CMN 571 MODULE 2 QUESTIONS & ANSWERS
Middle childhood is considered what age group? - Answer -Answer: 7-10yr old
Early childhood is considered what age group? - Answer -Answer: 5-7 years
What ages have BP and height, weight and BMI collected at annual visits? - Answer -
Answer: Ages 5-21yr (BP 1st begins @ 3 yr. old annually)
During the physical exam of a 5-6-year-old patient, the FNP will assess/observe and
perform what universal screening(s)? - Answer -Answer: US (hearing, vision);
assess/observe for ocular motility, malocclusion, fine/gross motor skills, gait
During the physical exam of a 7-year-old, the FNP will perform what universal
screening? - Answer -Answer: None ("lucky number 7")
During the physical exam of a 7-8-year-old patient, the FNP will assess/observe? -
Answer -Answer: malocclusion, SMR (1st time this happens), hip/knee/ankle function,
gait
During the physical exam of an 8-year-old patient, the FNP will conduct what universal
screening? - Answer -Answer: hearing, vision
During the physical exam of a 9-10-year old, the FNP will assess/observe? - Answer -
Answer: signs of self-injury, SMR, examine back (anticipatory guidance requires you to
inquire about concerns with weight, often the period of time when eating disorders can
begin)
What ages will have a lipid screening performed? - Answer -Answer: once, 9-11 yr. visit
and once, 17-21yr visit (lipid profile)
What universal screenings will be conducted during the 10yr old visit? - Answer -
Answer: hearing, vision
What screening should begin at 12 years old? - Answer -Answer: Depression screening
During the physical exam of a 11-21yrs old patient, the FNP will assess/observe? -
Answer -Answer: acne, acanthosis nigricans (skin condition that causes areas of dark in
the armpits, neck, groin - sign of obesity or type 2 DM), atypical nevi (noncancerous
moles; people who have them are @ increased risk of developing melanoma),
piercings, signs of abuse and self-injury
11-14yr is classified as what stage of adolescence? - Answer -Answer: Early
15-17yr is classified as what stage of adolescence? - Answer -Answer: Middle
,18-21yr is classified as what stage of adolescence? - Answer -Answer: Late
During the physical exam of a 11-17yrs old patient, the FNP will examine/perform? -
Answer -Answer: examine back/spine; assess breasts / SMR (females); assess
gynecomastia, SMR, testicular hydrocele, hernias, varicocele, masses (males)
During the physical exam of an 18-21yrs old patient, the FNP will examine/perform
specific to females/males? - Answer -Answer: perform pelvic exam / pap smear @ 21yr
(females); assess gynecomastia, SMR, testicular hydrocele, hernias, varicocele,
masses (males)
Beginning at the 15-yr. visit, what should the FNP begin screening for? - Answer -
Answer: tobacco, alcohol, drug use
What screening should be performed once between 15-18 yr. visits? - Answer -Answer:
HIV screening
TO SIMPLIFY à **hearing vision: 5yr; 6yr; 8yr; 10 yr. visits; once @ 11-14 visit, 15-17
visit, and 18-21 yr. visit) - Answer -• SMR: begins @ 7-8yr visit • Signs of self-injury: 9-
10 yr. • Breast inspect/testes inspect: begins 11yr • Lipid: 9-11yr & 17-21 yr. •
Depression: begins @ 12 • Tobacco/drugs: begins @15 • HIV test: once between 15-
18yr • Pap smear: 21 yr.
