(FITZGERALD) EXAM 2025 QUESTIONS
AND ANSWERS
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 can be seen with mother's having as few as one to two alcoholic drinks. -
ANS C
At what point after childbirth can a combined oral contraceptive be started without other risk
factors for venous thrombosis in a woman who is not breastfeeding?
A. 1 day
B. 1 week
C. 3 weeks
D. 6 weeks - ANS C
The anticipated average daily weight gain during the first 3 months of life is approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. - ANS D
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,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. - ANS C
Physiologic jaundice usually presents between days 3 and 5 and results from to the normal
breakdown of fetal hemoglobin and immature liver metabolism. ___________ bilirubin is
elevated in this process. - ANS Unconjugated
If there is an increase in ___________ bilirubin or jaundice occurs in the first _____ hours of
life, pathological etiologies need to be considered, such as an ABO incompatibility, familial
Gilbert syndrome, or other anomaly. - ANS conjugated, 24
Progestin-only oral contraceptive options can be started _________ postpartum if the woman
is not breastfeeding and as early as ____ weeks postpartum if she is breastfeeding. -
ANS immediately, 3 weeks
31. It is considered a developmental "red flag" if a child does not respond to his or her name by
nine months of age. A. true B. false - ANS B
One physical sign of fragile X syndrome in males includes: A. large eyes. B. large forehead. C.
small head. D. recessive jaw. - ANS B
36. Klinefelter syndrome is most commonly marked by: A. language impairment in males. B.
fine motor delay in males. C. hip and breast enlargement in women. D. attention deficit
disorder in males. - ANS A
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,38. At which of the following ages in an infant's life is parental anticipatory guidance about
teething most helpful? A. 1 to 2 months B. 2 to 4 months C. 4 to 6 months D. 8 to 10 months -
ANS C
What are some developmental red flags for 6m, 9m, 12m, 24m? - ANS
_________ syndrome, a chromosomal alteration, is the most common known cause of autism
in either gender and occurs in all racial and ethnic groups. - ANS Fragile X
________ syndrome (XXY male), also is associated with developmental issues, mainly verbal in
nature (Table 17-4). - ANS Klinefelter
Development chart - ANS
Development chart - ANS
Development chart - ANS
At which of the following ages in a young child's life is parental anticipatory guidance about
temper tantrums most helpful? A. 8 to 10 months B. 10 to 12 months C. 12 to 14 months D. 14
to 16 months - ANS B
At which of the following ages in a young child's life is parental anticipatory guidance about
using "time out" as a discipline method most helpful? A. 12 to 18 months B. 18 to 24 months C.
24 to 30 months D. 30 to 36 months - ANS B
The following are risk factors for hypertension in children and teens (choose all that apply):
A. being obese.
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, B. drinking whole milk.
C. being exposed to second-hand smoke.
D. watching 2 or more hours of television per day. - ANS A and C
Fruit juice intake is acceptable in children 6 months and older per the following
recommendation (choose all that apply):
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
D. The juice is consumed in the morning with breakfast.
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5 years. -
ANS ABE
In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive
cardiovascular evaluation should be conducted by the following methods (choose all that
apply):
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. - ANS A and D
At what age is it appropriate to recommend dietary changes to parents if overweight or obesity
is a concern?
A. 12 months old
B. 5 years old
C. 10 years old
D. 18 years old - ANS A
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