FHEA Peds Exam Version Newest 2025
FHEA Peds Exam Version Newest 2025 Actual Exam
Complete 100 Questions And Correct Detailed
Answers(Verified Answers)|Already Graded A+
You see a healthy 2 month old male who is being exclusively breastfed and shows normal weight
gain. The mother acknowledges that on some days, he seems to "always be hungry" and asks if
any supplemental nutrition is needed. You advise: - ANSWER-supplemental nutrition is generally
unnecessary during the first 6 months.
During a well-child visit of a a 4-month-old healthy girl who is exclusively breastfed, the mother
asks about alcohol use during lactation. You relate that: - ANSWER-maternal alcohol use can
cause a reduction of the amount of milk ingested by the infant.
A new mother expresses concern about breastfeeding her infant because she must take a daily
asthma medication. In counseling her, you relate that nursing infants generally maximally
receive ___ of the maternal dose of a drug. - ANSWER-1%
Sarah is a healthy term newborn who is 12-hours-old. Her mother has nursed sarah about 4
times since her birth with excellent latch and such noted. Sarah's mom mentions that she is
fearful of the baby developing jaundice and is wondering if she made the "right decision" in
breastfeeding. You provide the following information to help her minimize sarah's risk of
developing hyperbilirubinemia. - ANSWER-Encourage at least 8-12 feedings at the breast per
day while avoiding dextrose and water feedings. This will help minimize the neonates risk of
hyperbilirubinemia.
In the term neonate with hyperbilirubinemia, which of the following is false? - ANSWER-The
onset of physiologic jaundice is usually within the first 12 hours of life.
Typically, presentation is on the second or third day of life.
Jaundice that is visible during the first 24 hours of life is likely to be nonphysiologic; further
evaluation is suggested.
1|Page
, FHEA Peds Exam Version Newest 2025
Infants who present with jaundice after 3-4 days of life may also require closer scrutiny and
monitoring.
In infants with severe jaundice or jaundice that continues beyond the first 1-2 weeks of life, the
results of the newborn metabolic screen should be checked for galactosemia and congenital
hypothyroidism, further family history should be explored (see below), the infant's weight curve
should be evaluated, the mother's impressions as far as adequacy of breastfeeding should be
elicited, and the stool color should be assessed.
Pathologic v physiologic jaundice - ANSWER-Physiologic jaundice is caused by a combination of
increased bilirubin production secondary to accelerated destruction of erythrocytes, decreased
excretory capacity secondary to low levels of ligandin in hepatocytes, and low activity of the
bilirubin-conjugating enzyme uridine diphosphoglucuronyltransferase (UDPGT).
Pathologic neonatal jaundice occurs when additional factors accompany the basic mechanisms
described above. Examples include immune or nonimmune hemolytic anemia, polycythemia,
and the presence of bruising or other extravasation of blood
You see alexandra, born at 41.5 weeks' gestation, who is now 14-days-old. According to her
mother, she is a vigorous eater and is both breast- and formula- fed. On examination of the
neonate, you note physiologic galactorrhea. This is most likely a result of: - ANSWER-maternal
hormonal influences.
witch's milk is a common occurrence, associated with larger than average breast nodules, and
may persist until 2 months of age in normal newborns. 4.5 % have witches milk.
An 8-month-old infant who is on soy milk and whose mother wants him to be on a strict vegan
diet runs the risk of acquiring which disease? - ANSWER-megaloblastic anemia.
our body needs vitamin B12 to make red blood cells. In order to provide vitamin B12 to your
cells:
You must eat plenty of foods that contain vitamin B12, such as meat, poultry, shellfish, eggs,
and dairy products.
2|Page
, FHEA Peds Exam Version Newest 2025
Your body must absorb enough vitamin B12. A special protein, called intrinsic factor, helps your
body do this. This protein is released by cells in the stomach.
