D119 OBJECTIVE ASSESSMENT AND PRACTICE EXAM NEWEST 2026/2027 TEST BANK| D119 PEDIATRIC PRIMARY CARE FINAL EXAM PREP WITH COMPLETE 200 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)

D119 OBJECTIVE ASSESSMENT AND
PRACTICE EXAM NEWEST 2026/2027
TEST BANK| D119 PEDIATRIC
PRIMARY CARE FINAL EXAM PREP
WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
Asnyounbeginnanwell-childnvisitnonnan12-month-
oldninfant,nyounobserventhenchildnpullnhimselfnupnusingnthenchairnfornsupportnandnton"cruise."nYoun
notenthenchildnhasnansteppingngaitninnwhichnthenwholenlegnisnraisednatnthenhipntonensurenadequaten
groundnclearance.

Whatnisnthenappropriatencoursenofnactionnfornyountontake?



A.nSendntheninfantntonthenERnfornimmediatenevaluation.

B.nContinuenthenwellnvisitnbecausenmostninfantsnoutgrownthisngaitnpattern.

C.nPerformnancomprehensivenhistorynandnphysical,nwithnspecialnattentionntonmusculoskeletalnandn
neurologicnsystems.

D.nReferntheninfantntonanpediatricnorthopedist.n-
nCORRECTnANSWERnC.nWhennevaluatingnannabnormalngaitnpattern,nyounshouldnfirstnperformnanco


mprehensivenhistorynandnphysicalnwithnspecialnattentionntonmusculoskeletalnandnneurologicnsyste
ms.nAnsteppingngaitnmaynbenansymptomnofnperipheralnneuropathies,nspinanbifida,nornpolio.



Itnisnimportantnfornyountonassessnanfamily'snbeliefsnonninfantnsleepingnhabits.nDoingnsonwillnhelpnens
urenthenfamilynheedsnyourndirectionnregardingnanpatient'snsleep.nWhatnarensomenfamilies'nerroneo
usnbeliefsnaboutninfantnsleeping?

,A.nUsingnanfamilynbed

B.nUsingnannewncrib

C.nProvidingnansafensleepnenvironment

D.nPlacingnchildrennonntheirnbackntonsleepn-
nCORRECTnANSWERnD.nInnsomencultures,nanfamilynbednisnthennorm.nEnsurenparentsnunderstandnth


enimportancenofninfantsnsleepingninntheirnownnbedsntonhelpnpreventninjurynandndeathnfromnparent
snrollingnontonornsmotheringnthenchildnduringnsleep.nProvidingnansafenareanfornchildrenntonsleepnan
dnavoidingnanfamilynbednentirelynimprovesnsleepingnsafetynfornchildren.



Thenparentnofnannewbornninfantnasksnyounwhennthenparentnshouldnintervenentonhelpntheninfant'snf
uturenintellectualngrowth.

Whatnshouldnyountellnthenparent?



A.nIntellectualngrowthnbeginsnwhennspeechndevelops.

B.nLanguagenandnliteracynskillsnbeginnatnbirth.

C.nCognitivenlearningnbeginsnduringnthentoddlernyears.

D.nPreschoolnisnannoptimalntimentonbeginngeneralnlearning.n-
nCORRECTnANSWERnB.nTalkingnto,nreadingnto,nplayingnwith,nandninteractingnwithnanchildnarensomen


ofnthenmostnimportantnthingsnanparentncanndontonenhancenandnstimulatenintellectualngrowth.nIntel
lectualnlearningnbeginsnlongnbeforenpreschool.nWaitingnuntilnpreschoolnmaynproducenandelayninnth
enchild'sndevelopment.nChildrennabsorbninformationnfromnbirth,nandnlearningnoccursnbeforenspeec
h.nIntellectualndevelopmentnbeginsnatnbirthnandnlongnbeforentoddlernyears.



Younarenexaminingnan12-month-
oldninfantnwhonwasnsixnweeksnpremature.nYounobserventhatntheninfantnusesnanrakingnmotionntonpic
knupnsmallnobjects.nThenParents'nEvaluationnofnDevelopmentalnStatusn(PEDS)nquestionnairencompl
etednbynthenparentndidnnotnindicatensignificantndevelopmentalndelays.

Whatnshouldnyoundonfirst?

,A.nPerformnannin-depthndevelopmentalnassessment.

B.nSuggestnactivitiesntonimprovenfinenmotornskills.

