Burns Pediatric Study Guide 1 Qestions & Answers Already Solved

A child who has attention deficit/hyperactivity disorder (ADHD) has difficulty stopping activities to begin other activities at school. The primary care pediatric nurse practitioner understands that this is due to difficulty with the self regulation component of - Answer flexibility The primary care pediatric nurse practitioner cares for a preschoolage child who was exposed to drugs prenatally. The child bites other children and has tantrums when asked to stop but is able to state later why this behavior is wrong. This child most likely has a disorder of - Answer executive function. The primary care pediatric nurse practitioner uses the Neurodevelopmental Learning Framework to assess cognition and learning in an adolescent. When evaluating social cognition, the nurse practitioner will ask the adolescent - Answer about friends and activities at school. The primary care pediatric nurse practitioner is evaluating a schoolage child who has been diagnosed with ADHD. Which plan will the nurse practitioner recommend asking the child's school about to help with academic performance? - Answer 504 The parent of a child diagnosed with ADHD tells the primary care pediatric nurse practitioner that the child gets overwhelmed by homework assignments, doesn't seem to know which ones to do first, and then doesn't do any assignments. The nurse practitioner tells the parent that this represents impairment in which executive function? - Answer Activation The primary care pediatric nurse practitioner is considering medication options for a schoolage child recently diagnosed with ADHD who has a primarily hyperactive presentation. Which medication will the nurse practitioner select initially? - Answer Moderate dose stimulant The parent of a 4yearold child reports that the child gets upset when the hall light is left on at night and won't leave the house unless both shoes are tied equally tight. The primary care pediatric nurse practitioner recognizes that this child likely has which type of sensory processing disorder? - Answer Overresponder The parent of a preschoolage child who is diagnosed with a sensory processing disorder (SPD) asks the primary care pediatric nurse practitioner how to help the child manage the symptoms. What will the nurse practitioner recommend? - Answer Maintaining predictable routines as much as possible The primary care pediatric nurse practitioner is performing an examination on a 5yearold child who exhibits ritualistic behaviors, avoids contact with other children, and has limited speech. The parent reports having had concerns more than 2 years ago about autism, but was told that it was too early to diagnose. What will the nurse practitioner do first? - Answer Ask the parent to describe the child's earlier behaviors from infancy through preschool The primary care pediatric nurse practitioner is examining a 3yearold child who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the exam room floor moving a toy truck back and forth in a repetitive manner. Which disorder does the nurse practitioner suspect? - Answer Autism spectrum disorder The primary care pediatric nurse practitioner is selecting a medication for a 12yearold child who is newly diagnosed with ADHD. The child is overweight, has a history of an atrial septal defect at birth, and reports mild shortness of breath during exercise. What will the nurse practitioner prescribe? - Answer Cardiovascular prescreening The primary care pediatric nurse practitioner is conducting a followup examination on a child who has recently begun taking a lowdose stimulant medication to treat ADHD. The child's school performance and home behaviors have improved. The child's parent reports noticing a few tics, such a twitching of the eyelids, but the child is unaware of them and isn't bothered by them. What will the nurse practitioner recommend? - Answer Continuing the medication as prescribed The primary care pediatric nurse practitioner uses a shared decisionmaking (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect - Answer improved patient health outcomes The primary care pediatric nurse practitioner diagnoses a 5yearold child with asthma and prescribes an oral steroid and a shortacting betaadrenergic medication via a metereddose inhaler to manage acute symptoms. Along with education about the prescribed medications, what information is important to give the child's family at this visit? - Answer Effects and side effects of current medications The parent of a child with complex health care needs tells the primary care pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can't articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do? - Answer Encourage the parent to call when concerned and schedule a followup appointment the next day Which characteristic is the key criterion that identifies a child has having special needs? - Answer Health service requirements The primary care pediatric nurse practitioner is performing a well baby examination on a 2weekold infant who was recently discharged home from the neonatal intensive care unit. The mother reports that the infant was born at 26 weeks' gestation and states she was told that her baby will probably have developmental delays. What is the most important aspect of longterm management for this infant? - Answer Careful monitoring of attainment of developmental milestones The primary care pediatric nurse practitioner is preparing to perform a well child examination on a 5yearold child who has multiple developmental and cognitive delays. The child's mother is angry and tells the nurse practitioner that her friends' children are all preparing for kindergarten. The nurse practitioner will - Answer allow the mother to express her feelings, understanding that she is experiencing grief The parent of a toddler who has special health care needs is resistant to a suggestion that her child needs a gastrostomy tube for nutrition. The toddler has fallen from the 10th percentile to the 5th percentile in the past few months and resists taking in appropriate amounts of food by mouth even with assistance from occupational therapy. What will the primary care pediatric nurse practitioner do? - Answer Set weight gain and food intake goals with the mother and schedule regular visits to monitor weight What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and schoolbased services? - Answer Coordinating services to ensure continuity of care A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion? - Answer Conventional radiograph The primary care pediatric nurse practitioner is assessing an ill 2monthold infant who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows that the infant is hydrated. The infant is alert. The infant's parents are attentive and live close by. What will the nurse practitioner do? - Answer Give the parents sick care instructions and follow up in the clinic in the morning A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do? - Answer Demonstrate oral medication administration with the toddler in the office.