Pediatrics FINAL EXAM VERIFIED
SOLUTIONS, SCORED A+
The .Emergency .room .nurse .is .concerned .about .what .findings .when .a .5 .month
.old .infant .is .assessed? .
.
A. .Anterior .Fontanel .is .closed
B. .Child .rolls .from .side .to .side
C. .Child .is .able .to .lift .head
D. .Rooting .reflex .has .disapeared .- .CORRECT .ANSWER-A. .Anterior .Fontanel .is
.Closed
The .parents .of .a .3 .month .old .are .instructed .to .have .all .family .members .and
.caregivers .to .have .there .tdap .and .dtap .booster .vaccines .to .prevent .the
.potentially .fatal .illness?
A. .Rubella .
B. .Mumps .
C. .Measles .
D. .Pertussis .- .CORRECT .ANSWER-D. .Pertussis
A .first .time .mother .wants .to .start .her .6 .month .old .on .solid .foods .. .The .nurse
.would .educate .the .parent .that .she .should .begin .with .what .food .choices?
.A. .any .food .the .family .is .eating
.B. .Strained .meats
.C. .Rice .cereal .mixed .with .whole .cows .milk
.D. .Rice .cereal .for .infants .mixed .with .formula .- .CORRECT .ANSWER-D. .Rice
.cereal .for .infants .mixed .with .formula
A .7 .month .child .that .was .full .term .is .in .a .clinic .for .a .well .child .visit .. .A .early
.intervention .consult .would .be .indicated .for .which .of .the .following .findings?
.Select .all .that .apply
.A. .Pincer .grasp
.B. .Head .lag
.C. .Does .not .roll .over
.D. .Stranger .anxiety .- .CORRECT .ANSWER-B. .Head .lag
C. .Does .not .roll .over
A .9 .month .old .is .in .for .there .well .child .visit .the .child .has .met .all .milestones.
.The .nurse .will .provide .additional .health .and .safety .information .and .educates
,.her .on .foods .to .avoid .until .1 .yr .of .age. .What .would .she .include? .Select .all .that
.apply
.A. .Strained .Banana
.B. .Honey
.C. .Peanuts
.D. .Strained .Carrots .- .CORRECT .ANSWER-B. .Honey
C. .Peanuts
The .mother .of .a .2 .year .old .is .concerned .that .her .child .is .a .picky .eater ..He .is
.gaining .weight .and .is .in .the .75th .percentile .on .the .growth .chart .? .The .nurse
.would .respond .with .the .following .statement
.A. .This .is .normal .development .for .a .2 .year .old
.B. .I .will .set .up .a .appointment .with .a .nutrition .expert
.C. .Force .him .to .eat .all .the .food .on .his .plate
.D. .You .need .to .follow .up .with .a .gastroenterologist .- .CORRECT .ANSWER-A.
.This .is .normal .development .for .a .2 .year .old
The .mother .of .a .2 .month .old .calls .and .states .her .child .was .in .the .Emergency
.room .and .has .been .diagnosed .with .colic .. .The .nurse .explains .that .colic .is .?
.A. .Self .limiting .resolves .around .12-16 .weeks
.B. .Common .in .breast .fed .infants
.C. .Intolerance .to .soy .based .formula
.D. .Related .to .constipation .- .CORRECT .ANSWER-B. .Self .limiting .resolves
.around .12-16 .weeks
What .statements .are .true .regarding .the .back .to .sleep .campaign .to .prevent
.Sudden .Infant .Death .Syndrome? .Select .all .that .apply
.A. .The .back .to .sleep .campaign .has .dramatically .reduced .the .incidence .of .SIDS
.B. .the .child .should .be .placed .prone
.C. .the .child .should .be .placed .supine
.D. .With .the .back .to .sleep .campaign .the .child .is .at .greater .risk .for .plagiocep .-
.CORRECT .ANSWER-A. .The .back .to .sleep .campaign .has .dramatically .reduced
.the .incidence .of .SIDS
C. .the .child .should .be .placed .supine
D. .With .the .back .to .sleep .campaign .the .child .is .at .greater .risk .for .plagiocep
The .nurse .is .assessing .a .3 .year .old .what .would .be .appropriate .action .to
.prepare .the .child .for .the .exam .? .
.A. .Don't .allow .the .child .to .hold .a .toy .it .may .annoy .the .doctor
.B. .allow .the .child .to .sit .on .parents .lap
.C. .Use .medical .terminology .so .the .child .doesn't .understand .the .exam
.D. .Separate .the .child .from .the .parent .- .CORRECT .ANSWER-B. .allow .the .child
.to .sit .on .parents .lap
, A .12 .month .old .is .at .her .well .child .visit ..What .abnormal .finding .needs .to .be
.reported .to .the .provider? .
.A. .Birth .length .Birth .length .has .increased .by .50%
.B. .8 .teeth .have .erupted
.C. .Birth .weight .has .doubled
.D. .Child .is .able .to .take .3 .steps .- .CORRECT .ANSWER-C. .Birth .weight .has
.doubled
The .nurses .is .providing .a .health .promotion .course .to .a .group .of .pre .school
.moms.The .focus .is .accidental .poisoning .the .nurse .educated .them .to .?
.A. .Tell .the .child .not .to .touch .medications
.B. .All .medications .should .be .in .a .locked .cabinet
.C. .Place .medications .on .counters .the .children .can't .reach
.D. .place .medications .in .containers .the .children .would .not .play .with .-
.CORRECT .ANSWER-B. .All .medications .should .be .in .a .locked .cabinet
The .nurse .is .providing .information .on .how .to .prevent .burns .in .young .children
.she .will .include? .Select .all .that .apply .
.A. .keep .covers .on .outlets
.B. .keep .pot .handles .pointed .back .of .stove .when .cooking
.C. .Set .water .heaters .at .160 .degrees .F
.D. .use .sunscreen .on .toddlers .- .CORRECT .ANSWER-A. .keep .covers .on .outlets
B. .keep .pot .handles .pointed .back .of .stove .when .cooking
D. .use .sunscreen .on .toddlers
The .nurse .is .providing .care .to .the .family .of .a .preschool-age .child .who .is
.diagnosed .with .sickle .cell .disease. .Which .statement .made .by .the .sibling .would
.initiate .a .teaching .session .is .needed? .Select .all .that .apply
.A. ."I .like .it .when .my .brother .is .not .sick .."
.B. ."I .am .afraid .that .I .caused .my .brother .to .get .sick .again .because .I .was .mad
.at .him."
.C. ."I .never .get .to .go .over .to .my .friends' .houses .because .we .are .always .taking
.my .brother .to .the .doctor."
.D. .When .I .lied .to .my .parents, .I .was .punished .for .a .week .and .my .brother .never
.gets .punished." .- .CORRECT .ANSWER-B. ."I .am .afraid .that .I .caused .my .brother
.to .get .sick .again .because .I .was .mad .at .him."
.C. ."I .never .get .to .go .over .to .my .friends' .houses .because .we .are .always .taking
.my .brother .to .the .doctor."
.D. .When .I .lied .to .my .parents, .I .was .punished .for .a .week .and .my .brother .never
.gets .punished."
SOLUTIONS, SCORED A+
The .Emergency .room .nurse .is .concerned .about .what .findings .when .a .5 .month
.old .infant .is .assessed? .
.
A. .Anterior .Fontanel .is .closed
B. .Child .rolls .from .side .to .side
C. .Child .is .able .to .lift .head
D. .Rooting .reflex .has .disapeared .- .CORRECT .ANSWER-A. .Anterior .Fontanel .is
.Closed
The .parents .of .a .3 .month .old .are .instructed .to .have .all .family .members .and
.caregivers .to .have .there .tdap .and .dtap .booster .vaccines .to .prevent .the
.potentially .fatal .illness?
A. .Rubella .
B. .Mumps .
C. .Measles .
D. .Pertussis .- .CORRECT .ANSWER-D. .Pertussis
A .first .time .mother .wants .to .start .her .6 .month .old .on .solid .foods .. .The .nurse
.would .educate .the .parent .that .she .should .begin .with .what .food .choices?
.A. .any .food .the .family .is .eating
.B. .Strained .meats
.C. .Rice .cereal .mixed .with .whole .cows .milk
.D. .Rice .cereal .for .infants .mixed .with .formula .- .CORRECT .ANSWER-D. .Rice
.cereal .for .infants .mixed .with .formula
A .7 .month .child .that .was .full .term .is .in .a .clinic .for .a .well .child .visit .. .A .early
.intervention .consult .would .be .indicated .for .which .of .the .following .findings?
.Select .all .that .apply
.A. .Pincer .grasp
.B. .Head .lag
.C. .Does .not .roll .over
.D. .Stranger .anxiety .- .CORRECT .ANSWER-B. .Head .lag
C. .Does .not .roll .over
A .9 .month .old .is .in .for .there .well .child .visit .the .child .has .met .all .milestones.
.The .nurse .will .provide .additional .health .and .safety .information .and .educates
,.her .on .foods .to .avoid .until .1 .yr .of .age. .What .would .she .include? .Select .all .that
.apply
.A. .Strained .Banana
.B. .Honey
.C. .Peanuts
.D. .Strained .Carrots .- .CORRECT .ANSWER-B. .Honey
C. .Peanuts
The .mother .of .a .2 .year .old .is .concerned .that .her .child .is .a .picky .eater ..He .is
.gaining .weight .and .is .in .the .75th .percentile .on .the .growth .chart .? .The .nurse
.would .respond .with .the .following .statement
.A. .This .is .normal .development .for .a .2 .year .old
.B. .I .will .set .up .a .appointment .with .a .nutrition .expert
.C. .Force .him .to .eat .all .the .food .on .his .plate
.D. .You .need .to .follow .up .with .a .gastroenterologist .- .CORRECT .ANSWER-A.