When conducting anticipatory guidance, what age do you begin addressing both the
adolescents and parental concerns simultaneously? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you begin addressing bullying? -
Answer -Answer: 5 years old, until 14 years old
When conducting anticipatory guidance, what age do you begin addressing
safeguarding info from online, talk about worries, inquire about activities most liked in
school? - Answer -Answer: 7 years old
When conducting anticipatory guidance, what age do you instruct to consume milk 2-
3x/day? - Answer -Answer: 5-6 years old
When conducting anticipatory guidance, what age do you instruct to consume milk
3x/day? - Answer -Answer: 7-8 years old
When conducting anticipatory guidance, what age do you discuss making and keeping
friends? - Answer -Answer: 9-10 years old
When conducting anticipatory guidance, what age do you discuss making and keeping
friends, inquire about what friends like to do together, and reinforce values? - Answer -
Answer: 9-10 years old
, When conducting anticipatory guidance, what age do you discuss weight? - Answer -
Answer: 9-10 years old
When conducting anticipatory guidance, what age do you discuss switching from
booster seat to seat belt in back seat of car? - Answer -Answer: 9-10 years old
When conducting anticipatory guidance, what age do you discuss managing conflict
non-violently? - Answer -Answer: 11 years old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss dating / sexual
situations, NO means NO? - Answer -Answer: 11 years old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss spending time
with family and taking responsibility for your schoolwork? - Answer -Answer: 11 years
old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss being physically
active at least 60min per day? - Answer -Answer: 11 years old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss pregnancy and
STI protection? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you 1st discuss
ETOH/drugs/vaping? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you 1st discuss refraining from
riding in car with someone under the influence? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you 1st discuss refraining from
texting and driving? - Answer -Answer: 15 years old
When conducting anticipatory guidance, what age do you begin addressing the
adolescents concerns only? - Answer -Answer: 18 years old
When conducting anticipatory guidance, what age do you 1st discuss SNAP programs?
- Answer -Answer: 18 years old
When conducting anticipatory guidance, what age do you 1st discuss eating foods rich
in folate and avoid ETOH/drugs if considering pregnancy? - Answer -Answer: 18 years
old
DEVELOPMENTAL MILESTONES (Ages 5-10yr) Age 5: we have the kindergartner. this
boy is ready to relate to peers, brain is ___% of its adult weight, Able to complete
pencil/paper tasks better; cognitive: _________ stage (focuses on 1 variable in problem
at a time); Activities: catch a ball, skips, copies a ___, tells age, understands concept of
_, knows __ from __ hand, draws recognizable person with _ details; per the parent:
Middle childhood is considered what age group? - Answer -Answer: 7-10yr old
Early childhood is considered what age group? - Answer -Answer: 5-7 years
What ages have BP and height, weight and BMI collected at annual visits? - Answer -
Answer: Ages 5-21yr (BP 1st begins @ 3 yr. old annually)
During the physical exam of a 5-6-year-old patient, the FNP will assess/observe and
perform what universal screening(s)? - Answer -Answer: US (hearing, vision);
assess/observe for ocular motility, malocclusion, fine/gross motor skills, gait
During the physical exam of a 7-year-old, the FNP will perform what universal
screening? - Answer -Answer: None ("lucky number 7")
During the physical exam of a 7-8-year-old patient, the FNP will assess/observe? -
Answer -Answer: malocclusion, SMR (1st time this happens), hip/knee/ankle function,
gait
During the physical exam of an 8-year-old patient, the FNP will conduct what universal
screening? - Answer -Answer: hearing, vision
During the physical exam of a 9-10-year old, the FNP will assess/observe? - Answer -
Answer: signs of self-injury, SMR, examine back (anticipatory guidance requires you to
inquire about concerns with weight, often the period of time when eating disorders can
begin)
What ages will have a lipid screening performed? - Answer -Answer: once, 9-11 yr. visit
and once, 17-21yr visit (lipid profile)
What universal screenings will be conducted during the 10yr old visit? - Answer -
Answer: hearing, vision
What screening should begin at 12 years old? - Answer -Answer: Depression screening
During the physical exam of a 11-21yrs old patient, the FNP will assess/observe? -
