TEST BANK
Pediatric Primary Care: Practice Guidelines for Nurses
Beth Richardson
4th Edition
,Table of Contents
Chapter 01 Obtaining an Initial History 1
Chapter 02 Obtaining an Interval History 5
Chapter 03 Performing a Physical Examination 9
Chapter 04 Making Newborn Rounds 12
Chapter 05 Guidelines for Breastfeeding 16
Chapter 06 Common Genetic Disorders 20
Chapter 07 Two-Week Visit 23
Chapter 08 One-Month Visit 26
Chapter 09 Two-Month Visit 29
Chapter 10 Four-Month Visit 32
Chapter 11 Six-Month Visit 35
Chapter 12 Nine-Month Visit 38
Chapter 13 Twelve-Month Visit 41
Chapter 14 Fifteen- to Eighteen-Month Visit 44
Chapter 15 Two-Year Visit 47
Chapter 16 Three-Year Visit (Preschool) 50
Chapter 17 Six-Year Visit (School Readiness) 53
Chapter 18 Seven- to Ten-Year Visit (School Age) 56
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent) 59
Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent) 62
Chapter 21 Dermatological Problems 65
Chapter 22 Eye Disorders 68
Chapter 23 Ear Disorders 71
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders 74
Chapter 25 Respiratory Disorders 77
Chapter 26 Cardiovascular Disorders 80
Chapter 27 Gastrointestinal Disorders 83
Chapter 28 Genitourinary Disorders 86
Chapter 29 Gynecologic Disorders 89
Chapter 30 Endocrine Disorders 92
Chapter 31 Musculoskeletal Disorders 95
Chapter 32 Neurologic Disorders 98
Chapter 33 Hematologic Disorders 101
Chapter 34 Pediatric Obesity 104
Chapter 35 Behavioral Disorders 107
Chapter 36 Mental Health Disorders 111
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
Pediatric Primary Care: Practice Guidelines for Nurses, Fourth Edition
Test Bank: Chapter 1
1. Which question does the practitioner ask when conducting a complete pediatric health history
during to collect initial information?
A. “Did you plan your pregnancy?”
B. “Did you breastfeed your child?”
C. “What are the ages of your child’s siblings?
D. “What is the reason for your child’s visit today?”
[Answer: C]
[Rationale: When collecting initial information during the complete health history, the nurse
collects information about the parents (including names, ages, and health status) along with
information about siblings (age and health status). The other questions are more appropriate
when the nurse collects information during the past history portion of the health history.]
2. The practitioner conducts a health history for an infant who is seen to rule out otitis media.
Which question from the practitioner collects background information for this infant’s current
issue?
A. “Does your child breast or bottle feed?”
B. “Is your child allergic to any medication?”
C. “Did your other children have frequent ear infections?”
D. “When did you notice your child pulling at the left ear?”
[Answer: D]
[Rationale: When collecting background information during the complete health history, the
practitioner inquires about the current problem or illness. One question the practitioner asks is
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Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
when the symptoms began. During the past history portion of the complete health history, the
practitioner asks about the child’s nutrition and any drug allergies. The practitioner inquires if
other members of the child’s family have similar symptoms when collecting background
information; however, asking about ear infections for the parent’s other children will not assist
the practitioner regarding the background information of the current issue.]
3. Which question does the practitioner ask a child’s mother when collecting prenatal
information during an initial complete health history?
A. “Does your child have any allergies?”
B. “What was your child’s birth weight?”
C. “What type of delivery did you have with your child?”
D. “Did you smoke during your pregnancy with this child?”
[Answer: D]
[Rationale: When collecting prenatal data, the practitioner asks if the mother if she smoked
during the pregnancy. The child’s birth weight and type of delivery is collected during the natal
history and care section of the health history. Drug allergies are assessed during the past natal
history portion of the health history.]
4. The practitioner is conducting a review of systems during the health history interview. Which
question does the practitioner ask to determine a history of strabismus?
A. “Is your child wearing glasses to correct nearsightedness?”
B. “Is your child using eye drops for allergic conjunctivitis?”
C. “Does your child report blurred vision during screen time?”
D. “Does your child wear glasses to correct eye muscle weakness?”
[Answer: D]
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2|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
[Rationale: Strabismus can be caused by problems with the eye muscles, the nerves that transmit
information to the muscles, or the control center in the brain that directs eye movement. It is
often referred to as “cross-eyed.” The other questions do not specific address this issue.]
