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Exam (elaborations)

Pals Exam 2025 1 / 3

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PALS EXAM 2025 1 / 3 1. Which of the following situation may An extremity with slow capillary refill time. IO access be used? 2. A 2 week old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement bes

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APEA ~ Pediatrics
2025
Dusky cyanotic when crying
Which of the following symptoms would
necessitate the need for further evalua-
Remember: this shows poor cardiovas-
tion in the newborn?
cular adaptation to extrauterine life
After attempting to elicit the Moro reflex
in a newborn, the nurse practitioner iden-
examine the clavicle
tifies absence of movement in the left
arm. The next assessment would be to:
16-20
When assessing a preschooler's mouth,
Remember: first 20 deciduous teeth
the number of deciduous teeth seen
emerge btwn 6 months - 5 yrs.
should be:
Permanent teeth erupt around 6 yrs.
All 32 permanent by adolescence
Which of the following substances is
found in the urine of a child suspected
Blood and protein
of having post streptococcal glomeru-
lonephritis?
A six-year-old has a history of diabetes
mellitus type I and is now experiencing
cellulitis of the right lower leg. The child
Ketoacidosis
presents with deep, rapid, and unlabored
respirations, fruity odor, and dry skin.
These are symptoms of:
A six-year-old male complains of ankle
pain and difficulty walking, but denies osteomyelitis
any recent injuries. Findings reveal an-
kle tenderness, decreased mobility and Remember: it is an acute or chronic in-
range of motion. The patients tempera- fection of the bone usually caused by
ture of 102 degrees F. These findings are staphylococcus.
consistent with:
When assessing the heart rate of a
Apical pulse between the 3rd and 4th
healthy 13-month-old child, which one of
intercostal space in the left midclavicular
the following sites is the most appropri-
line
ate for this child?
In renal adaptation of the newborn,
which one of the following statements is

correct?

, APEA ~ Pediatrics
Study online at https://quizlet.com/_g3idtf
The kidneys have an inability to concen-
trate urine and adapt to fluid and elec-
trolyte stress

Remember: neonates kidneys are struc-
turally complete by physiologically imma-
ture.
uncontrollable cerebral edema and hy-
poxia
Symptoms indicative of Shaken Baby
Syndrome are related to: Remember: this leads to blindness, in-
ability to perform previously learned mile-
stones, and very flaccid muscle tone.
Limitation of abduction of the affected
extremity, shortening of the femur and
When assessing a 3-month-old for de- positive Ortolani's sign
velopment dysplasia of the hips (DDH),
which one of the following symptoms Remember: Ortolani's sign is when the
would be suspicious of dysplasia? hip clicks when maneuvered. DDH also
presents with asymmetry of the gluteal
folds.
During assessment of a 3-month-old
boy, an incomplete descent of the left testicles should descend by 6 months of
testicle into the scrotum is noted. The age
practitioner understands that:
Presence of a heart murmur in a child was a 2-year-old with a congenital heart
would be considered organic if the child: defect
The most common cause of viral en-
Herpes simplex virus Type I
cephalitis in children is:
24 pounds
An infant weighted 8 pounds at birth.
According to the principles of normal
Remember: that infants double their birth
growth and development, how much
weight at 6 months and triple their birth
should he weigh at 12 months of age?
weight at one year.

volume and pressure overload resulting
in decreased cardiac output

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