NUR 6541 PEDIATRIC MIDTERM ACTUAL
QUESTIONS AND VERIFIED CORRECT
ANSWERS
●● Parents bring their 6-month-old son to see you. He is symmetrically
less than the 5th percentile for height, weight and head circumference.
He was born at 30 weeks' gestation and weighed 1000g. He was a
planned pregnancy, and his mother's prenatal course was uneventful
until an automobile accident initiated the labor. He was ventilated for 3
days in the intensive care unit but otherwise did well without ongoing
problems. He was discharged at 8 weeks of life. Which of the following
is the most likely explanation for his small size?
Answer: Normal ex-preemie infant growth
●● A Mantoux test in a child with no risk factors is considered positive
with a reaction of
Answer: at least 15 mm induration
●● A 4-year-old believes there is more juice in a tall, thin glass than a
shorter, wider one. The child has not yet achieved which of the
principles of Piaget?
Answer: Conservation
,●● I can roll over, grasp a rattle, and reach for things and have begun
feeding myself finger foods, but I can't wave bye-bye yet. How old am
I?
Answer: 6 months
●● A 4-month-old child has poor weight gain. Her current weight is less
than the 5th percentile, height about the 10th percentile, and head
circumference at the 50th percentile. The planned pregnancy resulted in
a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and
bottle; the quantity seems sufficient. The child has had no illness. The
examination is unremarkable except for the child's small size. Screening
laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33%
respectively, with a platelet count of 198,000/mm3. Serum electrolyte
levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17,
blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but
no white blood cells, bacteria, protein, ketones, or reducing substances.
Which of the follow
Answer: Oral supplementation with bicarbonate
●● Which of the following vaccines is routinely recommended at 4
months of age?
Answer: Diphtheria, tetanus, acellular pertussis (DTaP)
●● I can walk well on tiptoes, my speech is 50% understandable, I know
six body parts, but I cannot balance on one foot for 1 second. I am
, Answer: 2-1/2 years old (30 months)
●● You see a healthy 18-month-old for a well-child visit. At the 12-
month visit he received the diphtheria, tetanus, and acellular pertussis
(DTaP) third dose; hepatitis B second dose; measles, mumps, and rubella
(MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal
conjugate (PCV13) fourth dose; and Haemophilus influenzae type B
(Hib) fourth dose. Which of the following do you order today?
Answer: DTaP, varicella, hepatitis A, and hepatitis B
●● Which is the correct order for introduction of solid foods to an
infant?
Answer: Cereal, vegetables, fruits, and meats
●● I like to use my pincer grasp that involves the ability to pick up a
small object such as a raisin or piece of cereal with the thumb and
forefinger, and that is mastered around what age?
Answer: 9 months
●● The first sign of the onset of female puberty is usually
Answer: Breast buds
●● A mother of a 6-month-old asks you about normal sleep patterns for
an infant this age. The best response is:
QUESTIONS AND VERIFIED CORRECT
ANSWERS
●● Parents bring their 6-month-old son to see you. He is symmetrically
less than the 5th percentile for height, weight and head circumference.
He was born at 30 weeks' gestation and weighed 1000g. He was a
planned pregnancy, and his mother's prenatal course was uneventful
until an automobile accident initiated the labor. He was ventilated for 3
days in the intensive care unit but otherwise did well without ongoing
problems. He was discharged at 8 weeks of life. Which of the following
is the most likely explanation for his small size?
Answer: Normal ex-preemie infant growth
●● A Mantoux test in a child with no risk factors is considered positive
with a reaction of
Answer: at least 15 mm induration
●● A 4-year-old believes there is more juice in a tall, thin glass than a
shorter, wider one. The child has not yet achieved which of the
principles of Piaget?
Answer: Conservation
,●● I can roll over, grasp a rattle, and reach for things and have begun
feeding myself finger foods, but I can't wave bye-bye yet. How old am
I?
Answer: 6 months
●● A 4-month-old child has poor weight gain. Her current weight is less
than the 5th percentile, height about the 10th percentile, and head
circumference at the 50th percentile. The planned pregnancy resulted in
a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and
bottle; the quantity seems sufficient. The child has had no illness. The
examination is unremarkable except for the child's small size. Screening
laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33%
respectively, with a platelet count of 198,000/mm3. Serum electrolyte
levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17,
blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but
no white blood cells, bacteria, protein, ketones, or reducing substances.
Which of the follow
Answer: Oral supplementation with bicarbonate
●● Which of the following vaccines is routinely recommended at 4
months of age?
Answer: Diphtheria, tetanus, acellular pertussis (DTaP)
●● I can walk well on tiptoes, my speech is 50% understandable, I know
six body parts, but I cannot balance on one foot for 1 second. I am
, Answer: 2-1/2 years old (30 months)
●● You see a healthy 18-month-old for a well-child visit. At the 12-
month visit he received the diphtheria, tetanus, and acellular pertussis
(DTaP) third dose; hepatitis B second dose; measles, mumps, and rubella
(MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal
conjugate (PCV13) fourth dose; and Haemophilus influenzae type B
(Hib) fourth dose. Which of the following do you order today?
Answer: DTaP, varicella, hepatitis A, and hepatitis B
●● Which is the correct order for introduction of solid foods to an
infant?
Answer: Cereal, vegetables, fruits, and meats
●● I like to use my pincer grasp that involves the ability to pick up a
small object such as a raisin or piece of cereal with the thumb and
forefinger, and that is mastered around what age?
Answer: 9 months
●● The first sign of the onset of female puberty is usually
Answer: Breast buds
●● A mother of a 6-month-old asks you about normal sleep patterns for
an infant this age. The best response is:
