WGU D119 PEDIATRIC PRIMARY
CARE OBJECTIVE ASSESSMENT
ACTUAL EXAM 2025/2026
COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<BRAND NEW VERSION>
1. What is the major symptom of reflux in infants? - ANSWER ✓ vomiting or
regurgitation, especially after feeding;
the major symptom of reflux is vomiting or regurgitation. It may occur
during sleep, and frequently after feeding. Poor weight gain, hyper
irritability, and refuse your feeding baby songs in some infants but are not
the major symptoms. Fever or diarrhea may be present in patients with acute
otitis media, gastroenteritis, or urinary tract infections.
2. A 10-year-old child has had abdominal pain for 2 days, which began in the
periumbilical area and then localized to the right lower quadrant. The child
vomited once today and then experienced relief from pain followed by an
increased fever. What is the likely diagnosis? - ANSWER ✓ Appendicitis
with perforation
3. An 18-month-old child has a 1-day history of intermittent, cramping
abdominal pain with non-bilious vomiting. The child is observed to scream
and draw up his legs during pain episodes and becomes lethargic in between.
The Family nurse practitioner notes a small amount of bloody, mucous stool
, in the diaper. What is the most likely diagnosis? - ANSWER ✓
intussusception
4. A school-age child has had abdominal pain for 3 months that occurs once or
twice weekly and is associated with a headache and occasional difficulty
sleeping, often causing the child to stay home from school. The child does
not have vomiting or diarrhea and is gaining weight normally. The physical
exam is normal. According to Bishop, what is included in the initial
diagnostic work-up for this child? - ANSWER ✓ CBC, ESR, amylase,
lipase, UA, and abdominal ultrasound
5. While evaluating a three-day-old infant, the FNP turns the infant on the side
to examine the back and notes a sharp line of demarcation dividing the upper
and lower parts of the body. The dependent half is bright red and the
superior half is pale. The etiology of this phenomenon is: - ANSWER ✓ An
immature autonomic regulatory system, generally referred to as the
"Harlequin" sign
6. The FNP is measuring a newborn's frontal occipital circumference. What
does the correct technique involve? - ANSWER ✓ Placing the paper tape
measure at the frontal-occipital prominence and just above the eyebrows
7. An infant with congenital hypothyroidism is being discharged home. What
would the FNP instruct the parents to do? - ANSWER ✓ give the medication
as a single dose in the early morning on an empty stomach;
thyroid replacement is lifelong maintenance therapy and should be given as
one dose in the morning and absorbs best one hour before or two hours after
a meal. Weight loss, diarrhea, and tachycardia are signs of over medication
8. A mother presents her school-age child to the family nurse practitioner and
expresses her concern that her son is the shortest child in his class and asked
to something is wrong with him. What would the initial differential of short
stature in this patient by the FNP include? - ANSWER ✓ history with
familial height patterns, physical exam with Tanner stage, in radiography to
assess skeletal maturation, as indicated;
this is the best choice for the initial exam because the history may reveal
normal variation in pattern of growth related to race, heredity, size of other
family members, and psychosocial status. Skeletal maturation or bone age
can be accessed through radiography if child is in 5th growth percentile or
, lower. Other choices are inappropriate without history and physical exam,
and growth hormone would not be administered without laboratory
evaluation.
9. Which of the following findings with the FNP expect to be found in a child
with pubertal gynecomastia? - ANSWER ✓ breast tissue enlargement
mainly glandular, movable and non-adherent to skin or underlying tissue;
pubertal or physiologic gynecomastia is a visible or palpable glandular
enlargement of the male breast that can occur in healthy adolescents.
Typically, the breasts are unequal in size and may be Tender, nipples are
often irritated from rubbing against clothing, and Tanner stage is 2 through 4
of pubertal development are noted. The symptoms of Lymphadenopathy,
goiter, asymmetric testes, and repaired hypospadias are associated with
pathologic gynecomastia.
10.On physical exam of a 14 year old girl complaining of amenorrhea, the
family nurse practitioner notes blood pressure 138/90, pulse of 98, broad
chest with widely spaced nipples, Tanner stage one, webbing of the neck,
low hairline, and prominent anomalous ears. What does the FNP suspect? -
ANSWER ✓ Turner syndrome;
the following findings are consistent with turner syndrome: short stature,
gonadal dysgenesis, lymphadema (usually appearing in infancy)left-sided
heart or aortic abnormalities. Primary amenorrhea, and delayed onset of
puberty. Fragile X syndrome is an inherited condition usually affecting
males and characterized by a long, narrow face and prominent ears, mild to
profound mental retardation, hyperactivity and poor attention span, and
autistic type of behavior. Marfan's syndrome is a connective tissue disorder
of tall and thin adolescents that is characterized by long limbs, narrow
hands, long, slender fingers, and nearsightedness. Klinefelter syndrome is
characterized by small testes, sterility, gynecomastia, and long legs.
