PEDS MIDTERM 6541 STUDY TEST
GUIDE QUESTIONS
Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following? - ANS Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th
percentile for height, weight and head circumference. He was born at 30 weeks'
gestation and weighed 1000g. He was a planned pregnancy, and his mother's prenatal
course was uneventful until an automobile accident initiated the labor. He was ventilated
for 3 days in the intensive care unit but otherwise did well without ongoing problems. He
was discharged at 8 weeks of life. Which of the following is the most likely explanation
for his small size? - ANS Normal ex-preemie infant growth
A Mantoux test in a child with no risk factors is considered positive with a reaction of -
ANS at least 15 mm induration
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one.
The child has not yet achieved which of the principles of Piaget? - ANS Conservation
I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger
foods, but I can't wave bye-bye yet. How old am I? - ANS 6 months
A 4-month-old child has poor weight gain. Her current weight is less than the 5th
percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery;
mother and child were discharged after a 48-hour hospitalization. Feeding is via breast
and bottle; the quantity seems sufficient. The child has had no illness. The examination
is unremarkable except for the child's small size. Screening laboratory shows the
hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of
198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood
cells, bacteria, protein, ketones, or reducing substances. Which of the follow - ANS
Oral supplementation with bicarbonate
, Which of the following vaccines is routinely recommended at 4 months of age? - ANS
Diphtheria, tetanus, acellular pertussis (DTaP)
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but
I cannot balance on one foot for 1 second. I am - ANS 2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received
the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second
dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second
dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type
B (Hib) fourth dose. Which of the following do you order today? - ANS DTaP,
varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant? - ANS Cereal,
vegetables, fruits, and meats
I like to use my pincer grasp that involves the ability to pick up a small object such as a
raisin or piece of cereal with the thumb and forefinger, and that is mastered around what
age? - ANS 9 months
The first sign of the onset of female puberty is usually - ANS Breast buds
A mother of a 6-month-old asks you about normal sleep patterns for an infant this age.
The best response is: - ANS 10 hours at night and 3-4 hours during the day
Medicaid provides health insurance coverage to - ANS Certain categories of people
whose personal income falls below a certain percentage of the federal poverty level.
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note
large lower lateral incisor bulges. You recommend: - ANS A and D
You see a young child who has tripled her birth weight and looks for hidden objects.
When given blocks, she places one in each hand. She has a fine pincer grasp. On the
floor, she walks around holding objects and is trying to take independent steps. This
child is most likely how old? - ANS 12 months
Sally, age 4, presents to the office with her mother for a well-child visit. To assess for
age-appropriate fine motor skills, what activity would you ask her to perform? - ANS
Cut on a line with scissors
GUIDE QUESTIONS
Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following? - ANS Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th
percentile for height, weight and head circumference. He was born at 30 weeks'
gestation and weighed 1000g. He was a planned pregnancy, and his mother's prenatal
course was uneventful until an automobile accident initiated the labor. He was ventilated
for 3 days in the intensive care unit but otherwise did well without ongoing problems. He
was discharged at 8 weeks of life. Which of the following is the most likely explanation
for his small size? - ANS Normal ex-preemie infant growth
A Mantoux test in a child with no risk factors is considered positive with a reaction of -
ANS at least 15 mm induration
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one.
The child has not yet achieved which of the principles of Piaget? - ANS Conservation
I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger
foods, but I can't wave bye-bye yet. How old am I? - ANS 6 months
A 4-month-old child has poor weight gain. Her current weight is less than the 5th
percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery;
mother and child were discharged after a 48-hour hospitalization. Feeding is via breast
and bottle; the quantity seems sufficient. The child has had no illness. The examination
is unremarkable except for the child's small size. Screening laboratory shows the
hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of
198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood
cells, bacteria, protein, ketones, or reducing substances. Which of the follow - ANS
Oral supplementation with bicarbonate
, Which of the following vaccines is routinely recommended at 4 months of age? - ANS
Diphtheria, tetanus, acellular pertussis (DTaP)
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but
I cannot balance on one foot for 1 second. I am - ANS 2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received
the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second
dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second
dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type
B (Hib) fourth dose. Which of the following do you order today? - ANS DTaP,
varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant? - ANS Cereal,
vegetables, fruits, and meats
I like to use my pincer grasp that involves the ability to pick up a small object such as a
raisin or piece of cereal with the thumb and forefinger, and that is mastered around what
age? - ANS 9 months
The first sign of the onset of female puberty is usually - ANS Breast buds
A mother of a 6-month-old asks you about normal sleep patterns for an infant this age.
The best response is: - ANS 10 hours at night and 3-4 hours during the day
Medicaid provides health insurance coverage to - ANS Certain categories of people
whose personal income falls below a certain percentage of the federal poverty level.
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note
large lower lateral incisor bulges. You recommend: - ANS A and D
You see a young child who has tripled her birth weight and looks for hidden objects.
When given blocks, she places one in each hand. She has a fine pincer grasp. On the
floor, she walks around holding objects and is trying to take independent steps. This
child is most likely how old? - ANS 12 months
Sally, age 4, presents to the office with her mother for a well-child visit. To assess for
age-appropriate fine motor skills, what activity would you ask her to perform? - ANS
Cut on a line with scissors