A lack of vitamin B12 may be due to dietary factors, including:
Eating a vegetarian diet
Poor diet in infants
Poor nutrition during pregnancy
Certain health conditions can make it difficult for your body to absorb enough vitamin B12. They
include:
Chronic alcoholism
Crohn disease, celiac disease, infection with the fish tapeworm, or other problems that make it
difficult for your body to digest foods
Pernicious anemia, a type of vitamin B12 anemia that occurs when your body destroys cells
that make intrinsic factor
Surgeries that remove certain parts of your stomach or small intestine, such as some weight-
loss surgeries
Taking antacids and other heartburn medicines for a long period of time
Match the recommended type of car seat with the appropriate age of the child.
9 month old:
3 year old:
6 year old: - ANSWER--rear-facing
(birth to age two*)
-forward-facing seat with harness
3|Page
, FHEA Peds Exam Version Newest 2025
(From 2-5 yrs old*)
-booster seat
(5- able to fit into seatbelt*)
*: CDC
Keep all children 12 and younger in back seat.
You are examining a 2-week-old infant and find dysmorphic facial features. Which of the
following is not appropriate to obtain on the first vists?
-Antenatal, perinatal, postnatal history
-Detailed physical assessment
-Repeat (PKU) Phenylketonuria and thyroid function*
-chromosome analysis - ANSWER-chromosome analysis
*A phenylketonuria (PKU) test is done to check whether a newborn baby has the enzyme
needed to use phenylalanine in his or her body. Phenylalanine is an amino acid that is needed
for normal growth and development. If a baby's body does not have the enzyme that changes
phenylalanine into another amino acid called tyrosine, the phenylalanine level builds up in the
baby's blood and can cause brain damage, seizures, and intellectual disability.
The damage caused by PKU can begin weeks after the baby has started drinking breast milk or
formula. Babies with PKU need foods low in phenylalanine to prevent severe brain damage.
Phenylalanine is found in most foods that have protein, such as milk, cheese, and meats.
It is important to find this disease early. All babies in the United States and Canada are tested
for PKU right after birth. To have the disease, you must inherit the gene from each parent. The
United States Preventive Services Task Force recommends that all newborns be tested for PKU.
Which of the following should be performed first in assessing a 17-year-old with an acute
asthma flare? - ANSWER-FEV-1 in liters or PEFR (peak expiratory flow rate)
4|Page
FHEA Peds Exam Version Newest 2025 Actual Exam
Complete 100 Questions And Correct Detailed
Answers(Verified Answers)|Already Graded A+
You see a healthy 2 month old male who is being exclusively breastfed and shows normal weight
gain. The mother acknowledges that on some days, he seems to "always be hungry" and asks if
any supplemental nutrition is needed. You advise: - ANSWER-supplemental nutrition is generally
unnecessary during the first 6 months.
During a well-child visit of a a 4-month-old healthy girl who is exclusively breastfed, the mother
asks about alcohol use during lactation. You relate that: - ANSWER-maternal alcohol use can
cause a reduction of the amount of milk ingested by the infant.
A new mother expresses concern about breastfeeding her infant because she must take a daily
asthma medication. In counseling her, you relate that nursing infants generally maximally
receive ___ of the maternal dose of a drug. - ANSWER-1%
Sarah is a healthy term newborn who is 12-hours-old. Her mother has nursed sarah about 4
times since her birth with excellent latch and such noted. Sarah's mom mentions that she is
fearful of the baby developing jaundice and is wondering if she made the "right decision" in
breastfeeding. You provide the following information to help her minimize sarah's risk of
developing hyperbilirubinemia. - ANSWER-Encourage at least 8-12 feedings at the breast per
day while avoiding dextrose and water feedings. This will help minimize the neonates risk of
hyperbilirubinemia.
In the term neonate with hyperbilirubinemia, which of the following is false? - ANSWER-The
onset of physiologic jaundice is usually within the first 12 hours of life.
Typically, presentation is on the second or third day of life.
Jaundice that is visible during the first 24 hours of life is likely to be nonphysiologic; further
evaluation is suggested.
1|Page
, FHEA Peds Exam Version Newest 2025
Infants who present with jaundice after 3-4 days of life may also require closer scrutiny and
monitoring.
