burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
1. The primary care pediatric ANS: A
nurse practitioner is examin- Although it can take 18 to 24 months for adolescents to es-
ing a 15-year-old female who tablish regulatory cycles, periods can also be affected by ath-
reports having her first peri- letic activity that decreases body fat. The PNP should assess
od at age 13. She states that the percentage of lean body mass, which should be 75% or
she has had five periods in the less to maintain regular ovulatory cycles. OCPs are useful for
last year, with the last one 2 regulating periods if this persists and other causes are ruled
months prior. She participates out. It is not necessary to refer her to an endocrinologist unless
in basketball at school. Which problems persist in spite of standard management.
action is correct?
a. Perform biometric screen-
ing to determine lean body
mass.
b. Prescribe oral contracep-
tives pills to regulate her pe-
riods.
c. Reassure her that this is
perfectly normal at her age.
d. Refer her to an endocri-
nologist for hormonal evalua-
tion.
2. The parent of a 14-year-old ANS: C
child tells the primary care pe- Frequent school absenteeism, class skipping, and other types
diatric nurse practitioner that of school avoidance may indicate a problem with cognitive
the child skips classes fre- ability and should be assessed. When cognitive disorders are
quently in spite of various dis- ruled out, other issues, such as behavioral and emotional prob-
ciplinary measures, such as lems may be considered. IEPs are used for children who have
grounding and extra home- identified special physiological or cognitive needs and may be
work and is earning Cs and useful if a cognitive disorder is identified.
Ds in most classes. What will
the nurse practitioner recom-
, burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
mend?
a. Counseling for emotional
problems
b. Development of an Individ-
ual Education Plan
c. Evaluation for possible
learning disorders
d. Referral for a behavioral
disorder
3. The primary care pediatric ANS: B
nurse practitioner is perform- While it is true that early maturing females may join an older
ing a well child exam on a group of peers to feel that they fit in, the ones who do put
12-year-old female who has themselves at risk for risky behaviors, including sexual activity.
achieved early sexual matura- Although many teens feel awkward when they mature at dif-
tion. The mother reports that ferent rates than their peers, joining a group of older peers
she spends more time with demonstrates a poor adjustment and does not promote social
her older sister's friends in- maturity.
stead of her own classmates.
What will the nurse practition-
er tell this parent?
a. Early-maturing girls need
to identify with older adoles-
cents to feel a sense of be-
longing.
b. Girls who join an older
group of peers may become
sexually active at an earlier
age.
c. Spending time with old-
er adolescents indicates a
healthy adjustment to her
, burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
maturing body.
d. The association with old-
er adolescents will help her
daughter to gain social matu-
rity.
4. The primary care pediatric ANS: B
nurse practitioner is perform- Thelarche, or the development of breast budding, generally
ing a well child assessment on precedes menarche by 2.5 years, so this should be determined
a 13-year-old female whose when attempting to predict this milestone. The age of the
mother asks when her daugh- mother at menarche is not a reliable indicator. Adrenarche
ter's periods may start. Which is related to adrenal and not gonadal development and is
information will the nurse less valid than other secondary sex characteristics in assessing
practitioner use to help esti- sexual maturation. Rapid linear growth usually begins after
mate the onset of periods? thelarche and peaks about a year later but is not used to predict
a. The age of the mother's menarche.
menarche
b. The patient's age at the-
larche
c. When adrenarche oc-
curred
d. Whether linear growth has
stopped
5. The mother of a 15-year-old ANS: A
adolescent female tells the Apparent hypocrisy is the notion that rules apply differently
primary care pediatric nurse to adolescents than to others. The adolescent who chalks up
practitioner that her daugh- the conflict with her mother related to her premenstrual mood
ter has extreme mood swings swings does not see her own role in the conflict. Imaginary au-
prior to her periods, which dience is the perception that everyone is thinking about them.
the adolescent vehemently Personal fable is the idea that they are special. Overthinking
denies. When asked if she no- involves making things more complicated than they need to be.
, burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
tices anything different just
before her periods, the ado-
lescent points to her moth-
er and says, "She gets re-
ally hard to live with." This
demonstrates which charac-
teristic of adolescent think-
ing?
a. Apparent hypocrisy
b. Imaginary audience
c. Overthinking
d. Personal fable
6. During a well child assess- ANS: D
ment of a 13-year-old male, The initial sign of puberty in males is testicular enlargement.
the primary care pediatric If this does not precede other changes, the PNP should con-
nurse practitioner notes small sider whether the boy is taking exogenous anabolic steroids,
testicles and pubic and ax- common among those who wish to improve athletic ability.
illary hair. To further evalu- These findings are not concerning for alcohol or tobacco use.
ate these findings, the nurse Voice changes and rapid growth may occur with pubic hair
practitioner will ask the pa- development, but the primary concern is anabolic steroid use.
tient about
a. alcohol and tobacco use.
b. changes in voice.
c. increase in height and
weight.
d. participation in sports.