5. Which question does the practitioner ask to illicit information about the child’s cardiovascular
system during the health history interview?
A. “Does your child snore?”
B. “Has your child ever passed out?”
C. “Does your child have a history of asthma?”
D. “Has your child ever experiences seizures?”
[Answer: B]
[Rationale: When collecting information about a child’s cardiovascular system, the practitioner
asks questions about syncope. Asking about a history of asthma or snoring assesses the child’s
respiratory system. Asking about seizure activity collects data about the child’s neurological
system.]
6. Aside from collecting pertinent health history for a child, what are two other reasons for the
practitioner to conduct a complete health history during the initial visit to the practice?
[Sample Answer: The complete health history taken at the first visit is an opportunity for the
practitioner to establish a relationship with the child and family, gain insight into family
relationships, along with obtaining pertinent health information.]
7. What situation requires the practitioner to collect a prenatal history during the past history
portion of the complete health history?
[Sample Answer: The practitioner collects prenatal history for any child who is less than five
years of age during the complete health history.]
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3|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
8. What information does the practitioner collect regarding feeding during the natal past history
for a child?
[Sample Answer: The practitioner asks whether the child was breast or bottle-fed. If bottle-fed,
the practitioner asks the type of formula that was used. Frequency of feeding, along with pattern
of weight gain, are also asked when collecting this data.]
9. When collecting data about a child’s social history, which information does the practitioner
collect regarding the parents’ employment?
[Sample Answer: The employment site and hours worked is information that the practitioner
collects regarding the parents’ employment during the social history section of the health
history.]
10. What information does the practitioner collect about development for the child who is 18
months of age during the complete health history interview?
[Sample Answer: In addition to information regarding behavior, for the child who is less than 2
years of age the practitioner collects data regarding when the child first smiled, rolled over, sat
without assistance, crawled, walked without assistance, said two word, fed self, and said 10
words.]
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,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
Pediatric Primary Care: Practice Guidelines for Nurses, Fourth Edition
Test Bank: Chapter 2
1. Which is reviewed when conducting an interval history for a patient who is 13 years of age?
A. SHADESS screen
B. SCARED for anxiety
C. Pediatric symptom checklist
D. Ages and Stages Questionnaires
[Answer: A: SHADESS screen]
[Rationale: For pediatric patients older than 12 years of age, the SHADESS screen is appropriate
to review when conducting an interval history. The SCARED for anxiety and pediatric symptom
checklist is appropriate for a pediatric patient between the ages of 7 and 12 years. The Ages and
Stages Questionnaires are reviewed when conducting an interval history for a pediatric patient
who is 6 years of age or younger.]
2. When conducting an interval social history, which information is collected from the pediatric
patient and family?
A. Use of media
B. Family structure
C. Frequency of meals
D. Prescription medications
[Answer: A: Use of media]
[Rationale: During the interval social history, information related to the use of media and the
Internet is collected. The family structure is collected during the interval family history.
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Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
Frequency of meals is collected during the interval nutrition history. Use of prescription
medications is assessed during the interval medication history.]
3. Which age does the practitioner ask a pediatric patient about drug and alcohol use?
A. 8
B. 9
C. 10
D. 11
[Answer: D: 11]
[Rationale: Children older than 10 years of age should be asked if they or their friends tried
alcohol or drugs. The practitioner can use the brief alcohol/drug-screening tool at each episodic
visit.]
4. Which question does the practitioner ask when conducting an interval history to collect data
regarding the chest and lungs for a pediatric patient?
A. “Has your child ever fainted?”
B. “Does your child have any rashes?”
C. “Has your child ever had a nosebleed?”
D. “Does your child have difficulty swallowing?”
[Answer: A: “Has your child ever fainted?”]
[Rationale: When collecting data for the chest and lungs during an interval history, the pediatric
patient is assessed for syncope; therefore, it is appropriate to ask if the child has ever fainted. The
practitioner asks questions about rashes when collecting data for the musculoskeletal system
during an interval history. Questions regarding nosebleeds and swallowing are appropriate when
collecting data for the head and neck.]
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,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
5. Which question does the practitioner ask when collecting data regarding the abdomen during
the interval history for a female pediatric patient?
