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FNP Pediatrics Exam VERIFIED | LATEST UPDATE

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FNP Pediatrics Exam VERIFIED | LATEST UPDATE Hepatitis A Immunization - Answer- Given at age 1 year x 2 doses; given 6 mo. apart; (Hep A spread by direct contact & contaminated food or water) Hepatitis B Immunization - Answer- Given at birth, 1-2 months & 6 months (Given at least 1 month apart); Series of 3 immunizations; (Hep B spread by contact with blood or body fluids) DTaP Immunization - Answer- Diphtheria, Tetanus, acellular Pertussis 7 years of age only: Multiple injections; Minimum age for initial dose 6 weeks; Normal schedule 2, 4, 6 months, then 15-18 months (at least 6 mo. from dose # 3), then 4-6 years (final dose at age 4 years of age) Tdap Immunization (Booster) - Answer- Tetanus, diphtheria, acellular Pertussis 7 years of age: Tdap booster; give 11-12 years, give regardless of the last interval since Td immunization; After Tdap, patients should receive Td booster every 10 years Hib Immunization - Answer- Haemophilus influenza Type B; Age 2, 4, 6, 12-15 months (series of 4 immunizations); Unvaccinated children ages 15 months, administer only one dose Pneumoccoccal conjugate vaccine PCV (PCV 13) - Answer- Age 2, 4, 6, 12-15 months, & 4-6 years; Note: drastic decline in otitis media cases since pneumococcal vaccine has been given Polio (IPV) Immunization - Answer- Age 2, 4, 6-18 months, & 4-6 years; Note: no longer a live vaccine, can give to immunocompromised patients (oral polio no longer available) Live Attenuated Vaccine - Answer- Must replicate in order to produce immunity; Fever, rash represents a reaction to viral replication, not the vaccine; Ok to get rash as long as it is not pruritic MMR (Measles, Mumps & Rubella vaccine) - Answer- #1 Age 12-15 months & #2 Age 4-6 years; Do Not give to Pregnant or Immunocompromised patients. (Live vaccine) Varicella (Chicken Pox vaccine) - Answer- Age 12-18 months, then booster at 4-6 years OR age 11-12 years if child lacks a reliable history of chicken pox infection. If given 13 years, then 2 doses are required at least one month apart. Note: May give with MMR, otherwise they have to be given one month apart from each other. Influenza Vaccine - Answer- Annually 6 months of age; children less 8 years receiving flu for first time, need 2 doses separated by 4 weeks Meningococcal Conjugate Vaccine (MCV4) - Answer- Given at age 11-12 years; booster at age 16. Can be given later, if given at age 16 yrs then no booster is given. Goal to give prior to becoming at risk (ie: at college living in dorms) Human Papilloma Virus (HPV) - Answer- HPV minimum age 9; approved for boys (HPV4, Gardasil); Administer first dose to females at age 11-12 (HPV2, Cervarix); administer 2nd dose 1-2 months later; third dose 6 months after 1st dose (Total 3 immunizations) Vaccines Schedule - Answer- Monitor CDC for updates; Vaccine given 4 days prior to due date is considered valid, given 5 days prior to scheduled time is INVALID and should be repeated Why do we give pregnant mother's Tdap for every pregnancy? - Answer- Protects mother and infant from pertussis Per the CDC how long should you monitor a patient after receiving an immunization? - Answer- At least 15 minutes; likely time to have a reaction is within 15 min.; Risk of injury if driving home during reaction if not being monitored. What notable event occurs with regularity about one week after receiving the MMR immunization? - Answer- Rash; expected reaction Patient that has an allergy to eggs that causes a non-pruritic rash. Which immunizations are contraindicated? - Answer- NONE, for a non-pruritic rash Patient that has an allergy to eggs that produces hives. Which immunizations are contraindicated? - Answer- Influenza; should not be given. There is the availability of an alternative immunization for patient's that have egg allergies. Which immunizations are live or attenuated? - Answer- Varicella, MMR, LAIV (Flumist), zoster vaccine A 12 month old received MMR immunization 1 week ago. When can the varicella immunization be given? - Answer- In 3 weeks (has to be given 4 weeks apart from each other) ADHD (Attention Deficit Hyperactivity Disorder) - Answer- Hyperactivity, Impulsivity, Inattention Hyperactivity and Impulsivity - Answer- Excessive talking, fidgetiness, restlessness, constantly "on the go", difficulty remaining seated, difficulty waiting turns, interrupts others Inattention - Answer- Forgetfulness, easily distracted or get's off task, failure to follow through, loses things, disorganization, academic underachievement, social skills can be impaired, friendships/relationships are difficult, can result in poor self esteem, symptoms of depression

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FNP Pediatric bits Exam A+ Pass
Verified Brand New!!
1. Which of the following is appropriate advice to give to a mother who is breastfeeding
her 10-day-old infant? A. "Your milk will come in today." B. "To minimize breast
tenderness, the baby should not be kept on each breast for more than 5 to 10 minutes."
C. "A pacifier should be offered between feedings." D. "The baby's urine should be light
or colorless." - Answer- D. "The baby's urine should be light or colorless."