7. The parent of an adoles- ANS: A
cent reports noting cutting Self-injurious behavior (SIB) is used as a coping strategy to
marks on the teen's arms and relieve distress, anger, and stress. It is not commonly done
asks the primary care pedi- among adolescents and is not a way of fitting in with a peer
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
1. The primary care pediatric ANS: A
nurse practitioner is examin- Although it can take 18 to 24 months for adolescents to es-
ing a 15-year-old female who tablish regulatory cycles, periods can also be affected by ath-
reports having her first peri- letic activity that decreases body fat. The PNP should assess
od at age 13. She states that the percentage of lean body mass, which should be 75% or
she has had five periods in the less to maintain regular ovulatory cycles. OCPs are useful for
last year, with the last one 2 regulating periods if this persists and other causes are ruled
months prior. She participates out. It is not necessary to refer her to an endocrinologist unless
in basketball at school. Which problems persist in spite of standard management.
action is correct?
a. Perform biometric screen-
ing to determine lean body
mass.
b. Prescribe oral contracep-
tives pills to regulate her pe-
riods.
c. Reassure her that this is
perfectly normal at her age.
d. Refer her to an endocri-
nologist for hormonal evalua-
tion.
2. The parent of a 14-year-old ANS: C
child tells the primary care pe- Frequent school absenteeism, class skipping, and other types
diatric nurse practitioner that of school avoidance may indicate a problem with cognitive
the child skips classes fre- ability and should be assessed. When cognitive disorders are
quently in spite of various dis- ruled out, other issues, such as behavioral and emotional prob-
ciplinary measures, such as lems may be considered. IEPs are used for children who have
grounding and extra home- identified special physiological or cognitive needs and may be
work and is earning Cs and useful if a cognitive disorder is identified.
Ds in most classes. What will
the nurse practitioner recom-
, burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
mend?
a. Counseling for emotional
problems
b. Development of an Individ-
ual Education Plan
c. Evaluation for possible
learning disorders
d. Referral for a behavioral
disorder
3. The primary care pediatric ANS: B
nurse practitioner is perform- While it is true that early maturing females may join an older
ing a well child exam on a group of peers to feel that they fit in, the ones who do put
12-year-old female who has themselves at risk for risky behaviors, including sexual activity.
achieved early sexual matura- Although many teens feel awkward when they mature at dif-
tion. The mother reports that ferent rates than their peers, joining a group of older peers
she spends more time with demonstrates a poor adjustment and does not promote social
her older sister's friends in- maturity.
stead of her own classmates.
What will the nurse practition-
er tell this parent?
a. Early-maturing girls need
to identify with older adoles-
cents to feel a sense of be-
longing.
b. Girls who join an older
group of peers may become
sexually active at an earlier
age.
c. Spending time with old-
er adolescents indicates a
healthy adjustment to her
, burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
maturing body.
d. The association with old-
er adolescents will help her
daughter to gain social matu-
rity.
4. The primary care pediatric ANS: B
nurse practitioner is perform- Thelarche, or the development of breast budding, generally
ing a well child assessment on precedes menarche by 2.5 years, so this should be determined
a 13-year-old female whose when attempting to predict this milestone. The age of the
mother asks when her daugh- mother at menarche is not a reliable indicator. Adrenarche
ter's periods may start. Which is related to adrenal and not gonadal development and is
information will the nurse less valid than other secondary sex characteristics in assessing
practitioner use to help esti- sexual maturation. Rapid linear growth usually begins after
mate the onset of periods? thelarche and peaks about a year later but is not used to predict
a. The age of the mother's menarche.
menarche
b. The patient's age at the-
larche
c. When adrenarche oc-
curred
d. Whether linear growth has
stopped
5. The mother of a 15-year-old ANS: A
adolescent female tells the Apparent hypocrisy is the notion that rules apply differently
primary care pediatric nurse to adolescents than to others. The adolescent who chalks up
practitioner that her daugh- the conflict with her mother related to her premenstrual mood
ter has extreme mood swings swings does not see her own role in the conflict. Imaginary au-
prior to her periods, which dience is the perception that everyone is thinking about them.
the adolescent vehemently Personal fable is the idea that they are special. Overthinking
denies. When asked if she no- involves making things more complicated than they need to be.
, burns peds - chapters 1-8 health assessment, Cultural, milestones {100%Success}
peds - chapters 1-8 health assessment, Cultural, milestones
Study online at https://quizlet.com/_8exxod
tices anything different just
before her periods, the ado-
lescent points to her moth-
er and says, "She gets re-
ally hard to live with." This
demonstrates which charac-
teristic of adolescent think-
ing?
a. Apparent hypocrisy
b. Imaginary audience
c. Overthinking
d. Personal fable
6. During a well child assess- ANS: D
ment of a 13-year-old male, The initial sign of puberty in males is testicular enlargement.
the primary care pediatric If this does not precede other changes, the PNP should con-
nurse practitioner notes small sider whether the boy is taking exogenous anabolic steroids,
testicles and pubic and ax- common among those who wish to improve athletic ability.
illary hair. To further evalu- These findings are not concerning for alcohol or tobacco use.
ate these findings, the nurse Voice changes and rapid growth may occur with pubic hair
practitioner will ask the pa- development, but the primary concern is anabolic steroid use.
tient about
a. alcohol and tobacco use.
b. changes in voice.
c. increase in height and
weight.
d. participation in sports.
7. The parent of an adoles- ANS: A
cent reports noting cutting Self-injurious behavior (SIB) is used as a coping strategy to
marks on the teen's arms and relieve distress, anger, and stress. It is not commonly done
asks the primary care pedi- among adolescents and is not a way of fitting in with a peer
