MN580 MIDTERM EXAM NEWEST 2025
QUESTIONS and VERIFIED ANSWERS
GRADED A+
The primary care pediatric nurse practitioner notes a musty odor when
examining a newborn at a 2 week checkup. What will the nurse practitioner
suspect?
A.Galactosemia
B. Glucose6phosphatase
deficiency
C. Phenylketonuria
D. Urea cycle disorder - CORRECT ANSWER-C. Phenylketonuria
,A 16-year-old adolescent female whose BMI is at the 90th percentile reports
irregular periods. The primary care pediatric nurse practitioner notes widespread
acne on her face and back and an abnormal distribution of facial hair. The nurse
practitioner will evaluate her further based on a suspicion of which diagnosis?
A. Dyslipidemia
B. Hypothyroidism
C. Nonalcoholic steatohepatitis
D. Polycystic ovary syndrome - CORRECT ANSWER-D. Polycystic ovary
syndrome
The mother of a 16yearold male was recently divorced after several years of an
abusive relationship and tells the primary care pediatric nurse practitioner that
the adolescent has begun skipping school and hanging out with friends at the
local shopping mall. When she confronts her child, he responds by saying that he
hates her. What will the nurse practitioner tell this mother?
a. Adolescence is marked by an inability to comprehend complex situations
.b. Adolescence is typically marked by tempestuous and transient episodes.
c. Adolescents normally have extreme, disruptive conflicts with parents.
,d. Adolescents often need counseling to help them cope with life events -
CORRECT ANSWER-d
The primary care pediatric nurse practitioner performs a well baby examination
on a 7-day-old infant who is nursing well, according to the mother. The nurse
practitioner notes that the infant weighed 3250 grams at birth and 2990 grams
when discharged on the second day of life. The infant weighs 3080 grams at this
visit. Which action is correct?
a. Follow up at the 2-month checkup.
b. Refer to a lactation consultant.
c. Schedule a weight check in 1 week.
d. Suggest supplementing with formula. - CORRECT ANSWER-C
This infant lost about 8% of its birth weight, which is normal and, since discharge
home, has gained at least 15 grams per day, which is also normal. The PNP should
schedule a weight check in a week to make sure the infant regains its birth
weight, since most should regain this in 10 to 14 days and since this loss of birth
weight is at the high end of normal. It is not necessary to refer to a lactation
consultant or supplement with formula, since the infant is gaining weight
adequately.
, The parent of a newborn infant asks the primary care pediatric nurse practitioner
when to intervene to help the infant's future intellectual growth. What will the
nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning. - CORRECT ANSWER-
c. Language and literacy skills begin at birth.
General learning and acquisition of skills for later reading and writing begin at
birth, not in kindergarten or first grade, and these skills grow with everyday loving
interactions between infants and caregivers. Cognitive learning changes during
toddler years but begins at birth. Intellectual growth is not tied to speech alone.
The parent of a 10 yearold boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his
time with a couple of other boys. The parent is worried about the child's sexual
identity. The nurse practitioner will tell the parent:
A. children at this age who prefer interactions with same gender peers usually
have a homosexual orientation.
QUESTIONS and VERIFIED ANSWERS
GRADED A+
The primary care pediatric nurse practitioner notes a musty odor when
examining a newborn at a 2 week checkup. What will the nurse practitioner
suspect?
A.Galactosemia
B. Glucose6phosphatase
deficiency
C. Phenylketonuria
D. Urea cycle disorder - CORRECT ANSWER-C. Phenylketonuria
,A 16-year-old adolescent female whose BMI is at the 90th percentile reports
irregular periods. The primary care pediatric nurse practitioner notes widespread
acne on her face and back and an abnormal distribution of facial hair. The nurse
practitioner will evaluate her further based on a suspicion of which diagnosis?
A. Dyslipidemia
B. Hypothyroidism
C. Nonalcoholic steatohepatitis
D. Polycystic ovary syndrome - CORRECT ANSWER-D. Polycystic ovary
syndrome
The mother of a 16yearold male was recently divorced after several years of an
abusive relationship and tells the primary care pediatric nurse practitioner that
the adolescent has begun skipping school and hanging out with friends at the
local shopping mall. When she confronts her child, he responds by saying that he
hates her. What will the nurse practitioner tell this mother?
a. Adolescence is marked by an inability to comprehend complex situations
.b. Adolescence is typically marked by tempestuous and transient episodes.
c. Adolescents normally have extreme, disruptive conflicts with parents.
,d. Adolescents often need counseling to help them cope with life events -
CORRECT ANSWER-d
The primary care pediatric nurse practitioner performs a well baby examination
on a 7-day-old infant who is nursing well, according to the mother. The nurse
practitioner notes that the infant weighed 3250 grams at birth and 2990 grams
when discharged on the second day of life. The infant weighs 3080 grams at this
visit. Which action is correct?
a. Follow up at the 2-month checkup.
b. Refer to a lactation consultant.
c. Schedule a weight check in 1 week.
d. Suggest supplementing with formula. - CORRECT ANSWER-C
This infant lost about 8% of its birth weight, which is normal and, since discharge
home, has gained at least 15 grams per day, which is also normal. The PNP should
schedule a weight check in a week to make sure the infant regains its birth
weight, since most should regain this in 10 to 14 days and since this loss of birth
weight is at the high end of normal. It is not necessary to refer to a lactation
consultant or supplement with formula, since the infant is gaining weight
adequately.
, The parent of a newborn infant asks the primary care pediatric nurse practitioner
when to intervene to help the infant's future intellectual growth. What will the
nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning. - CORRECT ANSWER-
c. Language and literacy skills begin at birth.
General learning and acquisition of skills for later reading and writing begin at
birth, not in kindergarten or first grade, and these skills grow with everyday loving
interactions between infants and caregivers. Cognitive learning changes during
toddler years but begins at birth. Intellectual growth is not tied to speech alone.
The parent of a 10 yearold boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his
time with a couple of other boys. The parent is worried about the child's sexual
identity. The nurse practitioner will tell the parent:
A. children at this age who prefer interactions with same gender peers usually
have a homosexual orientation.