C.nReassurenthenparentnthatnthisnisnnormalnfornanprematureninfant.

D.nReferntheninfantntonandevelopmentalnspecialist.n-
nCORRECTnANSWERnD.nTonfullynunderstandnthendevelopmentalnstagenofnyournpatient,nyounmustndo


nanfullnassessment.nThisnmaynornmaynnotnbennormalnbehavior.nYounwillnnotnknownforncertainnwithou


tnanfullnevaluation.nIfnabnormalitiesnarenfoundnduringnthenfullnassessment,nanreferralnwouldnbenapp
ropriate.nAnfullnassessmentnmaynrevealnothernproblemsnornnonenatnall.nIfnnonothernproblemsnarenre
vealed,nyounmaynsuggestnactivitiesntonimprovenfinenmotornskills,nasnappropriate.nAnfullnassessment
,nhowever,nwouldnbenthenfirstnstep.



Duringnannassessmentnofnanfour-week-
oldninfant,nyounlearnnthatnthenbreastfedninfantnnursesneveryntwonhoursnduringnthendaynbutnisnablent
onsleepnfornanfour-
hournperiodnduringnthennight.nTheninfantnhasngainedn20ngramsnperndaynsincenlastnseenninnthenclinic.

Whatnshouldnyounrecommendntonthenparent?



A.nWakentheninfantneveryntwonhoursntonnursenduringnthennight

B.nContinuentonnursentheninfantnusingnthencurrentnpattern

C.nSupplementnwithnformulanatnthenlastnnighttimenfeeding

D.nNursentheninfantnfornlongernperiodsneverynfournhoursn-
nCORRECTnANSWERnB.nInfantsnwhonarenencouragedntonbreastfeedneveryntwontonthreenhoursnmayn


havenonenlongernstretchnofnfournhoursnatnnightnwithoutnanfeeding.nThisninfantnisngainingnbetweenn0
.5nandnonengramnpernday,nwhichnisnappropriate.nItnisnnotnnecessaryntonalternthenpatternnofnnursingn
orntonsupplementnwithnformula.



Thenmothernofnansix-week-
oldnbreastfeedingninfantntellsnyounthatnhernbaby,nwhonpreviouslynhadnbowelnmovementsnwithneac
hnfeeding,nnownhasnanbowelnmovementnonlynonceneverynthirdnday.

Whatnshouldnyountellnher?

, A.nThenbabynshouldnconsumenmorenwater.

B.nThenbabynisnprobablynconstipated.

C.nThisnchangenmaynbenrelatedntonthenbaby'sndietarynintake.

D.nThisnchangenmaynbennormalnfornbreastfednbabies.n-
nCORRECTnANSWERnA.nThenbabynshouldnconsumenmorenwater.




Duringnanwell-childnassessmentnofnann18-month-
oldnchild,nyounobserventhenchildnbecomingnirritablenandnuncooperative.nThenparentntellsnthenchildn
tonstopnfussing.

Whatnshouldnyoundo?



A.nStopnthenexaminationnbecausenthenchildnisnhavingnanmeltdown.

B.nAllownthenparentntonputnthenchildninnantime-out.

C.nAsknthenparentnaboutnusualndisciplinenpractices.

D.nOffernthenchildnanbooknorntoy.n-
nCORRECTnANSWERnC.nChildrennofnthisnagenrequirenfrequentnentertainmentnandninteraction.nItnisn


normalnfornanchildntonbecomenfussynduringnannassessmentnthatnrequiresnthenchildntonremainnstillnfo
rnantime,nandnthisnisnannopportunitynfornparentalneducation.nEducatenthenparentnthatnprovidingneas
yntoysnfornentertainmentnwillnbenmoreneffectiventhanndiscipline.nThenchildnisnnotnmisbehavingnbutn
needsnandiversion.nProvidingnandiversionnthroughntoysnornothernentertainmentnwillnhelpndiffusenth
ensituation.



Younconductnanwell-babynexaminationnonnanneight-month-
oldninfantnandnnotenmildngrossnmotorndelaysnbutnnondelaysninnothernareas.

Whichninitialncoursenofnactionnshouldnyountake?



A.nReferntheninfantntonannearlyninterventionnprogramnfornphysicalntherapy.

B.nConsultnandevelopmentalnspecialistnfornancompletenevaluation.

C.nTeachnthenparentsntonprovidenexercisesntonencouragenmotorndevelopment.