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An 18 year old makes the following statements to you during the annual health visit. which of
the following pieces of information should not be kept confidential? - Answer Sometimes I feel
like ending my life
In performing a physical examination of a 12 month old infant which of the following
developmental fears would not be appropriate for you to consider? - Answer bodily self harm
when performing a physical examination of a toddler, which of the following body parts would
you examine last? - Answer ears ad throat
Role play with equipment during the course of a physical exam would be most beneficial with
with of the following age groups?
a. toddlers
b. preschoolers
c. young school aged children
d. older school aged children - Answer preschoolers
Providing reassurance of "normalcy" during the course of an exam would be most important
for:
a. preschool children
b. young school aged children
c. older school aged children
d. adolescents - Answer adolescents
which of the following would not elevate the pulse of a child? - Answer hypothyroidism
The PNP recognizes which of the following signs as indicators that baby is not receiving
sufficient breastmilk?
a. sleepiness, jaundice, decreased urine & stool
,blood pressure should be measured at well child visits beginning at age: - Answer 3 years
A wide pulse pressure that results from high systolic blood pressure is usually not due to which
of the following?
a. fever
b. exercise
c. excitement
d. a patent ductus arteriosus - Answer a patent ductus arteriosus
Head & chest circumferences should be equal at:
a. 6mo
b. 1yo
c. 2yo
d. 3yo - Answer 1 year
the anterior fontanel usually closes by - Answer 18 months
Diffuse edema of the soft tissue of the scalp which usually crosses suture lines in the newborn
is:
a. bossing
b. caput succedaneum
c. cephalohematoma
d. macrocephaly - Answer cephalohemtoma
An infant should no longer have a head lag when pulled from the supine to sitting position at
what age?
a. 2mo
b. 4mo
c. 6mo
d. 9mo - Answer 6 months
"boggy" nasal mucous membranes with serous drainage upon examination usually suggests:
, A white instead of red reflex upon eye examination of a 1 year old child would suggest - Answer
retinoblastoma
A cobblestone appearance of the palpebral conjunctiva usually indicates?
a. bacterial infection
b. chemical irritation
c. viral infection
d. severe allergy - Answer severe allergy
An eye that deviates in when covered but returns to midline when uncovered is an:
a. esophoria
b. exophoria
c. esotropia
d. exotropia - Answer esotropia
Pain produced by manipulation of the auricle or pressure on the tragus suggests:
a. acute otitis media
b. otitis externa
c. otitis media with effusion
d. mastoiditis - Answer otitis externa
a hypernasal voice and snoring in a child is suggestive of:
a. polyps of the larynx
b. nasopharyngeal tumor
c. hypertrophied adenoids
d. cleft palate - Answer hypertrophied adenoids
Physiologic splitting of the second heart sound during inspiration in a child - Answer is normal
which of the following is not characteristic of innocent heart murmurs in children? - Answer
usually transmitted to the neck