APEA Management Pediatrics / APEA –
Pediatric Management | High-Yield Practice
Questions & Clinical Decision-Making Review
The chest circumference of a 12 month-old is:
routinely measured on well-child visits.
1-2 cm larger than head circumference.
smaller than head circumference.
equal to head circumference.- - ---✔✔✔ANSWER----equal to head
circumference.
An otherwise healthy two-year-old presents with a heart rate that varies with
inspiration and expiration. Which statement is true?
The child has ingested too much caffeine.
A cardiology referral is prudent.
This is a normal exam.
There is a need for an echocardiogram. - ---✔✔✔ANSWER----this is a
normal exam.
,At what age should initial blood pressure screening take place?
3 years
4-6 years
6 years
6-10 years - ---✔✔✔ANSWER----3 years
Many factors can contribute to the risk of congenital heart disease. Which
maternal disease carries a higher risk of transposition of the great vessels (TGA),
ventricular septal defect (VSD), and hypertrophic cardiomyopathy?
Hypothyroidism
Diabetes
Lupus
Hypertension - ---✔✔✔ANSWER----Diabetes
A 2-year-old has a sudden onset of high fever while at daycare. The daycare
attendant describes a seizure in the child. The child is brought to the clinic;
neurologically he appears normal. His body temperature is 99.9° F after receiving
ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner
manage this?
Assess the child and refer to the ER
Treat the otitis media and give education about fever management
Start the child on seizure precautions
Have him admitted to the hospital for observation - ---✔✔✔ANSWER----
Treat the otitis media and give education about fever management
,According to the Tanner stages of development (Sexual Maturity Rating), breast
development in Stage 3 in females includes the:
elevation of the breast and nipple.
enlargement and elevation of breast and areola with no separation of their
contours.
projection of areola and nipple to form a secondary mound above the level of the
breast.
projection of the nipple only. - ---✔✔✔ANSWER----enlargement and
elevation of breast and areola with no separation of their contours.
A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What
is the likely etiology?
Group A Streptococcus
H. parainfluenzae
Viral etiology
Mycoplasma - ---✔✔✔ANSWER----viral etiology
Pharmacologic treatment for children who have hypertension should be initiated
for:
those who are obese.
Stage 1 hypertension.
diabetics with hypertension.
, asymptomatic Stage 1 or Stage 2 hypertension. - ---✔✔✔ANSWER----
diabetics with hypertension
A 4-month-old is suspected of having developmental dysplasia of the hip (DDH).
What test would best assess for this?
Barlow and Ortolani
Galeazzi and Klisic
Trendelenburg pelvic tilt test
Romberg balance test - ---✔✔✔ANSWER----Galeazzi and Klisic
Barlow and Ortolani are exam techniques used to asses hip stability in newborns
and infants 2 months of age and younger
An 8-year-old has a painful limp. He reports that his knee hurts medially. On exam
he has pain with internal rotation of the hip. How should the NP manage this
situation?
He should be immediately referred to orthopedics.
The NP should order a hip X-ray, CBC and ESR.
The NP should order a hip and knee X-ray.
He should be referred for synovial fluid aspiration. - ---✔✔✔ANSWER----
The NP should order a hip X-ray, CBC and ESR.
Pediatric Management | High-Yield Practice
Questions & Clinical Decision-Making Review
The chest circumference of a 12 month-old is:
routinely measured on well-child visits.
1-2 cm larger than head circumference.
smaller than head circumference.
equal to head circumference.- - ---✔✔✔ANSWER----equal to head
circumference.
An otherwise healthy two-year-old presents with a heart rate that varies with
inspiration and expiration. Which statement is true?
The child has ingested too much caffeine.
A cardiology referral is prudent.
This is a normal exam.
There is a need for an echocardiogram. - ---✔✔✔ANSWER----this is a
normal exam.
,At what age should initial blood pressure screening take place?
3 years
4-6 years
6 years
6-10 years - ---✔✔✔ANSWER----3 years
Many factors can contribute to the risk of congenital heart disease. Which
maternal disease carries a higher risk of transposition of the great vessels (TGA),
ventricular septal defect (VSD), and hypertrophic cardiomyopathy?
Hypothyroidism
Diabetes
Lupus
Hypertension - ---✔✔✔ANSWER----Diabetes
A 2-year-old has a sudden onset of high fever while at daycare. The daycare
attendant describes a seizure in the child. The child is brought to the clinic;
neurologically he appears normal. His body temperature is 99.9° F after receiving
ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner
manage this?
Assess the child and refer to the ER
Treat the otitis media and give education about fever management
Start the child on seizure precautions
Have him admitted to the hospital for observation - ---✔✔✔ANSWER----
Treat the otitis media and give education about fever management
,According to the Tanner stages of development (Sexual Maturity Rating), breast
development in Stage 3 in females includes the:
elevation of the breast and nipple.
enlargement and elevation of breast and areola with no separation of their
contours.
projection of areola and nipple to form a secondary mound above the level of the
breast.
projection of the nipple only. - ---✔✔✔ANSWER----enlargement and
elevation of breast and areola with no separation of their contours.
A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What
is the likely etiology?
Group A Streptococcus
H. parainfluenzae
Viral etiology
Mycoplasma - ---✔✔✔ANSWER----viral etiology
Pharmacologic treatment for children who have hypertension should be initiated
for:
those who are obese.
Stage 1 hypertension.
diabetics with hypertension.
, asymptomatic Stage 1 or Stage 2 hypertension. - ---✔✔✔ANSWER----
diabetics with hypertension
A 4-month-old is suspected of having developmental dysplasia of the hip (DDH).
What test would best assess for this?
Barlow and Ortolani
Galeazzi and Klisic
Trendelenburg pelvic tilt test
Romberg balance test - ---✔✔✔ANSWER----Galeazzi and Klisic
Barlow and Ortolani are exam techniques used to asses hip stability in newborns
and infants 2 months of age and younger
An 8-year-old has a painful limp. He reports that his knee hurts medially. On exam
he has pain with internal rotation of the hip. How should the NP manage this
situation?
He should be immediately referred to orthopedics.
The NP should order a hip X-ray, CBC and ESR.
The NP should order a hip and knee X-ray.
He should be referred for synovial fluid aspiration. - ---✔✔✔ANSWER----
The NP should order a hip X-ray, CBC and ESR.
