BURNS PEDIATRIC CORRECT STUDY GUIDE
QUESTIONS AND ANSWERS SURE A+
✔✔10. The primary care pediatric nurse practitioner is evaluating a 12-year-old girl who
reports penile
penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP
reports this to
the local child abuse hotline. What is the PNP's next action?
a. Attaining a history of the abuse from the child
b. Obtaining urethral specimens for STI testing
c. Performing a colposcopic examination to evaluate for trauma
d. Referring the child to the ED for forensic specimen collection - ✔✔ANS: D
If sexual abuse has occurred within 72 hours, it is required that appropriate forensic
specimens be
collected. Getting a history from the child is part of the child abuse evaluation and will
be done by the
child abuse team, as well as obtaining urethral specimens for STI. Colposcopic exams
should be done by
an expert in sexual abuse if trauma is suspected but is not performed by the PCPNP.
✔✔11. The primary care pediatric nurse practitioner is performing a well baby
examination on a newborn
whose mother is 17 years old. The mother states that she is living with her parents and
plans to finish
high school. The maternal grandmother will care for the infant while she is in school.
What will the
nurse practitioner discuss with this mother at this visit?
a. Early child intervention programs
b. Her needs for socialization with peers
c. Immunizations and well child visits
d. Referral to a community health nurse - ✔✔ANS: B
Adolescent mothers face problems inherent when this major role is assumed before
they are
, developmentally ready themselves. Their developmental needs may sometimes be in
conflict with their
children. Although this mother has support from her family, the PNP should assess her
desires to socialize
with her peers to evaluate her developmental needs. Early child intervention may be
necessary when the
child is preschool age and immunizations and well child visits should be discussed, but
these do not take
precedence over the need to evaluate a potential role conflict. Referrals to community
health may be
necessary if problems arise.
✔✔12. The primary care pediatric nurse practitioner is examining a young child who has
cerebral palsy.
Which part of the family history raises concerns about potential child maltreatment?
a. Child attends day care
b. Limited financial resources
c. Mother works outside the home
d. No membership in a church - ✔✔ANS: B
Limited financial resources can put a strain on caring for a child with special needs
whose medical needs
are expensive. The fact that the mother works outside the home and the child attends
day care may
actually provide some respite from the strain of caring for a special needs child.
Families may have strong
spiritual values whether they attend church or not.
✔✔13. The mother of two school-age children tells the primary care pediatric nurse
practitioner that she and
the children's father are divorcing and asks for advice to help the children cope with the
situation. The
nurse practitioner will counsel her to
a. allow visitation only on weekends.
b. maintain her own social life.
c. notify the children's teachers.
d. use a social support network. - ✔✔ANS: D
The availability of a social support system is a key factor in coping with divorce.
Visitation patterns
should be consistent and collaborative but not necessarily only on certain days.
Although the mother
should eventually maintain a social life, it is not a key early on to helping children cope
with a divorce.
Notifying teachers does not necessarily help children to cope.
✔✔14. The primary care pediatric nurse practitioner is examining an infant who has
otitis media and learns
QUESTIONS AND ANSWERS SURE A+
✔✔10. The primary care pediatric nurse practitioner is evaluating a 12-year-old girl who
reports penile
penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP
reports this to
the local child abuse hotline. What is the PNP's next action?
a. Attaining a history of the abuse from the child
b. Obtaining urethral specimens for STI testing
c. Performing a colposcopic examination to evaluate for trauma
d. Referring the child to the ED for forensic specimen collection - ✔✔ANS: D
If sexual abuse has occurred within 72 hours, it is required that appropriate forensic
specimens be
collected. Getting a history from the child is part of the child abuse evaluation and will
be done by the
child abuse team, as well as obtaining urethral specimens for STI. Colposcopic exams
should be done by
an expert in sexual abuse if trauma is suspected but is not performed by the PCPNP.
✔✔11. The primary care pediatric nurse practitioner is performing a well baby
examination on a newborn
whose mother is 17 years old. The mother states that she is living with her parents and
plans to finish
high school. The maternal grandmother will care for the infant while she is in school.
What will the
nurse practitioner discuss with this mother at this visit?
a. Early child intervention programs
b. Her needs for socialization with peers
c. Immunizations and well child visits
d. Referral to a community health nurse - ✔✔ANS: B
Adolescent mothers face problems inherent when this major role is assumed before
they are
, developmentally ready themselves. Their developmental needs may sometimes be in
conflict with their
children. Although this mother has support from her family, the PNP should assess her
desires to socialize
with her peers to evaluate her developmental needs. Early child intervention may be
necessary when the
child is preschool age and immunizations and well child visits should be discussed, but
these do not take
precedence over the need to evaluate a potential role conflict. Referrals to community
health may be
necessary if problems arise.
✔✔12. The primary care pediatric nurse practitioner is examining a young child who has
cerebral palsy.
Which part of the family history raises concerns about potential child maltreatment?
a. Child attends day care
b. Limited financial resources
c. Mother works outside the home
d. No membership in a church - ✔✔ANS: B
Limited financial resources can put a strain on caring for a child with special needs
whose medical needs
are expensive. The fact that the mother works outside the home and the child attends
day care may
actually provide some respite from the strain of caring for a special needs child.
Families may have strong
spiritual values whether they attend church or not.
✔✔13. The mother of two school-age children tells the primary care pediatric nurse
practitioner that she and
the children's father are divorcing and asks for advice to help the children cope with the
situation. The
nurse practitioner will counsel her to
a. allow visitation only on weekends.
b. maintain her own social life.
c. notify the children's teachers.
d. use a social support network. - ✔✔ANS: D
The availability of a social support system is a key factor in coping with divorce.
Visitation patterns
should be consistent and collaborative but not necessarily only on certain days.
Although the mother
should eventually maintain a social life, it is not a key early on to helping children cope
with a divorce.
Notifying teachers does not necessarily help children to cope.
✔✔14. The primary care pediatric nurse practitioner is examining an infant who has
otitis media and learns
