NRNP 6541 week 3 knowledge check Study Guide 2024

A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child's small size? a. Congenital cytomegalovirus infection b. Down syndrome c. Glycogen storage disease type II d. Congenital e. Craniopharyngioma - ANSWERSa. Congenital cytomegalovirus infection You receive a phone call from the mother of a 2-vear-old. She states her child has sleep refusal. You suggest that the child should be able to: a. set his own bedtime based on his internal clock. b. protest when he goes to bed, but the parents should not pick him up or give him any attention c. put himselt to sleep somewhere other than his own bed and the parents should move him to the bed once he is asleep. d. Make multiple requests. but the parents should only respond to every third request. - ANSWERSa. set his own bedtime based on his internal clock. I like to use my pincer grasp that involves the ability to pick up a small object such as a raisin or piece of cereal with the thumb and forefinger, and that is mastered around what age? - ANSWERS9 months I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am: a.2 years old (24months) b.2½ years old (30months) c.3 years old (36months) d.4 years old - ANSWERSb. 2 1/2 years old The first sign of the onset of female puberty is usually: A. Sparsely distributed fine, pale public hair B. Breast buds C. Menarche D. Peak height growth velocity - ANSWERSB. Breast buds A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is. a. 10 hours at night and 1-2 hours during the day b. 10 hours at night and 3-4 hours during the day c. 10 hours at night and 5-6 hours during the day d. 8 hours at night and 4-5 during the day - ANSWERSb. 10 hours at night and 3-4 hours during the day Which of the following screenings should adolescents have done annually? a. Psychosocial screening, blood pressure, body mass index b. Blood pressure, hemoglobin, complete physical exam c. Complete physical exam, psychosocial screening,drug testing d. Psychosocial screening, cholesterol screening, blood pressure - ANSWERSa. Psychosocial screening, blood pressure screening, body mass index Blood pressure should be measured at well-child visits starting at age: a. 2 yo b. 3 yo c. 4 yo d. 5 yo - ANSWERSb. 3 yo Appropriate anticipatory guidance for the parents of an 8-year-old girl includes a. Preparation for an increase in nervous mannerisms and restless activity b. Preparation for pubertal changes c. Information that friends begin to serve as allies against adults d. Information that their daughter will take on idols and heroes - ANSWERSa. Preparation for pubertal changes Which of the following vaccines is routinely recommended at 4 months of age? a.Diphtheria, tetanus, acellular pertussis (DaP) b. Oral polio vaccine (OPV) c. Measles, mumps, rubella (MMR) d. Varicella - ANSWERSa. Diphtheria, tetanus, acellular pertussis (DTaP) You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellula pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR): one varicella vaccine: and two hepatitis B (Her B) vaccines. What do vou order todav? - ANSWERSTetanus and diphtheria toxoid with acellular pertussis (TaP), MMR, hepatitus B and IPV By what age should most children be able to sit well without support? a. 9 months b. 3 months c. 6 months d. 12 months - ANSWERSa. 9 months A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? - ANSWERSconservation You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very easy because he "has an amazing internal clock. He falls asleep, gets hungry, and has bowel movements at the same time every day." This describes which aspect of temperament? - ANSWERSRhythmicity The mother of a 5-year-old informs you that her daughter cheats when playing board games. What is the best response? a. Explain that this is developmentally normal until the child is old enough to understand complex game rules. b. Have the mother explain to her daughter that cheating, like lying, is unacceptable behavior and make her stop playing. c. Tell the mother to spend time clarifying board game rules before starting games. d. Encourage the parents to use timeouts when cheating occurs. - ANSWERSc. Tell the mother to spend time clarifying board game rules before starting games Most children can independently get dressed by themselves by age: a. 2 b. 3 c. 4