2025/ 2026 Update) Primary Care of
the Childbearing and Childrearing
Family Review| Questions & Answers|
Grade A| 100% Correct (Verified
Quiz_________________?
What is colic? -
Answer✅
"rule of threes": an infant with colic
"cries for more than 3 hours a day,
for more than 3 days a week,
and more than 3 weeks"
Colic can persist up to age 5 months. Due to the amount of crying, regurgitation and
vomiting may occur after feedings
Quiz_________________?
What medication(s) have shown to be effective in treating Colic (if any?) -
Answer✅
Dicyclomine (Bentylol®, Merbentyl®) & Hyoscyamine (Levsin
Drops®, Donnalix Infant Drops
1
, Quiz_________________?
Are alternative medications such as probiotics effective in the treatment of Colic? -
Answer✅
There is no clear evidence that probiotics are more
effective
Quiz_________________?
Appendicitis -
Answer✅
RLQ pain, typically increases when walking, jumping or coughing, and usually worsens as
time goes on
Quiz_________________?
Foreign Bodies -
Answer✅
objects swallowed by a toddler/child:
more common in infants after 6 months with coordination of hand-mouth movements.
Coins are the most common culprit. Most objects pass without problem; 10% to 20%
require surgical management.
Signs and symptoms include dysphagia, odynophagia, drooling, regurgitation, abdominal pain,
and difficulty breathing.
Quiz_________________?
Intussusception -
Answer✅
Intestinal obstruction that causes intermittent abdominal pain, sometimes with vomiting and
bloody stool.
2
, The sliding of one part of the intestine into another. The pressure created by the walls of
the intestine pressing together causes:
decreased blood
flow, irritation, and swelling.
If a hole occurs:
infection, shock, and dehydration can occur rapidly.
Most common between 6 and 36 months but may present in younger infants. Vomiting is
bilious once obstruction occurs
Quiz_________________?
CH 40 Gi Disorders Questions -
Answer✅
Quiz_________________?
The parent of a colicky infant asks about using a probiotic medication. What will you tell
them? -
Answer✅
There is no conclusive evidence about using probiotics to treat colic.
Quiz_________________?
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A
barium swallow study reveals a normal esophagus.
What will the primary care pediatric nurse practitioner consider next to manage this child's
nutritional needs? -
Answer✅
Video fluoroscopy swallowing study (FTT + Weight loss)
3
, Quiz_________________?
A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An
assessment reveals an irritable child with dry mucous membranes, 3 3-second capillary refill,
2-second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child
has had two wet diapers in the past 24 hours.
What will the primary care pediatric nurse practitioner recommend? -
Answer✅
Oral rehydration solution with follow-up in 24 hours. (FTT + Weight loss)
Quiz_________________?
A 9-year-old girl has a history of frequent vomiting, and her mother has frequent migraine
headaches. The child has recently begun having more frequent and prolonged episodes
accompanied by headaches. An exam reveals abnormal eye movements and mild ataxia.
What is the correct action? -
Answer✅
Refer to a pediatric gastroenterologist for further workup. (FTT + Weight loss)
Quiz_________________?
The parent of a 3-month-old reports that the infant arches and gags while feeding and spits
up undigested formula frequently. The infant's weight gain has dropped to the 5th percentile
from the 12th percentile.
What is the best course of treatment for this infant? -
Answer✅
Begin a trial of extensively hydrolyzed protein formula for 2-4 weeks. (FTT + Weight loss)
Quiz_________________?
A school-age child has a 3-month history of dull, aching epigastric pain that worsens with
eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8
mg/dL.
What is the next step in management? -
4
the Childbearing and Childrearing
Family Review| Questions & Answers|
Grade A| 100% Correct (Verified
Quiz_________________?
What is colic? -
Answer✅
"rule of threes": an infant with colic
"cries for more than 3 hours a day,
for more than 3 days a week,
and more than 3 weeks"
Colic can persist up to age 5 months. Due to the amount of crying, regurgitation and
vomiting may occur after feedings
Quiz_________________?
What medication(s) have shown to be effective in treating Colic (if any?) -
Answer✅
Dicyclomine (Bentylol®, Merbentyl®) & Hyoscyamine (Levsin
Drops®, Donnalix Infant Drops
1
, Quiz_________________?
Are alternative medications such as probiotics effective in the treatment of Colic? -
Answer✅
There is no clear evidence that probiotics are more
effective
Quiz_________________?
Appendicitis -
Answer✅
RLQ pain, typically increases when walking, jumping or coughing, and usually worsens as
time goes on
Quiz_________________?
Foreign Bodies -
Answer✅
objects swallowed by a toddler/child:
more common in infants after 6 months with coordination of hand-mouth movements.
Coins are the most common culprit. Most objects pass without problem; 10% to 20%
require surgical management.
Signs and symptoms include dysphagia, odynophagia, drooling, regurgitation, abdominal pain,
and difficulty breathing.
Quiz_________________?
Intussusception -
Answer✅
Intestinal obstruction that causes intermittent abdominal pain, sometimes with vomiting and
bloody stool.
2
, The sliding of one part of the intestine into another. The pressure created by the walls of
the intestine pressing together causes:
decreased blood
flow, irritation, and swelling.
If a hole occurs:
infection, shock, and dehydration can occur rapidly.
Most common between 6 and 36 months but may present in younger infants. Vomiting is
bilious once obstruction occurs
Quiz_________________?
CH 40 Gi Disorders Questions -
Answer✅
Quiz_________________?
The parent of a colicky infant asks about using a probiotic medication. What will you tell
them? -
Answer✅
There is no conclusive evidence about using probiotics to treat colic.
Quiz_________________?
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A
barium swallow study reveals a normal esophagus.
What will the primary care pediatric nurse practitioner consider next to manage this child's
nutritional needs? -
Answer✅
Video fluoroscopy swallowing study (FTT + Weight loss)
3
, Quiz_________________?
A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An
assessment reveals an irritable child with dry mucous membranes, 3 3-second capillary refill,
2-second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child
has had two wet diapers in the past 24 hours.
What will the primary care pediatric nurse practitioner recommend? -
Answer✅
Oral rehydration solution with follow-up in 24 hours. (FTT + Weight loss)
Quiz_________________?
A 9-year-old girl has a history of frequent vomiting, and her mother has frequent migraine
headaches. The child has recently begun having more frequent and prolonged episodes
accompanied by headaches. An exam reveals abnormal eye movements and mild ataxia.
What is the correct action? -
Answer✅
Refer to a pediatric gastroenterologist for further workup. (FTT + Weight loss)
Quiz_________________?
The parent of a 3-month-old reports that the infant arches and gags while feeding and spits
up undigested formula frequently. The infant's weight gain has dropped to the 5th percentile
from the 12th percentile.
What is the best course of treatment for this infant? -
Answer✅
Begin a trial of extensively hydrolyzed protein formula for 2-4 weeks. (FTT + Weight loss)
Quiz_________________?
A school-age child has a 3-month history of dull, aching epigastric pain that worsens with
eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8
mg/dL.
What is the next step in management? -
4