11.The FNP understands that the blood glucose level in diabetic children 7 to
12 years of age who can recognize the symptoms of hypoglycemia should
Target which range before meals? - ANSWER ✓ 90-130mg/Dl;
the American Diabetes Association recommends most children have a
premier target range for blood glucose between 90 to 130 mg / DL if they
can recognize the symptoms of hypoglycemia. A blood glucose of 60-75 mg
/ DL is too low and may predispose the child to hyperglycemia. The other
options are too high.
, 12.An infant with an abnormally pitched cry may demonstrate a genetic
disorder or other problems, such as: - ANSWER ✓ hypothyroidism;
infants with hypothyroidism often have an abnormally pitched cry because
of lethargy and delayed mental responsiveness.
13.In which of the following groups of patients is tight glycemic control
contraindicated? - ANSWER ✓ Children under 6 years old;
Tight gycemic control is contraindicated in infants less than 2 years of age
and should be instituted with Extreme Caution in children less than 7 years
of age to avoid severe hyperglycemia injuring the developing brain
14.The FNP understands that growth retardation that appears after age 12 in
boys is usually caused by: - ANSWER ✓ hypogonadism;
hypogonadism, associated with delayed sexual development, sexual
infantilism, and small testes, is most often the contributing factor to growth
retardation after age 10 years for girls and 12 years for boys. Other causes of
deceleration in growth or short stature include hypothyroidism, diabetes, and
hypopituitarism. Chromosomal abnormalities would be noted at an earlier
age.
15.An adolescent male patient presenting with recent onset nocturia, polydipsia,
polyphagia, weight loss, and blurred vision is most likely experiencing the
symptoms of: - ANSWER ✓ Type 1 Diabetes;
type 1 diabetes usually but not always appears befoe age 30 and is heralded
by the 3 Ps
16.The mother of a female infant is concerned that her daughter is developing
breasts. The Family nurse practitioner notes mild breast development but no
pubic or axillary hair. What is the likely diagnosis? - ANSWER ✓
Premature thelarche which will resolve over time
17.A 7-year-old female has recently developed pubic and axillary hair without
breast development. Her bone age is consistent with her chronological age,
and a pediatric endocrinologist has diagnosed idiopathic premature
adrenarche. The FNP will monitor this child for which condition? -
ANSWER ✓ Polycystic ovarian syndrome
CARE OBJECTIVE ASSESSMENT
ACTUAL EXAM 2025/2026
COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<BRAND NEW VERSION>
1. What is the major symptom of reflux in infants? - ANSWER ✓ vomiting or
regurgitation, especially after feeding;
the major symptom of reflux is vomiting or regurgitation. It may occur
during sleep, and frequently after feeding. Poor weight gain, hyper
irritability, and refuse your feeding baby songs in some infants but are not
the major symptoms. Fever or diarrhea may be present in patients with acute
otitis media, gastroenteritis, or urinary tract infections.
2. A 10-year-old child has had abdominal pain for 2 days, which began in the
periumbilical area and then localized to the right lower quadrant. The child
vomited once today and then experienced relief from pain followed by an
increased fever. What is the likely diagnosis? - ANSWER ✓ Appendicitis
with perforation
3. An 18-month-old child has a 1-day history of intermittent, cramping
abdominal pain with non-bilious vomiting. The child is observed to scream
and draw up his legs during pain episodes and becomes lethargic in between.
The Family nurse practitioner notes a small amount of bloody, mucous stool
, in the diaper. What is the most likely diagnosis? - ANSWER ✓
intussusception
4. A school-age child has had abdominal pain for 3 months that occurs once or
twice weekly and is associated with a headache and occasional difficulty
sleeping, often causing the child to stay home from school. The child does
not have vomiting or diarrhea and is gaining weight normally. The physical
exam is normal. According to Bishop, what is included in the initial
diagnostic work-up for this child? - ANSWER ✓ CBC, ESR, amylase,
lipase, UA, and abdominal ultrasound
5. While evaluating a three-day-old infant, the FNP turns the infant on the side
to examine the back and notes a sharp line of demarcation dividing the upper
and lower parts of the body. The dependent half is bright red and the
superior half is pale. The etiology of this phenomenon is: - ANSWER ✓ An
immature autonomic regulatory system, generally referred to as the
"Harlequin" sign
6. The FNP is measuring a newborn's frontal occipital circumference. What
does the correct technique involve? - ANSWER ✓ Placing the paper tape
measure at the frontal-occipital prominence and just above the eyebrows
7. An infant with congenital hypothyroidism is being discharged home. What
would the FNP instruct the parents to do? - ANSWER ✓ give the medication
as a single dose in the early morning on an empty stomach;
thyroid replacement is lifelong maintenance therapy and should be given as
one dose in the morning and absorbs best one hour before or two hours after
a meal. Weight loss, diarrhea, and tachycardia are signs of over medication
8. A mother presents her school-age child to the family nurse practitioner and
expresses her concern that her son is the shortest child in his class and asked
to something is wrong with him. What would the initial differential of short
stature in this patient by the FNP include? - ANSWER ✓ history with
familial height patterns, physical exam with Tanner stage, in radiography to
assess skeletal maturation, as indicated;
this is the best choice for the initial exam because the history may reveal
normal variation in pattern of growth related to race, heredity, size of other
family members, and psychosocial status. Skeletal maturation or bone age
can be accessed through radiography if child is in 5th growth percentile or
, lower. Other choices are inappropriate without history and physical exam,
and growth hormone would not be administered without laboratory
evaluation.
9. Which of the following findings with the FNP expect to be found in a child
with pubertal gynecomastia? - ANSWER ✓ breast tissue enlargement
mainly glandular, movable and non-adherent to skin or underlying tissue;
pubertal or physiologic gynecomastia is a visible or palpable glandular
enlargement of the male breast that can occur in healthy adolescents.
Typically, the breasts are unequal in size and may be Tender, nipples are
often irritated from rubbing against clothing, and Tanner stage is 2 through 4
of pubertal development are noted. The symptoms of Lymphadenopathy,
goiter, asymmetric testes, and repaired hypospadias are associated with
pathologic gynecomastia.
10.On physical exam of a 14 year old girl complaining of amenorrhea, the
family nurse practitioner notes blood pressure 138/90, pulse of 98, broad
chest with widely spaced nipples, Tanner stage one, webbing of the neck,
low hairline, and prominent anomalous ears. What does the FNP suspect? -
ANSWER ✓ Turner syndrome;
the following findings are consistent with turner syndrome: short stature,
gonadal dysgenesis, lymphadema (usually appearing in infancy)left-sided
heart or aortic abnormalities. Primary amenorrhea, and delayed onset of
puberty. Fragile X syndrome is an inherited condition usually affecting
males and characterized by a long, narrow face and prominent ears, mild to
profound mental retardation, hyperactivity and poor attention span, and
autistic type of behavior. Marfan's syndrome is a connective tissue disorder
of tall and thin adolescents that is characterized by long limbs, narrow
hands, long, slender fingers, and nearsightedness. Klinefelter syndrome is
characterized by small testes, sterility, gynecomastia, and long legs.
11.The FNP understands that the blood glucose level in diabetic children 7 to
12 years of age who can recognize the symptoms of hypoglycemia should
Target which range before meals? - ANSWER ✓ 90-130mg/Dl;
the American Diabetes Association recommends most children have a
premier target range for blood glucose between 90 to 130 mg / DL if they
can recognize the symptoms of hypoglycemia. A blood glucose of 60-75 mg
/ DL is too low and may predispose the child to hyperglycemia. The other
options are too high.
, 12.An infant with an abnormally pitched cry may demonstrate a genetic
disorder or other problems, such as: - ANSWER ✓ hypothyroidism;
infants with hypothyroidism often have an abnormally pitched cry because
of lethargy and delayed mental responsiveness.
13.In which of the following groups of patients is tight glycemic control
contraindicated? - ANSWER ✓ Children under 6 years old;
Tight gycemic control is contraindicated in infants less than 2 years of age
and should be instituted with Extreme Caution in children less than 7 years
of age to avoid severe hyperglycemia injuring the developing brain
14.The FNP understands that growth retardation that appears after age 12 in
boys is usually caused by: - ANSWER ✓ hypogonadism;
hypogonadism, associated with delayed sexual development, sexual
infantilism, and small testes, is most often the contributing factor to growth
retardation after age 10 years for girls and 12 years for boys. Other causes of
deceleration in growth or short stature include hypothyroidism, diabetes, and
hypopituitarism. Chromosomal abnormalities would be noted at an earlier
age.
15.An adolescent male patient presenting with recent onset nocturia, polydipsia,
polyphagia, weight loss, and blurred vision is most likely experiencing the
symptoms of: - ANSWER ✓ Type 1 Diabetes;
type 1 diabetes usually but not always appears befoe age 30 and is heralded
by the 3 Ps
16.The mother of a female infant is concerned that her daughter is developing
breasts. The Family nurse practitioner notes mild breast development but no
pubic or axillary hair. What is the likely diagnosis? - ANSWER ✓
Premature thelarche which will resolve over time
17.A 7-year-old female has recently developed pubic and axillary hair without
breast development. Her bone age is consistent with her chronological age,
and a pediatric endocrinologist has diagnosed idiopathic premature
adrenarche. The FNP will monitor this child for which condition? -
ANSWER ✓ Polycystic ovarian syndrome