In infants with severe jaundice or jaundice that continues beyond the first 1-2 weeks of life, the
results of the newborn metabolic screen should be checked for galactosemia and congenital
hypothyroidism, further family history should be explored (see below), the infant's weight curve
should be evaluated, the mother's impressions as far as adequacy of breastfeeding should be
elicited, and the stool color should be assessed.
Pathologic v physiologic jaundice - ANSWER-Physiologic jaundice is caused by a combination of
increased bilirubin production secondary to accelerated destruction of erythrocytes, decreased
excretory capacity secondary to low levels of ligandin in hepatocytes, and low activity of the
bilirubin-conjugating enzyme uridine diphosphoglucuronyltransferase (UDPGT).
Pathologic neonatal jaundice occurs when additional factors accompany the basic mechanisms
described above. Examples include immune or nonimmune hemolytic anemia, polycythemia,
and the presence of bruising or other extravasation of blood
You see alexandra, born at 41.5 weeks' gestation, who is now 14-days-old. According to her
mother, she is a vigorous eater and is both breast- and formula- fed. On examination of the
neonate, you note physiologic galactorrhea. This is most likely a result of: - ANSWER-maternal
hormonal influences.
witch's milk is a common occurrence, associated with larger than average breast nodules, and
may persist until 2 months of age in normal newborns. 4.5 % have witches milk.
An 8-month-old infant who is on soy milk and whose mother wants him to be on a strict vegan
diet runs the risk of acquiring which disease? - ANSWER-megaloblastic anemia.
our body needs vitamin B12 to make red blood cells. In order to provide vitamin B12 to your
cells:
You must eat plenty of foods that contain vitamin B12, such as meat, poultry, shellfish, eggs,
and dairy products.
2|Page
, FHEA Peds Exam Version Newest 2025
Your body must absorb enough vitamin B12. A special protein, called intrinsic factor, helps your
body do this. This protein is released by cells in the stomach.
A lack of vitamin B12 may be due to dietary factors, including:
Eating a vegetarian diet
Poor diet in infants
Poor nutrition during pregnancy
Certain health conditions can make it difficult for your body to absorb enough vitamin B12. They
include:
Chronic alcoholism
Crohn disease, celiac disease, infection with the fish tapeworm, or other problems that make it
difficult for your body to digest foods
Pernicious anemia, a type of vitamin B12 anemia that occurs when your body destroys cells
that make intrinsic factor
Surgeries that remove certain parts of your stomach or small intestine, such as some weight-
loss surgeries
Taking antacids and other heartburn medicines for a long period of time
Match the recommended type of car seat with the appropriate age of the child.
9 month old:
3 year old:
6 year old: - ANSWER--rear-facing
(birth to age two*)
-forward-facing seat with harness
3|Page
, FHEA Peds Exam Version Newest 2025
(From 2-5 yrs old*)
-booster seat
(5- able to fit into seatbelt*)
*: CDC
Keep all children 12 and younger in back seat.
You are examining a 2-week-old infant and find dysmorphic facial features. Which of the
following is not appropriate to obtain on the first vists?
-Antenatal, perinatal, postnatal history
-Detailed physical assessment
-Repeat (PKU) Phenylketonuria and thyroid function*
-chromosome analysis - ANSWER-chromosome analysis
*A phenylketonuria (PKU) test is done to check whether a newborn baby has the enzyme
needed to use phenylalanine in his or her body. Phenylalanine is an amino acid that is needed
for normal growth and development. If a baby's body does not have the enzyme that changes
phenylalanine into another amino acid called tyrosine, the phenylalanine level builds up in the
baby's blood and can cause brain damage, seizures, and intellectual disability.
The damage caused by PKU can begin weeks after the baby has started drinking breast milk or
formula. Babies with PKU need foods low in phenylalanine to prevent severe brain damage.
Phenylalanine is found in most foods that have protein, such as milk, cheese, and meats.
It is important to find this disease early. All babies in the United States and Canada are tested
for PKU right after birth. To have the disease, you must inherit the gene from each parent. The
United States Preventive Services Task Force recommends that all newborns be tested for PKU.
Which of the following should be performed first in assessing a 17-year-old with an acute
asthma flare? - ANSWER-FEV-1 in liters or PEFR (peak expiratory flow rate)
4|Page
