NUR 6130 Exam 2: Latest update with complete solution correct & verified William Paterson University.

Nur6130 Exam #2 1. A mother brings her 6-year-old daughter to a pediatric primary care nurse practitioner for evaluation of breast and axillary hair growth. The patient has grown 1 inch in the last three months. The nurse practitioner's action is to: Refer the child to a pediatric endocrinologist for management. 2. A mother of an 11 year old boy is concerned that her son is developing secondary sexual characteristics too early. Your counselling for this family is based on the knowledge that puberty is consider precocious in boys if secondary sexual characteristic appear prior to age? a. 12 years b. 11 years c. 10 years d. 9 years 3. Which of the is most likely to be part of the clinical presentation of a UTI in a 9 month old child? a. Fever b. Vomiting c. Diarrhea d. Cough 4. You are following a 4-year-old girl in your practice with a history of breast development that appeared 12 months ago and that appears to be progressing. She is growing rapidly. The np considers ordering a bone age because she knows that most cases of premature thelarche in girls are: a. A result of enzymatic defects b. Due to systemic CNS disease c. Idiopathic d. A result of hypothyroidism 5. What is the first management option in a 4 year old with signs of attention deficit with hyperactivity (ADHD)? Behavioral therapy 6. The onset of puberty is marked by: Breast buds are the first sign of the onset of puberty in females. 7. The NP examines a 6-week-old female in the clinic for the first time with a bright red, raised, rubbery lesion of irregular shape on the infant's occiput. What condition would you suspect? Capillary hemangioma 8. Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip? a. Observe and reexamine at a 2-week well-child visit b. Triple diapering in nursery c. Pavlik harness d. Surgical reduction 9. Radiographic findings of disease progression and sphericity of the femoral head is helpful in the diagnosis and follow up of? a. Transient synovitis of the hip b. Osgood-Schlatter disease c. Legg-Calvé-Perthes disease d. Slipped capital femoral epiphysis