2025/ 2026 Update) Primary Care of the
Childbearing and Childrearing Family Review|
Questions & Answers| Grade A| 100%
Quiz_________________?
A school-age child has a 3-month history of dull, aching epigastric pam that worsens with
eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8
mg/dL. What is the next step in management? -
Answer✅
d. Referral for esophagogastroduodenoscopy (EGD)
Quiz_________________?
A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6
mm cylindrical object in the child's stomach. The child is able to swallow without difficulty
and is not experiencing pain. What is the correct course of treatment? -
Answer✅
b. Have the parents watch for the object in the child's stool.
Quiz_________________?
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✅
1
, a. Appendicitis with perforation
Quiz_________________?
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 primary care pediatric nurse practitioner
notes a small amount of bloody, mucous stool in the diaper. What is the most likely
diagnosis? -
Answer✅
a. Intussusception
Quiz_________________?
A 12-month-old infant exhibits poor weight gain after previously normal growth patterns.
There is no history of vomiting, diarrhea, or irregular bowel movements, and the physical
exam is normal. What is the next step in evaluating these findings? -
Answer✅
a. Feeding and stooling history and 3-day diet history
Quiz_________________?
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school-age child with
dysuria and foul-smelling urine but no fever who has not had previous urinary tract
infections. A culture is pending. What will the pediatric nurse practitioner do to treat this
child? -
Answer✅
Prescribe trimethoprim-sulfamethoxazole (TMP) twice daily for 3 to 5 days.
Quiz_________________?
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-6 RBCs per hpf
but otherwise normal. What is the first question the primary care pediatric nurse
practitioner will ask this patient? -
Answer✅
a. "When was your last menstrual period (LMP)?"
2
Childbearing and Childrearing Family Review|
Questions & Answers| Grade A| 100%
Quiz_________________?
A school-age child has a 3-month history of dull, aching epigastric pam that worsens with
eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8
mg/dL. What is the next step in management? -
Answer✅
d. Referral for esophagogastroduodenoscopy (EGD)
Quiz_________________?
A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6
mm cylindrical object in the child's stomach. The child is able to swallow without difficulty
and is not experiencing pain. What is the correct course of treatment? -
Answer✅
b. Have the parents watch for the object in the child's stool.
Quiz_________________?
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✅
1
, a. Appendicitis with perforation
Quiz_________________?
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 primary care pediatric nurse practitioner
notes a small amount of bloody, mucous stool in the diaper. What is the most likely
diagnosis? -
Answer✅
a. Intussusception
Quiz_________________?
A 12-month-old infant exhibits poor weight gain after previously normal growth patterns.
There is no history of vomiting, diarrhea, or irregular bowel movements, and the physical
exam is normal. What is the next step in evaluating these findings? -
Answer✅
a. Feeding and stooling history and 3-day diet history
Quiz_________________?
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school-age child with
dysuria and foul-smelling urine but no fever who has not had previous urinary tract
infections. A culture is pending. What will the pediatric nurse practitioner do to treat this
child? -
Answer✅
Prescribe trimethoprim-sulfamethoxazole (TMP) twice daily for 3 to 5 days.
Quiz_________________?
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-6 RBCs per hpf
but otherwise normal. What is the first question the primary care pediatric nurse
practitioner will ask this patient? -
Answer✅
a. "When was your last menstrual period (LMP)?"
2
