - True
T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level ≥100
mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-
hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11 mmol/L) or an A1C of 5.7% to
6.4%. - True
Screening for type 2 diabetes begins at age ____ or at onset of puberty and continues
every 2 years until adulthood; at that point, the adult guidelines should be followed. - 10
The AAP screening guidelines for total cholesterol levels in children and adolescents
aged 2 to 19 years old are as follows:
