NURS 629 Peds with questions & correct answers all 4 test combined Maryville University latest update

NURS 629 Peds with questions & correct answers all 4 test combined Maryville University latest update The parent of a toddler tells the primary care pediatric nurse practitioner that the family has adopted a plantbased diet and the child is receiving rice and almond milk instead of cow's milk. The nurse practitioner will counsel the parents about - ANSWERprotein deficiency The parent of a 12monthold infant asks the primary care pediatric nurse practitioner why 2% cow's milk is recommended instead of whole milk. What will the nurse practitioner tell this parent? - ANSWERYounger children need a limited amount of fats. The primary care pediatric nurse practitioner sees a 3yearold child whose parents report is a picky eater in spite of their continued efforts to provide nutritious meals. The parents ask whether a multivitamin is necessary. How will the nurse practitioner respond? - ANSWERAsk the parents to provide a 3day food diary. The parents of a toddler tell the primary care pediatric nurse practitioner that they get frustrated trying to get the child to eat any vegetables other than squash and carrots. What will the nurse practitioner recommend? - ANSWERContinue to offer a variety of foods without forcing the child to eat them. The primary care pediatric nurse practitioner performs a well child examination on a 9monthold infant who has a history of prematurity at 28 weeks' gestation. The infant was treated for retinopathy of prematurity (ROP) and all symptoms have resolved. When will the infant need an ophthalmologic exam? - ANSWERAt 12 months of age During a wellbaby assessment on a 1weekold infant who had a normal examn when discharged from the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge. What is the likely diagnosis? - ANSWERChlamydia trachomatis conjunctivitis The primary care pediatric nurse practitioner performs a well baby assessment of a 5dayold infant and notes mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course of action is correct? - ANSWERAdmit the infant to the hospital immediately. A schoolage child has a history of chronic otitis media and is seen in the clinicmwith vertigo. The primary care pediatric nurse practitioner notes profuse purulent otorrhea from both pressureequalizing tubes and a pearlywhite lesion on one tympanic membrane. Which condition is most likely? - ANSWERCholesteatoma the parent of a 4monthold infant is concerned that the infant cannot hear. Which test will the primary care pediatric nurse practitioner order to evaluate potential hearing loss in this infant? - ANSWERAuditory brainstem response (ABR) The primary care pediatric nurse practitioner obtains a tympanogram on a child that reveals a sharp peak of 180 mm H 2 O. What does this value indicate? - ANSWERNegative ear pressure A child who was treated with amoxicillin and then amoxicillinclavulanate for acute otitis media is seen for followup. The primary care pediatric nurse practitioner notes dullgray tympanic membranes with a visible airfluid level. The child is afebrile and without pain. What is the next course of action? - ANSWERMonitoring ear fluid levels for 3 months Correct The primary care pediatric nurse practitioner diagnoses acute otitis media in a 2 yearold child who has a history of three ear infections in the first 6 months of life. The child's tympanic membrane is intact and the child has a temperature of 101.5°F. What will the nurse practitioner prescribe for this child? - ANSWERAn analgesic medication and watchful waiting an 18 month old child with no previous history of otitis media awoke during the night with right ear pain. The primary care pediatric nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, bulging tympanic membrane. A tympanogram