NSG 6435 Wk 10 exam questions and answers.

What should a cultural assessment of the family and child include? An assessment of a patient's dominant culture including the accompanying health beliefs, and beliefs about birth, illness, and deaths. What question should the provider ask to elicit information about the internal structure of the family? Has any family member recently moved in or out of the home? If so, how has this move affected the family? "Culture is a social construction of the relationships within and among groups of human beings....." Which of the following is not a part of the products of culture? None of the above The provider understands that children who show signs of aggressive behavior, depression, anxiety, and poor school performance may have been exposed to which of the following during childhood? Domestic violence Which of the following best defines the role of the APN in Health Care Provides continuity of care for under served populations Which of the following is considered a developmental red flag? Loss of milestones What would be the most likely weight of a 1-year-old child whose weight at birth was 7 pounds? 20-23 pounds The pincer grasp is a fine motor skill that involves the ability to pick up a small object such as cold cereal, with the thumb and forefinger. When is this usually mastered? 9 months The nurse practitioner is completing an examination of an 11-year-old female. It is noted during inspection that there is an appearance of breast buds. Which of the following would most likely occur in approximately 2 years? Onset of menses When reviewing immunization protocols at your clinic, the nurse practitioner should be aware that the varicella vaccine can be administered at what age? 12 months Which of the following is the correct order for introduction of solid foods to an infant? Cereal, vegetables, fruits, and meats. Which of the following information is most important to ask about while performing a sports physical? Has the child fainted during exercise The mother of a 16 month old child informs you that she feeds the baby skim milk. What is the best rationale for not using skim milk? Provides an inadequate amount of fatty acids. Which adolescent would be at greater risk for developing anorexia nervosa? 14 year old competitive gymnast. The NP is reviewing strategies to increase physical activity. The patient should also be educated that which of the following are commonly associated with sports injuries? Improper training. A pediatric patient has just been diagnosed with otitis externa. Which of the following should the patient be instructed to do? Keep ear dry until symptoms improve. The NP is performing a Fluorescein staining of the eye. Which of the following is this intervention used to detect? Corneal abrasion The incidence of epiglottitis has decreased due to which of the following immunizations? Hib You are examining a patient who you suspect has 5th disease. Which of the following is true regarding this disease? Seen in children 5 to 14 years of age. Which specific viral organism causes hand, foot, and mouth syndrome? Coxsackie A NP is completing a cardiac assessment on a child and detects a murmur. Which of the following is true regarding innocent murmur? The murmur is of low intensity A child presents to the primary care clinic with chest pain. The provider is aware that chest pain in children is usually a symptom of? Noncardiac condition Which of the following is a common cause of acquired coronary artery disease during childhood? Kawasaki disease What type of hemorrhage would be expected with severe factor VIII deficiency? Gross bleeding from mild trauma The NP suspects that a pediatric patient is exhibiting the signs and symptoms consistent with Leukemia. To confirm this diagnosis, which test/procedure should be ordered? Bone marrow aspiration Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely indicate pyloric stenosis? Acts hungry after vomiting. Which of the following findings could be expected to occur in a baby with intussusception? Inconsolable crying A pediatric patient presents with symptoms consistent with the early phase of appendicitis. Which of the following would be the most likely presentation? Anorexia and diffuse pain The NP is completing education with parents of a child with celiac disease. Which of the following foods would be most appropriate? Boiled rice and butter. A male patient presents with symptoms consistent for testicular torsion. What would be the first priority for this patient? A surgical referral A 5 year old boy presents to the clinic with his mother who states the chief complaint of "painful limping on the right leg for 2 days." Today he has a low grade fever. Which of the following would be the most likely diagnosis? Transient synovitis of the hip Which of the following is a typical presentation of a dislocated hip of a child 6 months or older? Galeazzi sign During the examination of a 3-week old, it is noted that the infant is irritable when lifted, has asymmetrical moro reflex, and spasms along the right sternocleidomastoid. What does this suggest? Fractured clavicle A newborn has a vascular lesion that will not fade as the child gets older. What is your diagnosis? Port wine stain A 13 year old presents with several vesicles and honey colored crusted lesions on the face. The initial injury was a scratch. What would be the most likely diagnosis? Impetigo The parents of an established patient call the pediatric clinic to ask what they should do for their child who tripped, fell, and hit their head on the sidewalk. Which of the following symptoms would require that the child goes to the ER? LOC Which of the following is the best measure of childhood intelligence? Bayley Scales A NP has a follow-up visit with a child who experienced a febrile seizure. Which of the following statements would be the most accurate when educating the parents on febrile seizures? Child may experience repeat seizures. A child with Tourette Syndrome presents to the pediatric clinic. Which of the following should the NP be aware of? Symptoms become more UNPREDICTABLE during adolescence. A child who is enrolled in Head Start is suspected of having developmental delays based on Denver II results at two separate clinic visits. What would be the next step in the plan of care? Refer the child for a more definitive dx. The signs and symptoms of bacterial sepsis in children beyond the neonatal period has a common presentation. Which of the following would be the most typical? Irritability fever lethargy A 11 year old child presents with fever, sore throat, and swollen lymph nodes. The abdominal exam reveals a spleen tip that is palpable. A throat culture and Monospot test results are negative. What would be the next step in the plan of care: Epstein-Barr titer The NP has a differential diagnosis of Lyme disease. Which of the following skin lesions would confirm the diagnosis? Erythema migrans Which of the following would best reflect the physical presentation in a newborn with Down's Syndrome? Hypotonia, large appearing tongue, small mouth, upward eye slant What is an expected finding in young infants with cerebral palsy (CP)? Hypotonia in the first week of life. An adolescent boy presents to the clinic with a painless mass in the left side of his scrotum. The diagnosis would most likely be which condition? Hydrocele What is the most accurate statement about long-acting reversible contraception? Nexaplanon is radiopaque Which of the following is a risk factor for pregnancy? Monogamy without condom use. An exam reveals foul-smelling vaginal discharge that emits a fishy odor when combined with 10% potassium hydroxide. What would be the diagnosis? Gardnerella vaginalis