2. Which of the following is appropriate advice to give to a mother who is breastfeeding
her 12-hour-old infant?
A. "You will likely have enough milk to feed the baby within a few hours of birth." B. "The
baby might need to be awakened to be fed." C. "Supplemental feeding is needed unless
the baby has at least four wet diapers in the first day of life." D. "The baby will likely
have a seedy yellow bowel movement today." - Answer- B. "The baby might need to be
awakened to be fed."

3. Compared with the use of infant formula, advantages of breastfeeding include all of
the following except: A. lower incidence of diarrheal illness. B. greater weight gain in the
first few weeks of life. C. reduced risk of allergic disorders. D. lower occurrence of
constipation. - Answer- B. greater weight gain in the first few weeks of life

4. At 3 weeks of age, the average-weight formula-fed infant should be expected to take:
A. 2 to 3 oz every 2 to 3 hours. B. 2 to 3 oz every 3 to 4 hours. C. 3 to 4 oz every 2 to 3
hours. D. 3 to 4 oz every 3 to 4 hours. - Answer- A. 2 to 3 oz every 2 to 3 hours.

5. In infants, solid foods are best introduced no earlier than: A. 1 to 3 months.B. 3 to 5
months. C. 4 to 6 months. D. 6 to 8 months. - Answer- C. 4 to 6 months

6. Nursing infants generally maximally receive about which percentage of the maternal
dose of a drug? A. 1% B. 3% C. 5% D. 10% - Answer- A. 1%

7. Most drugs pass into breast milk through: A. active transport. B. facilitated transfer. C.
simple diffusion. D. creation of a pH gradient. - Answer- C. simple diffusion.

8. To remove a drug from breast milk through "pump and dump," the process must be
continued for: A. two infant feeding cycles. B. approximately 8 hours. C. three to five
half-lives of drug. D. a period of time that is highly unpredictable. - Answer- C. three to
five half-lives of drug.

9. 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 may be seen with as little as one to two maternal drinks. - Answer-
.C. maternal alcohol use causes a reduction in the amount of milk ingested by the
infant.

10. A 23-year-old woman is breastfeeding her healthy newborn. She wishes to use
hormonal contraception. Which of the following represents the best regimen? A.
combined oral contraception initiated at 2 weeks B. progesterone-only oral
contraception initiated at 3 weeks
C. medroxyprogesterone acetate (Depo-Provera) given day 1 postpartum D. All forms of
hormonal contraception are contraindicated during lactation. - Answer- B. progesterone-
only oral contraception initiated at 3 weeks

11. The anticipated average daily weight gain during the first 3 months of life is
approximately: A. 15 g. B. 20 g. C. 25 g. D. 30 g. - Answer- D. 30 g.

12. 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.
- Answer- D. 100 to 120 kcal/kg/d.

13. Which of the following is most consistent with a normal developmental examination
for a 3-month-old infant born at 40 weeks' gestation? A. sitting briefly with support B.
experimenting with sound C. rolling over D. having a social smile - Answer- B.
experimenting with sound

14. Which of the following is most consistent with a normal developmental examination
for a thriving 5-month-old infant born at 32 weeks' gestation? A. sitting briefly with
support B. experimenting with sound C. rolling over D. performing hand-to-hand
transfers - Answer- B. experimenting with sound

15. A healthy full-term infant at age 3 to 5 months should be able to: A. gesture to an
object. B. bring hands together. C. reach for an object with one hand. D. feed self
biscuit. - Answer- B. bring hands together.

16. A healthy infant at age 9 to 11 months is expected to: A. roll back to stomach. B.
imitate "bye-bye." C. play peek-a-boo. D. hand toy on request. - Answer- C. play peek-
a-boo.

17. A healthy 2-year-old child is able to: A. speak in phrases of two or more words. B.
throw a ball. C. scribble spontaneously. D. ride a tricycle. - Answer- A. speak in phrases
of two or more words.

18. At which age would a child likely start to imitate housework? A. 15 months B. 18
months C. 24 months D. 30 months - Answer- A. 15 months

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