Peds - Chapter 31: Health
Supervision 2024 Exam
Questions and Correct
Answers
Denning [Date] [Course title]
,During the health interview, the mother of a 4-month-old says, "I'm not sure my baby is doing what he
should be." What is the nurse's best response?
1. "I'll be able to tell you more after I do his physical."
2. "Fill out this developmental screening questionnaire and then I can let you know."
3. "Tell me more about your concerns."
4. "All mothers worry about their babies. I'm sure he's doing well." - Correct Answers: "Tell me more
about your concerns."
An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a
bell during his examination. You review all his birth records and find no documentation that a newborn
hearing screening was performed. What is the best action by the nurse?
1. Do nothing; responding to the bell proves the infant does not have a hearing deficit.
2. Schedule the infant immediately for newborn hearing screening.
3. Ask the mother to observe for signs that the infant is not hearing well.
4. Screen again with the bell at the infant's 2-month health supervision visit. - Correct Answers: Schedule
the infant immediately for newborn hearing screening.
A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not
brought a copy of the child's immunization record but believes she is fully immunized: "She had
immunizations 3 months ago at the local health department." Which would be the best action by the
nurse?
1. Ask the mother to bring the records to the 18-month health supervision visit.
2. Start the "catch-up" schedule because there are no immunization records.
3. Keep the child at the facility while the mother returns home for the records.
4. Call the local health department and verify the child's immunization status. - Correct Answers: Call the
local health department and verify the child's immunization status.
A 4-year-old child is having a vision screening performed. Which screening chart would be best for
determining the child's visual acuity?
, 1. Snellen
2. Ishihara
3. Allen figures
4. CVTME - Correct Answers: Allen figures
Which facility fulfills the characteristics of a medical home?
1. An urgent care center
2. A primary care pediatric practice
3. A mobile outreach immunization program
4. A dermatology practice - Correct Answers: A primary care pediatric practice
When should the child's first examination by a dentist occur?
1. By the first birthday
2. By the second birthday
3. By entry into kindergarten
4. By entry into first grade - Correct Answers: By the first birthday
During the health surveillance of a 13-year-old girl, the nurse recorded the following information: blood
pressure 108/48, pulse 70, respirations 18; dieting, dislikes meat; eats yogurt, drinks two glasses low-fat
milk daily; gymnastics team member; fairly regular, normal menstrual periods. What risk would the
nurse identify?
a) Inadequate calcium in the diet
b) Iron-deficiency anemia
c) Risk for injury
d) Prehypertension - Correct Answers: Iron-deficiency anemia
Supervision 2024 Exam
Questions and Correct
Answers
Denning [Date] [Course title]
,During the health interview, the mother of a 4-month-old says, "I'm not sure my baby is doing what he
should be." What is the nurse's best response?
1. "I'll be able to tell you more after I do his physical."
2. "Fill out this developmental screening questionnaire and then I can let you know."
3. "Tell me more about your concerns."
4. "All mothers worry about their babies. I'm sure he's doing well." - Correct Answers: "Tell me more
about your concerns."
An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a
bell during his examination. You review all his birth records and find no documentation that a newborn
hearing screening was performed. What is the best action by the nurse?
1. Do nothing; responding to the bell proves the infant does not have a hearing deficit.
2. Schedule the infant immediately for newborn hearing screening.
3. Ask the mother to observe for signs that the infant is not hearing well.
4. Screen again with the bell at the infant's 2-month health supervision visit. - Correct Answers: Schedule
the infant immediately for newborn hearing screening.
A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not
brought a copy of the child's immunization record but believes she is fully immunized: "She had
immunizations 3 months ago at the local health department." Which would be the best action by the
nurse?
1. Ask the mother to bring the records to the 18-month health supervision visit.
2. Start the "catch-up" schedule because there are no immunization records.
3. Keep the child at the facility while the mother returns home for the records.
4. Call the local health department and verify the child's immunization status. - Correct Answers: Call the
local health department and verify the child's immunization status.
A 4-year-old child is having a vision screening performed. Which screening chart would be best for
determining the child's visual acuity?
, 1. Snellen
2. Ishihara
3. Allen figures
4. CVTME - Correct Answers: Allen figures
Which facility fulfills the characteristics of a medical home?
1. An urgent care center
2. A primary care pediatric practice
3. A mobile outreach immunization program
4. A dermatology practice - Correct Answers: A primary care pediatric practice
When should the child's first examination by a dentist occur?
1. By the first birthday
2. By the second birthday
3. By entry into kindergarten
4. By entry into first grade - Correct Answers: By the first birthday
During the health surveillance of a 13-year-old girl, the nurse recorded the following information: blood
pressure 108/48, pulse 70, respirations 18; dieting, dislikes meat; eats yogurt, drinks two glasses low-fat
milk daily; gymnastics team member; fairly regular, normal menstrual periods. What risk would the
nurse identify?
a) Inadequate calcium in the diet
b) Iron-deficiency anemia
c) Risk for injury
d) Prehypertension - Correct Answers: Iron-deficiency anemia
