MSN 629 Week 6 (Ch 7, 34, 40, 42) Quiz Bank | Burns Pediatric Primary Care Questions &
Answers | 2026 Update | 100% Correct – NKU
Question 1
The mother of a 3-month-old boy reports occasionally noticing an erection shortly after nursing.
What should the pediatric primary care NP explain?
Answer: This is normal reflexive behavior at this age.
Question 2
A parent reports that a 3-year-old has recently begun masturbating. What guidance should the
NP provide?
Answer: Teach the child about privacy and appropriate hand hygiene.
Question 3
An 8-year-old asks why a classmate has two fathers. How should the parent be advised to
respond?
Answer: Explain that families can have different structures and that what matters most is that
children are loved and cared for.
Question 4
During a well-child visit, an 8-year-old girl is noted to have breast buds. Which anticipatory-
guidance topic is appropriate?
Answer: Information about sexual maturation and menstrual periods.
Question 5
Parents of a 13-year-old girl with Down syndrome ask about sexual maturation. What should the
NP emphasize?
Answer: It is important to discuss and support healthy sexuality.
Question 6
During a well visit with a 13-year-old at Tanner stage 3, the parent says sexuality education is
“off limits.” What should the NP do according to the source?
, Answer: Spend private time with the parent discussing how sexuality education may reduce
early sexual intercourse and risky sexual behaviors.
Question 7
A 15-year-old reports that several friends have become sexually active but denies having sex
with her boyfriend. What should the NP clarify first?
Answer: Ask the adolescent how she defines “sex.”
Question 8
A 6-year-old girl becomes embarrassed and resists removing her underwear during an
examination. How should this behavior be interpreted?
Answer: It is a normal reaction for a child of this age.
Question 9
A parent is worried that a school-aged boy's preference for playing with dolls predicts future
sexual orientation. What should the NP explain?
Answer: Sexual orientation develops through a multifaceted process.
CHAPTER 34 – GASTROINTESTINAL
DISORDERS
Question 10
A parent asks whether probiotics should be used to treat an infant with colic. What does the
source say?
Answer: There is no conclusive evidence regarding the use of probiotics to treat colic.
Question 11
A prematurely born toddler refuses most solid foods and has poor weight gain. A barium
swallow shows a normal esophagus. What should be considered next?
Answer: A videofluoroscopic swallowing study.
Answers | 2026 Update | 100% Correct – NKU
Question 1
The mother of a 3-month-old boy reports occasionally noticing an erection shortly after nursing.
What should the pediatric primary care NP explain?
Answer: This is normal reflexive behavior at this age.
Question 2
A parent reports that a 3-year-old has recently begun masturbating. What guidance should the
NP provide?
Answer: Teach the child about privacy and appropriate hand hygiene.
Question 3
An 8-year-old asks why a classmate has two fathers. How should the parent be advised to
respond?
Answer: Explain that families can have different structures and that what matters most is that
children are loved and cared for.
Question 4
During a well-child visit, an 8-year-old girl is noted to have breast buds. Which anticipatory-
guidance topic is appropriate?
Answer: Information about sexual maturation and menstrual periods.
Question 5
Parents of a 13-year-old girl with Down syndrome ask about sexual maturation. What should the
NP emphasize?
Answer: It is important to discuss and support healthy sexuality.
Question 6
During a well visit with a 13-year-old at Tanner stage 3, the parent says sexuality education is
“off limits.” What should the NP do according to the source?
, Answer: Spend private time with the parent discussing how sexuality education may reduce
early sexual intercourse and risky sexual behaviors.
Question 7
A 15-year-old reports that several friends have become sexually active but denies having sex
with her boyfriend. What should the NP clarify first?
Answer: Ask the adolescent how she defines “sex.”
Question 8
A 6-year-old girl becomes embarrassed and resists removing her underwear during an
examination. How should this behavior be interpreted?
Answer: It is a normal reaction for a child of this age.
Question 9
A parent is worried that a school-aged boy's preference for playing with dolls predicts future
sexual orientation. What should the NP explain?
Answer: Sexual orientation develops through a multifaceted process.
CHAPTER 34 – GASTROINTESTINAL
DISORDERS
Question 10
A parent asks whether probiotics should be used to treat an infant with colic. What does the
source say?
Answer: There is no conclusive evidence regarding the use of probiotics to treat colic.
Question 11
A prematurely born toddler refuses most solid foods and has poor weight gain. A barium
swallow shows a normal esophagus. What should be considered next?
Answer: A videofluoroscopic swallowing study.