A. “Has your child started menstruating?”
B. “Does your child have any darkened skin?”
C. “Does your child experience any stiffness?”
D. “Has your child ever experienced difficulty swallowing?”
[Answer: A: “Has your child started menstruating?”]
[Rationale: When collecting interval history data for the abdomen, it is appropriate for the
practitioner to ask if the female pediatric patient has started menstruating. Data related to the skin
and stiffness is appropriate when collecting interval history data for the musculoskeletal system.
Difficulty swallowing is assessed when collecting interval history data for the head and neck.]
6. What is the purpose for conducting an interval history?
[Sample Answer: Although comprehensive history is used to establish initial health promotion
plans, analysis of data collected during interval history is often to: Continue established health
promotion plan; Identify new healthcare problems and establish new health promotion; Plan
health promotion strategies based on new data obtained in the interval history; Identify treatment
plan to resolve presenting problems; Change health promotion plan to meet immediate and future
needs of child and family (e.g., child has new diagnosis of chronic illness).]
7. What actions are completed prior to beginning data collection for an interval history?
[Sample Answer: Prior to beginning data collection for interval history, review comprehensive
history and any prior interval histories available on medical record.]
8. What is the major focus when conducting an interval history with a pediatric patient?
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7|Page
, ______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
[Sample Answer: The major focus for interval history for each pediatric patient should include
questions concerning eating, sleeping, bladder and bowel patterns, and any unusual behaviors or
changes in behaviors. Additional questions are then age related.]
9. The practitioner is conducting an interval history for a pediatric patient whose parent
states, “My child has a chronic cough. What question should the practitioner ask to collect
more information?
[Sample Answer: To collect more information about a chronic cough the practitioner will ask,
“What can you tell me about your child’s chronic cough?”]
10. What action does the practitioner implement after completing the interval history for a
pediatric patient?
[Sample Answer: After completing interval history and physical examination, compare findings
in comprehensive history to data obtained in interval history. If no significant changes found in
interval history, advise parent, infant/child to continue to follow established health promotion
plan. If significant changes are found in interval history, revise the health promotion plan.]
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Pediatric Primary Care: Practice Guidelines for Nurses
Beth Richardson
4th Edition
,Table of Contents
Chapter 01 Obtaining an Initial History 1
Chapter 02 Obtaining an Interval History 5
Chapter 03 Performing a Physical Examination 9
Chapter 04 Making Newborn Rounds 12
Chapter 05 Guidelines for Breastfeeding 16
Chapter 06 Common Genetic Disorders 20
Chapter 07 Two-Week Visit 23
Chapter 08 One-Month Visit 26
Chapter 09 Two-Month Visit 29
Chapter 10 Four-Month Visit 32
Chapter 11 Six-Month Visit 35
Chapter 12 Nine-Month Visit 38
Chapter 13 Twelve-Month Visit 41
Chapter 14 Fifteen- to Eighteen-Month Visit 44
Chapter 15 Two-Year Visit 47
Chapter 16 Three-Year Visit (Preschool) 50
Chapter 17 Six-Year Visit (School Readiness) 53
Chapter 18 Seven- to Ten-Year Visit (School Age) 56
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent) 59
Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent) 62
Chapter 21 Dermatological Problems 65
Chapter 22 Eye Disorders 68
Chapter 23 Ear Disorders 71
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders 74
Chapter 25 Respiratory Disorders 77
Chapter 26 Cardiovascular Disorders 80
Chapter 27 Gastrointestinal Disorders 83
Chapter 28 Genitourinary Disorders 86
Chapter 29 Gynecologic Disorders 89
Chapter 30 Endocrine Disorders 92
Chapter 31 Musculoskeletal Disorders 95
Chapter 32 Neurologic Disorders 98
Chapter 33 Hematologic Disorders 101
Chapter 34 Pediatric Obesity 104
Chapter 35 Behavioral Disorders 107
Chapter 36 Mental Health Disorders 111
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
Pediatric Primary Care: Practice Guidelines for Nurses, Fourth Edition
Test Bank: Chapter 1
1. Which question does the practitioner ask when conducting a complete pediatric health history
during to collect initial information?
