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PEDIATRICS FNP BOARD REVIEW (FITZGERALD) EXAM 2025 QUESTIONS AND ANSWERS

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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 PEDIATRICS FNP BOARD REVIEW (FITZGERALD) EXAM 2025 QUESTIONS AND ANSWERS 2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED 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 3 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED 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. 4 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED 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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PEDIATRICS FNP BOARD REVIEW
(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


1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED

,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




2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED

,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.

3 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED

, 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


4 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED

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