Answer -Answer: acne, acanthosis nigricans (skin condition that causes areas of dark in
the armpits, neck, groin - sign of obesity or type 2 DM), atypical nevi (noncancerous
moles; people who have them are @ increased risk of developing melanoma),
piercings, signs of abuse and self-injury
11-14yr is classified as what stage of adolescence? - Answer -Answer: Early
15-17yr is classified as what stage of adolescence? - Answer -Answer: Middle
,18-21yr is classified as what stage of adolescence? - Answer -Answer: Late
During the physical exam of a 11-17yrs old patient, the FNP will examine/perform? -
Answer -Answer: examine back/spine; assess breasts / SMR (females); assess
gynecomastia, SMR, testicular hydrocele, hernias, varicocele, masses (males)
During the physical exam of an 18-21yrs old patient, the FNP will examine/perform
specific to females/males? - Answer -Answer: perform pelvic exam / pap smear @ 21yr
(females); assess gynecomastia, SMR, testicular hydrocele, hernias, varicocele,
masses (males)
Beginning at the 15-yr. visit, what should the FNP begin screening for? - Answer -
Answer: tobacco, alcohol, drug use
What screening should be performed once between 15-18 yr. visits? - Answer -Answer:
HIV screening
TO SIMPLIFY à **hearing vision: 5yr; 6yr; 8yr; 10 yr. visits; once @ 11-14 visit, 15-17
visit, and 18-21 yr. visit) - Answer -• SMR: begins @ 7-8yr visit • Signs of self-injury: 9-
10 yr. • Breast inspect/testes inspect: begins 11yr • Lipid: 9-11yr & 17-21 yr. •
Depression: begins @ 12 • Tobacco/drugs: begins @15 • HIV test: once between 15-
18yr • Pap smear: 21 yr.
When conducting anticipatory guidance, what age do you begin addressing both the
adolescents and parental concerns simultaneously? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you begin addressing bullying? -
Answer -Answer: 5 years old, until 14 years old
When conducting anticipatory guidance, what age do you begin addressing
safeguarding info from online, talk about worries, inquire about activities most liked in
school? - Answer -Answer: 7 years old
When conducting anticipatory guidance, what age do you instruct to consume milk 2-
3x/day? - Answer -Answer: 5-6 years old
When conducting anticipatory guidance, what age do you instruct to consume milk
3x/day? - Answer -Answer: 7-8 years old
When conducting anticipatory guidance, what age do you discuss making and keeping
friends? - Answer -Answer: 9-10 years old
When conducting anticipatory guidance, what age do you discuss making and keeping
friends, inquire about what friends like to do together, and reinforce values? - Answer -
Answer: 9-10 years old
, When conducting anticipatory guidance, what age do you discuss weight? - Answer -
Answer: 9-10 years old
When conducting anticipatory guidance, what age do you discuss switching from
booster seat to seat belt in back seat of car? - Answer -Answer: 9-10 years old
When conducting anticipatory guidance, what age do you discuss managing conflict
non-violently? - Answer -Answer: 11 years old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss dating / sexual
situations, NO means NO? - Answer -Answer: 11 years old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss spending time
with family and taking responsibility for your schoolwork? - Answer -Answer: 11 years
old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss being physically
active at least 60min per day? - Answer -Answer: 11 years old, until 21 years old
When conducting anticipatory guidance, what age do you 1st discuss pregnancy and
STI protection? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you 1st discuss
ETOH/drugs/vaping? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you 1st discuss refraining from
riding in car with someone under the influence? - Answer -Answer: 11 years old
When conducting anticipatory guidance, what age do you 1st discuss refraining from
texting and driving? - Answer -Answer: 15 years old
When conducting anticipatory guidance, what age do you begin addressing the
adolescents concerns only? - Answer -Answer: 18 years old
When conducting anticipatory guidance, what age do you 1st discuss SNAP programs?
- Answer -Answer: 18 years old
When conducting anticipatory guidance, what age do you 1st discuss eating foods rich
in folate and avoid ETOH/drugs if considering pregnancy? - Answer -Answer: 18 years
old
DEVELOPMENTAL MILESTONES (Ages 5-10yr) Age 5: we have the kindergartner. this
boy is ready to relate to peers, brain is ___% of its adult weight, Able to complete
pencil/paper tasks better; cognitive: _________ stage (focuses on 1 variable in problem
at a time); Activities: catch a ball, skips, copies a ___, tells age, understands concept of
_, knows __ from __ hand, draws recognizable person with _ details; per the parent:
