Questions and All Actual Answers (2025-
2026) Set.
A mother brings her 9-month infant in for a routine visit. What milestone would be appropriate
for the doctor to ask if the infant is meeting?
1. Walking
2. Speaking in two-word phrases
3. Rolls back to stomach and stomach to back
4. All of the above - Answer 3. Rolls back to stomach and stomach to back
A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you note
that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom, the infant
has only had 2 diapers today. The infant is strictly breastfed and this is moms first child. She
states baby is having trouble latching on. A bilirubin level is sent and comes back at 18. You
identify this newborn to be dehydrated and is most likely to have breast milk jaundice. Which
nursing intervention(s) will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above - Answer 4. All of the above
Apgar scores measure heart rate, respiratory rate, reflex irritability, color and :
1. Rigidity
2. Muscle tone
3. Birth weight
4. Capillary refill - Answer 2. Muscle tone
Excessive heat loss results in which of these?
,4. Increase in surfactant levels - Answer 2. Depletion of glucose levels
A mother has just delivered her new baby a few hours ago. She asks the nurse if she can bathe
the baby because he has blood on him. The best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
3. Its important that we not bathe the baby too soon after birth. Lets wait till later in the day.
4. Sure, but why dont you feed the baby - Answer 3. Its important that we not bathe the baby
too soon after birth. Lets wait till later in the day
A 4 week old infant is brought to the ED. Mom states that the baby hasnt been eating well and
has had decreased diapers for 2 days. The baby has been sleeping more and has been hard to
wake up. On
assessment, you find that the baby is difficult to arouse, is hypotonic and temperature is 35.4
rectally. What is an important lab value to check? Choose the best answer.
1. Complete metabolic panel
2. Liver panel
3. Blood glucose
4. PTT - Answer 3. Blood glucose
A pregnant woman with a history of a clotting disorder is required to selfadminister heparin
during her pregnancy. After delivery, the infant will be at greater risk for:
1. Low blood sugar
2. Decrease Vitamin K
3. Increased Vitamin K
4. High blood sugar - Answer 2. Decrease Vitamin K
A
part of injury prevention is making and keeping infant appointments.
The required checkups and vaccinations are at:
,4. 2 months, 4 months, 9 months and 1 year - Answer 3. 2 months, 4 months, 6 month, 9
months and 1 year
You are taking care of an infant who was admitted with dehydration. His weight is 6kg. You have
been watching his I & Os. What would you expect the infants urinary output to be in order to
maintain adequate
hydration?
1. 0.52 ml/kg/hr
2. 0.52.5 ml/kg/hr
3. 13 ml/kg/hr
4. As long as he is having wet diapers it doesnt matter - Answer 3. 13 ml/kg/hr
A mother brings her newborn daughter to the ER with concerns that she is having vaginal
bleeding. You know this is normal and called what?
1. Pseudomenstruation
2. Milia
3. Vernix caseosa
4. Toxicum - Answer 1. Pseudomenstruation
While interviewing the mother of an infant, you note that the mother gets frustrated as she
explains that her baby has been up all night crying at least 3 times a week for the last 2 weeks.
She states that she has tried everything and feels hopeless. What would be the BEST response
from you as the nurse?
1. Believe me, I know. I have a newborn too.
2. Have you tried warm milk?
3. Its ok to be frustrated and feel overwhelmed.
4. You are doing nothing wrong. This can be a common occurrence in infants and you should not
feel guilty. - Answer 4. You are doing nothing wrong. This can be a common occurrence in
infants and you should not feel guilty.
The primary care pediatric nurse practitioner is performing a focused
, A. Cognitive perceptual
B. Health perception
C. Role relationship
D. Values beliefs - Answer B. Health perception
The primary care pediatric nurse practitioner examines an infant whose weight is below the 3rd
percentile and whose mother does not comply with the feeding regimen. When attempting to
enlist the help of the infant's grandmother, the grandmother says, "My daughter was like this
when she was a baby and she turned out all right." Which approach will the nurse practitioner
take to
improve the outcome for this infant?
1. Ask the grandmother about her daughter's health during
childhood.
2. Explain that the condition is potentially serious if not treated.
3. Give the grandmother and mother information about normal growth.
4. Refer the family to a social worker to investigate possible neglect. - Answer 1. Ask the
grandmother about her daughter's health during childhood.
The primary care pediatric nurse practitioner provides patient teaching for children newly
diagnosed with irritable bowel syndrome (IBS). At which stage of development will children be
able to understand the link between stress and the symptoms of
the disease?
A. Concrete operational stage
B. Formal operational stage
LL. Preconceptual stage
MM. Sensorimotor stage - Answer B. Formal operational stage
The primary care pediatric nurse practitioner is counseling an obese
adolescent whose parents both have type 2 diabetes mellitus. Which health behavior prediction
model is useful when the nurse practitioner discusses lifestyle changes with this client?
A. Behavioral change model