A. “Did you plan your pregnancy?”
B. “Did you breastfeed your child?”
C. “What are the ages of your child’s siblings?
D. “What is the reason for your child’s visit today?”
[Answer: C]
[Rationale: When collecting initial information during the complete health history, the nurse
collects information about the parents (including names, ages, and health status) along with
information about siblings (age and health status). The other questions are more appropriate
when the nurse collects information during the past history portion of the health history.]
2. The practitioner conducts a health history for an infant who is seen to rule out otitis media.
Which question from the practitioner collects background information for this infant’s current
issue?
A. “Does your child breast or bottle feed?”
B. “Is your child allergic to any medication?”
C. “Did your other children have frequent ear infections?”
D. “When did you notice your child pulling at the left ear?”
[Answer: D]
[Rationale: When collecting background information during the complete health history, the
practitioner inquires about the current problem or illness. One question the practitioner asks is
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
when the symptoms began. During the past history portion of the complete health history, the
practitioner asks about the child’s nutrition and any drug allergies. The practitioner inquires if
other members of the child’s family have similar symptoms when collecting background
information; however, asking about ear infections for the parent’s other children will not assist
the practitioner regarding the background information of the current issue.]
3. Which question does the practitioner ask a child’s mother when collecting prenatal
information during an initial complete health history?
A. “Does your child have any allergies?”
B. “What was your child’s birth weight?”
C. “What type of delivery did you have with your child?”
D. “Did you smoke during your pregnancy with this child?”
[Answer: D]
[Rationale: When collecting prenatal data, the practitioner asks if the mother if she smoked
during the pregnancy. The child’s birth weight and type of delivery is collected during the natal
history and care section of the health history. Drug allergies are assessed during the past natal
history portion of the health history.]
4. The practitioner is conducting a review of systems during the health history interview. Which
question does the practitioner ask to determine a history of strabismus?
A. “Is your child wearing glasses to correct nearsightedness?”
B. “Is your child using eye drops for allergic conjunctivitis?”
C. “Does your child report blurred vision during screen time?”
D. “Does your child wear glasses to correct eye muscle weakness?”
[Answer: D]
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
[Rationale: Strabismus can be caused by problems with the eye muscles, the nerves that transmit
information to the muscles, or the control center in the brain that directs eye movement. It is
often referred to as “cross-eyed.” The other questions do not specific address this issue.]
5. Which question does the practitioner ask to illicit information about the child’s cardiovascular
system during the health history interview?
A. “Does your child snore?”
B. “Has your child ever passed out?”
C. “Does your child have a history of asthma?”
D. “Has your child ever experiences seizures?”
[Answer: B]
[Rationale: When collecting information about a child’s cardiovascular system, the practitioner
asks questions about syncope. Asking about a history of asthma or snoring assesses the child’s
respiratory system. Asking about seizure activity collects data about the child’s neurological
system.]
6. Aside from collecting pertinent health history for a child, what are two other reasons for the
practitioner to conduct a complete health history during the initial visit to the practice?
[Sample Answer: The complete health history taken at the first visit is an opportunity for the
practitioner to establish a relationship with the child and family, gain insight into family
relationships, along with obtaining pertinent health information.]
7. What situation requires the practitioner to collect a prenatal history during the past history
portion of the complete health history?
[Sample Answer: The practitioner collects prenatal history for any child who is less than five
years of age during the complete health history.]
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
8. What information does the practitioner collect regarding feeding during the natal past history
for a child?
[Sample Answer: The practitioner asks whether the child was breast or bottle-fed. If bottle-fed,
the practitioner asks the type of formula that was used. Frequency of feeding, along with pattern
of weight gain, are also asked when collecting this data.]
9. When collecting data about a child’s social history, which information does the practitioner
collect regarding the parents’ employment?
[Sample Answer: The employment site and hours worked is information that the practitioner
collects regarding the parents’ employment during the social history section of the health
history.]
10. What information does the practitioner collect about development for the child who is 18
months of age during the complete health history interview?
[Sample Answer: In addition to information regarding behavior, for the child who is less than 2
years of age the practitioner collects data regarding when the child first smiled, rolled over, sat
without assistance, crawled, walked without assistance, said two word, fed self, and said 10
words.]
