s s s s s
IFIED SOLUTIONS 100-
s s
s GUARANTEED PASS (LATEST UPDATE
s s s
Yousaresseeingsas4-
weeksoldsinfantswhosesmothersstatessthatstheschild'ssrightseyesisswetsallsthestimesandsso
metimestheresissthicksmucussonstheslashes.sThereshassbeensnosfeversandsthesbabysissfe
edingswell.sEyesexamsrevealssasnormalsredsreflexsbilaterallyswithsnosevidencesofspurulent
s drainage,sconjunctivalserythema,sorscloudinesssoversthescornea.sYoussuspect:s
a)sadenovirussconjunctivits
b)snasolacrimalsstenosis
c)schlamydialsconjunctivitis
d)scongenitalscataracts-scorrectsanswers✔✔b)snasolacrimalsductsstenosis
As9-month-oldsinfantswhoswassbornsats32-
weekssreachessforsasblockswithsonlysthesleftshand.sThesrightsarmsremainssstillsatsthessides
ofshersbody.sThesPNPswould:
a)srecordsthesesfindingssassnormalsforsasprematuresinfant
b)srefersthesinfantsforsfurthersevaluations
c)sreferstheschildsforsasmusclesbiopsy
d)srecordsthatstheschildswillslikelysbesleft-handeds-scorrectsanswers✔✔
b)srefersthesinfantsforsfurthersevaluation
Duringsas2-month-
oldswellschildsvisitsyousnotesthatsthesredsreflexsinsoneseyesseemsspalersthansinsthesother.s
Whatsissthesmostsappropriatesfollow-upsstepsforsthissobservation?s
a)sassesssandsdocumentsasnormalscornealslightsreflexsinsthatseye
b)spreformsthescover/uncoverstest
c)sre-evaluatesthesredsre-screeningstestsins2sweeks
,d)srefersthesinfantstosaspediatricsophthalmologistsimmediatelys-scorrectsanswers✔✔
d)srefersthesinfantstosaspediatricsophthalmologistsimmediately
Primarysdentitionseruptssbetween:
a)s6-11syears
b)s6-30smonthss
c)s1-5syears
d)s12-24smonthss-scorrectsanswers✔✔b)s6-30smonths
Thesparentsofsas4-year-
oldspointsstosaspicturesandssayss"That'ssyourssister!".sTheschildsrespondssbyssayings"No!s
It'ssmysbaby!".sThississansexamplesofswhichstypesofsthinkingsinspreschool-ageschildren?s
a)sanimism
b)sartificialisms
c)segocentrisms
d)srealisms-scorrectsanswers✔✔d)srealism
ThesprimaryscaresPNPsperformssasdevelopmentalsassessmentsonsas32-month-
oldschild.sTheschild'ssparentsreportssthatsabouts70%sofstheschild'ssspeechsissintelligible.sT
hespediatricsnursespractitionersobservessthatstheschildshassdifficultyspronouncings"t"s"d"s"
k"sands"g".sWhichsactionsisscorrect?s
a)sevaluatestheschild'sscognitivesabilities
b)sobtainsashearingsevaluations
c)sreassuresthesparentsthatsthississnormals
d)sreferstheschildstosasspeechstherapists-scorrectsanswers✔✔
c)sreassuresthesparentsthatsthississnormal
ThesprimaryscaresPNPsissofferingsanticipatorysguidancestosthesparentssofsas12-month-
oldschild.sThesparentssaresbilingualsinsSpanishsandsEnglishsandshavesmanysSpanish-
speakingsrelativessnearby.sTheysaresresistingsexposingstheschildstosSpanishsoutsofsconc
ernsthatstheschildswillsnotslearnsEnglishswell.sWhatswillsthesPNPstellsthesparents?s
,a)schildrenswhoslearnstwoslanguagesssimultaneouslysoftensconfusesthemsinsconversation
s
b)schildrenswithsmulti-languagesproficiencysdosnotsunderstandsthatsothersscannotsdosthiss
c)slearningstwoslanguagessatsansearlysagespreventsschildrensfromsdevelopmentsasdomin
antslanguage
d)smostsbilingualschildrensaresablestosshiftsfromsoneslanguagestosanotherswhensappropria
tes-scorrectsanswers✔✔
d)smostsbilingualschildrensaresablestosshiftsfromsoneslanguagestosanotherswhensappropria
te
Thesparentssofsas3-year-
oldschildsaresconcernssthatstheschildshassbegunsrefusingsusualsfoodssandswantsstoseatsm
ashedspotatoessandschickensstripssatseverysmealsandssnack.sTheschild'ssratesofsweightsh
assslowed,sbutstheschildsremainssatsthessamespercentilesforsweightsonsasgrowthschart.sW
hatswillsthesPNPstellsthesparentsstosdo>s
a)sallowstheschildstoschoosesfoodssforsmealsstosimprovescaloricsintakes
b)splacesasvarietysofsnutritioussfoodssonstheschild'ssplatesatseachsmeals
c)spreparesmaskedspotatoessandschickensstripssforstheschildsatsmealtimes
d)ssuggestscuttingsoutssnacksstosimprovestheschild'ssappetitesatsmealtimess-
scorrectsanswers✔✔
b)splacesasvarietysofsnutritioussfoodssonstheschild'ssplatesatseachsmeal
ThesPC-PNPsissevaluatingsas2-year-
oldswithsasdocumentedsspeechsdelay.sScreeningssstosassesssmotorsskillssandscognitions
aresnormal,sandstheschildspassedsasrecentshearingstest.sWhatswillsthesPNPsdosnext?s
a)saskstheschild'ssparentsswhetherstheysreadstostheschilds
b)sgivesparentsseducationalsmaterialsstosencouragesspeechs
c)sreferstheschildstosandsearlysinterventionsprograms
d)ssuggeststhatstheyspurchasesage-appropriatesmusicsvideoss-scorrectsanswers✔✔
a)saskstheschild'ssparentsswhetherstheysreadstostheschild
, Thesmothersofsas3-year-
oldschildstakesstheschildstosplaysgroupsoncesasweek.sShesexpressedsconcernsthatstheschil
dsplaysswithstoyssbutsdoessnotsinteractswithsthesotherstoddlers.sWhatswillsthesPNPscouns
elsthesmother?
a)stheschildsprobablysissverysshysbutswillsoutgrowsthisstendencyswithsrepeatedsexposurest
osotherschildrens
b)sthestoddlersmayshavesaslanguagesdelaysthatsinterferesswithssocializationswithsotherschi
ldrens
c)stoddlerssmaysbesinterestedsinsotherschildrensbutsusuallysdosnotsengagesinsinteractivesp
lays
d)stoddlerssneedsmoresstructuredsplaystosencouragesinteractionsandssocializationswithsot
herss-scorrectsanswers✔✔
c)stoddlerssmaysbesinterestedsinsotherschildrensbutsusuallysdosnotsengagesinsinteractivesp
lay
WhichsofsthesfollowingssetsofssymptomsswouldsbesmostsconsistentsGABHSsinfection?
a)scough,snasalscongestion,scervicalslymphadenopathy
b)sfever,sHA,stenderscervicalslymphadenopathy
c)scough,sfever,smacularspapularsrashstostrunks
d)ssneezing,srhinorrhea,sexudativestonsilss-scorrectsanswers✔✔
b)sfever,sHA,stenderscervicalslymphadenopathy
Whatsofsthesfollowingsissthesmostsappropriatestreatmentsforsstrepsthroat?s
a)spenicillinsVs250mgsBIDsx5dayssandstylenolsforspainsorsfever
b)sazithromycinsfors5sdayssandsibuprofens
c)spenicillinsVs500mgsbidsfors10sdaysswithstylenolsforspainsandsfever
d)scephalexins500mgsBIDsfors10sdayss-scorrectsanswers✔✔
c)spenicillinsVs500mgsbidsfors10sdaysswithstylenolsforspainsandsfever
Thesredsreflexsissdonesinsthesnewbornstosrulesout:s
a)sretinoblastoma