NUR 6541 Pediatric Final Exam (Study Guide) Q&A 100% Correct Solution A+ SCORE

NUR 6541 Pediatric Final Exam (Study Guide) Q&A 100% Correct Solution A+ SCORE Appropriate advice for a mother of a 2-week-old child here for a "well child" visit includes which of the following? - ANS - Answers: Sleep in the supine position is recommended 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? - ANS - Normal ex-preemie infant growth A Mantoux test in a child with no risk factors is considered positive with a reaction of - ANS - 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? - ANS - 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? - ANS - 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 - ANS - Oral supplementation with bicarbonate Which of the following vaccines is routinely recommended at 4 months of age? - ANS - 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 - ANS - 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? - ANS - DTaP, varicella, hepatitis A, and hepatitis B Which is the correct order for introduction of solid foods to an infant? - ANS - 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? - ANS - 9 months The first sign of the onset of female puberty is usually - ANS - Breast buds