NRNP 6541 Pediatric Examination UPDATED Questions and Answers |100% Correct| 2024/2025

NRNP 6541 Pediatric Examination UPDATED Questions and Answers |100% Correct| 2024/2025 What developmental milestone would you expect a 12-month-old child to achieve? The child should be able to say a few words, like "mama" or "dada," and may be able to stand with support. You receive a phone call from the mother of a 2-vear-old. She states her child has sleep refusal. You suggest that the child should be able to: a. set his own bedtime based on his internal clock. b. protest when he goes to bed, but the parents should not pick him up or give him any attention c. put himselt to sleep somewhere other than his own bed and the parents should move him to the bed once he is asleep. d. Make multiple requests. but the parents should only respond to every third request. - a. set his own bedtime based on his internal clock. 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? - 9 months 2 A 2-year-old child presents with a fever and a rash. What common viral infection should be considered? Measles, as it is characterized by a high fever and a distinctive rash. During a well-child visit, the parent is concerned because their 4-year-old does not play with other children. What is the most appropriate response? It's common for children at this age to engage in parallel play rather than interactive play, but continued observation is important. What is a typical blood pressure reading for a healthy 5-year-old child? A normal reading is around 100/60 mmHg, but this can vary based on the child's size. In a case study involving a 6-month-old with severe dehydration, what is the initial management step? Oral rehydration therapy should be initiated if the child can tolerate fluids. A 3-year-old child is brought in with sudden onset wheezing and coughing. What is the likely diagnosis? Asthma exacerbation, especially if there is a history of allergies. What is the most common cause of acute gastroenteritis in children? Rotavirus is the leading cause of acute gastroenteritis in young children. 3 In a case of suspected child abuse, what is the first step a pediatrician should take? Report the suspected abuse to the appropriate authorities as mandated by law. What is a significant concern for a pediatric patient with a history of frequent ear infections? Hearing loss may occur if infections are recurrent and untreated. When assessing a child's growth, what percentile indicates potential growth concerns? A child consistently below the 5th percentile or above the 95th percentile for age and sex may warrant further investigation. What dietary recommendation is crucial for a 1-year-old transitioning to solid foods? Ensure the introduction of a variety of fruits and vegetables to promote balanced nutrition. In assessing a child with abdominal pain, what is a key question to ask? Inquire about the location of the pain and any associated symptoms such as vomiting or diarrhea. What behavioral issue is commonly seen in preschool-aged children? Tantrums are typical as children navigate their emotions and assert independence. What is a classic sign of croup in children? A distinctive barking cough accompanied by stridor. 4 In a case of iron deficiency anemia in a toddler, what dietary changes should be recommended? Increase the intake of iron-rich foods like fortified cereals, lean meats, and beans. What age should children begin regular dental check-ups? Children should have their first dental visit by age 1 or within six months after the first tooth erupts. A parent expresses concern about their teenager's mood swings. What developmental factor should be considered? Adolescents experience significant hormonal changes that can affect mood and behavior. When should a child receive the first dose of the measles, mumps, and rubella (MMR) vaccine? The first dose is typically given between 12 and 15 months of age. What is a common complication of untreated strep throat in children? Rheumatic fever can develop if strep throat is left untreated. In assessing a child with asthma, what should be included in the action plan? A personalized plan that includes medication usage, triggers to avoid, and steps to take during an asthma attack. What is the most common age range for diagnosing autism spectrum disorder? 5 Autism is typically diagnosed between 18 months and 3 years of age. In a case study of a newborn with jaundice, what is the initial assessment needed? Measure the bilirubin levels to determine the severity of jaundice. What advice would you give parents regarding sun protection for their children? Apply broad-spectrum sunscreen with at least SPF 30 and reapply every two hours. When should children start receiving