.This .is .normal .development .for .a .2 .year .old
The .mother .of .a .2 .month .old .calls .and .states .her .child .was .in .the .Emergency
.room .and .has .been .diagnosed .with .colic .. .The .nurse .explains .that .colic .is .?
.A. .Self .limiting .resolves .around .12-16 .weeks
.B. .Common .in .breast .fed .infants
.C. .Intolerance .to .soy .based .formula
.D. .Related .to .constipation .- .CORRECT .ANSWER-B. .Self .limiting .resolves
.around .12-16 .weeks
What .statements .are .true .regarding .the .back .to .sleep .campaign .to .prevent
.Sudden .Infant .Death .Syndrome? .Select .all .that .apply
.A. .The .back .to .sleep .campaign .has .dramatically .reduced .the .incidence .of .SIDS
.B. .the .child .should .be .placed .prone
.C. .the .child .should .be .placed .supine
.D. .With .the .back .to .sleep .campaign .the .child .is .at .greater .risk .for .plagiocep .-
.CORRECT .ANSWER-A. .The .back .to .sleep .campaign .has .dramatically .reduced
.the .incidence .of .SIDS
C. .the .child .should .be .placed .supine
D. .With .the .back .to .sleep .campaign .the .child .is .at .greater .risk .for .plagiocep
The .nurse .is .assessing .a .3 .year .old .what .would .be .appropriate .action .to
.prepare .the .child .for .the .exam .? .
.A. .Don't .allow .the .child .to .hold .a .toy .it .may .annoy .the .doctor
.B. .allow .the .child .to .sit .on .parents .lap
.C. .Use .medical .terminology .so .the .child .doesn't .understand .the .exam
.D. .Separate .the .child .from .the .parent .- .CORRECT .ANSWER-B. .allow .the .child
.to .sit .on .parents .lap
, A .12 .month .old .is .at .her .well .child .visit ..What .abnormal .finding .needs .to .be
.reported .to .the .provider? .
.A. .Birth .length .Birth .length .has .increased .by .50%
.B. .8 .teeth .have .erupted
.C. .Birth .weight .has .doubled
.D. .Child .is .able .to .take .3 .steps .- .CORRECT .ANSWER-C. .Birth .weight .has
.doubled
The .nurses .is .providing .a .health .promotion .course .to .a .group .of .pre .school
.moms.The .focus .is .accidental .poisoning .the .nurse .educated .them .to .?
.A. .Tell .the .child .not .to .touch .medications
.B. .All .medications .should .be .in .a .locked .cabinet
.C. .Place .medications .on .counters .the .children .can't .reach
.D. .place .medications .in .containers .the .children .would .not .play .with .-
.CORRECT .ANSWER-B. .All .medications .should .be .in .a .locked .cabinet
The .nurse .is .providing .information .on .how .to .prevent .burns .in .young .children
.she .will .include? .Select .all .that .apply .
.A. .keep .covers .on .outlets
.B. .keep .pot .handles .pointed .back .of .stove .when .cooking
.C. .Set .water .heaters .at .160 .degrees .F
.D. .use .sunscreen .on .toddlers .- .CORRECT .ANSWER-A. .keep .covers .on .outlets
B. .keep .pot .handles .pointed .back .of .stove .when .cooking
D. .use .sunscreen .on .toddlers
The .nurse .is .providing .care .to .the .family .of .a .preschool-age .child .who .is
.diagnosed .with .sickle .cell .disease. .Which .statement .made .by .the .sibling .would
.initiate .a .teaching .session .is .needed? .Select .all .that .apply
.A. ."I .like .it .when .my .brother .is .not .sick .."
.B. ."I .am .afraid .that .I .caused .my .brother .to .get .sick .again .because .I .was .mad
.at .him."
.C. ."I .never .get .to .go .over .to .my .friends' .houses .because .we .are .always .taking
.my .brother .to .the .doctor."
.D. .When .I .lied .to .my .parents, .I .was .punished .for .a .week .and .my .brother .never
.gets .punished." .- .CORRECT .ANSWER-B. ."I .am .afraid .that .I .caused .my .brother
.to .get .sick .again .because .I .was .mad .at .him."
.C. ."I .never .get .to .go .over .to .my .friends' .houses .because .we .are .always .taking
.my .brother .to .the .doctor."
.D. .When .I .lied .to .my .parents, .I .was .punished .for .a .week .and .my .brother .never
.gets .punished."