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4|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
Pediatric Primary Care: Practice Guidelines for Nurses, Fourth Edition
Test Bank: Chapter 2
1. Which is reviewed when conducting an interval history for a patient who is 13 years of age?
A. SHADESS screen
B. SCARED for anxiety
C. Pediatric symptom checklist
D. Ages and Stages Questionnaires
[Answer: A: SHADESS screen]
[Rationale: For pediatric patients older than 12 years of age, the SHADESS screen is appropriate
to review when conducting an interval history. The SCARED for anxiety and pediatric symptom
checklist is appropriate for a pediatric patient between the ages of 7 and 12 years. The Ages and
Stages Questionnaires are reviewed when conducting an interval history for a pediatric patient
who is 6 years of age or younger.]
2. When conducting an interval social history, which information is collected from the pediatric
patient and family?
A. Use of media
B. Family structure
C. Frequency of meals
D. Prescription medications
[Answer: A: Use of media]
[Rationale: During the interval social history, information related to the use of media and the
Internet is collected. The family structure is collected during the interval family history.
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
Frequency of meals is collected during the interval nutrition history. Use of prescription
medications is assessed during the interval medication history.]
3. Which age does the practitioner ask a pediatric patient about drug and alcohol use?
A. 8
B. 9
C. 10
D. 11
[Answer: D: 11]
[Rationale: Children older than 10 years of age should be asked if they or their friends tried
alcohol or drugs. The practitioner can use the brief alcohol/drug-screening tool at each episodic
visit.]
4. Which question does the practitioner ask when conducting an interval history to collect data
regarding the chest and lungs for a pediatric patient?
A. “Has your child ever fainted?”
B. “Does your child have any rashes?”
C. “Has your child ever had a nosebleed?”
D. “Does your child have difficulty swallowing?”
[Answer: A: “Has your child ever fainted?”]
[Rationale: When collecting data for the chest and lungs during an interval history, the pediatric
patient is assessed for syncope; therefore, it is appropriate to ask if the child has ever fainted. The
practitioner asks questions about rashes when collecting data for the musculoskeletal system
during an interval history. Questions regarding nosebleeds and swallowing are appropriate when
collecting data for the head and neck.]
______________________________________________________________________________________________
6|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
5. Which question does the practitioner ask when collecting data regarding the abdomen during
the interval history for a female pediatric patient?
A. “Has your child started menstruating?”
B. “Does your child have any darkened skin?”
C. “Does your child experience any stiffness?”
D. “Has your child ever experienced difficulty swallowing?”
[Answer: A: “Has your child started menstruating?”]
[Rationale: When collecting interval history data for the abdomen, it is appropriate for the
practitioner to ask if the female pediatric patient has started menstruating. Data related to the skin
and stiffness is appropriate when collecting interval history data for the musculoskeletal system.
Difficulty swallowing is assessed when collecting interval history data for the head and neck.]
6. What is the purpose for conducting an interval history?
[Sample Answer: Although comprehensive history is used to establish initial health promotion
plans, analysis of data collected during interval history is often to: Continue established health
promotion plan; Identify new healthcare problems and establish new health promotion; Plan
health promotion strategies based on new data obtained in the interval history; Identify treatment
plan to resolve presenting problems; Change health promotion plan to meet immediate and future
needs of child and family (e.g., child has new diagnosis of chronic illness).]
7. What actions are completed prior to beginning data collection for an interval history?
[Sample Answer: Prior to beginning data collection for interval history, review comprehensive
history and any prior interval histories available on medical record.]
8. What is the major focus when conducting an interval history with a pediatric patient?
______________________________________________________________________________________________
7|Page
, ______________________________________________________________________________________________
Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
[Sample Answer: The major focus for interval history for each pediatric patient should include
questions concerning eating, sleeping, bladder and bowel patterns, and any unusual behaviors or
changes in behaviors. Additional questions are then age related.]
9. The practitioner is conducting an interval history for a pediatric patient whose parent
states, “My child has a chronic cough. What question should the practitioner ask to collect
more information?
[Sample Answer: To collect more information about a chronic cough the practitioner will ask,
“What can you tell me about your child’s chronic cough?”]
10. What action does the practitioner implement after completing the interval history for a
pediatric patient?
[Sample Answer: After completing interval history and physical examination, compare findings
in comprehensive history to data obtained in interval history. If no significant changes found in
interval history, advise parent, infant/child to continue to follow established health promotion
plan. If significant changes are found in interval history, revise the health promotion plan.]
______________________________________________________________________________________________
8|Page
