BURNS PEDRIATIC PRIMARY CARE FINAL
EXAM STUDY GUIDE
The mother of a newborn tells the primary care
pediatric nurse practitioner that she is worried that
her
child will develop allergies and asthma. Which tool
will the nurse practitioner use to evaluate this
risk?
a. Three-generation pedigree
b. Review of systems
c. Genogram
d. Ecomap
ANS: A
The three-generation pedigree is used to map out risks
for genetic diseases in families, as well as
conditions with modifiable risk factors. The review of
systems is used to evaluate the history of the
child's body systems. The genogram is an approach to
developing a family database to provide a graphic
representation of family structure, roles, and problems
of recurring significance in a family. The ecomap
is used to identify relationships in the family and
community that are supportive or harmful.
,The primary care pediatric nurse practitioner
understands that a major child health outcome
associated
with worldwide climate change is :
a. cost of living.
b. education.
c. nutrition.
d. pollution.
ANS: C
There is growing evidence that climate change is having a
dramatic effect on food crops that leads to food
distribution issues and food insecurity among families.
2. The primary care pediatric nurse practitioner
understands that, to achieve the greatest world-wide
reduction in child mortality from pneumonia and
diarrhea, which intervention is most effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification
ANS: C
Rotavirus is the most common cause of diarrhea globally
and Strep pneumonia is the leading cause of
pneumonia, and together these are the leading infectious
causes of childhood morbidity and mortality
,globally. Both are vaccine-preventable diseases.
Antibiotics to treat pneumonia, optimal nutrition, and
clean water all help to reduce morbidity and mortality,
but vaccination prevents the diseases from
occurring.
3. When providing well child care for an infant in the
first year of life, the primary care pediatric nurse
practitioner is adhering to the most recent American
Academy of Pediatrics Recommendations for
Preventive Pediatric Health Care guidelines by :
a. focusing less on development and more on illness
prevention and nutrition.
b. following guidelines established by the Bright
Futures publication.
c. scheduling well-baby visits to coincide with key
developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12 months when
immunizations are due.
ANS: C
In the most recent AAP Recommendations for Preventive
Pediatric Health Care, there is a greater
emphasis on behavioral and developmental issues and a
recommendation that well child care be based on
child and family development rather than the periodicity
of immunization schedules. This will require a
, revision of the current recommendations in Bright
Futures.
4. Which is true about the health status of children in
the United States?
a. Globalism has relatively little impact on child health
measures in the U.S.
b. Obesity rates among 2- to 5-year-olds have shown a
recent significant decrease.
c. The rate of household poverty is lower than in other
economically developed nations.
d. Young children who attend preschool or day care
have higher food insecurity.
ANS: B
Obesity rates are a major concern for child health in the
U.S. but recently have stabilized in the rate of
increase and have declined among 2- to 5-year-olds
between 2004 and 2013. Globalism has an increasing
effect on child health in the U.S. The rate of household
poverty in the U.S. is higher than in other
economically developed nations. Young children who
attend preschool or day care have lower food
insecurity.
5. Which region globally has the highest infant
mortality rate?
a. Indonesia
EXAM STUDY GUIDE
The mother of a newborn tells the primary care
pediatric nurse practitioner that she is worried that
her
child will develop allergies and asthma. Which tool
will the nurse practitioner use to evaluate this
risk?
a. Three-generation pedigree
b. Review of systems
c. Genogram
d. Ecomap
ANS: A
The three-generation pedigree is used to map out risks
for genetic diseases in families, as well as
conditions with modifiable risk factors. The review of
systems is used to evaluate the history of the
child's body systems. The genogram is an approach to
developing a family database to provide a graphic
representation of family structure, roles, and problems
of recurring significance in a family. The ecomap
is used to identify relationships in the family and
community that are supportive or harmful.
,The primary care pediatric nurse practitioner
understands that a major child health outcome
associated
with worldwide climate change is :
a. cost of living.
b. education.
c. nutrition.
d. pollution.
ANS: C
There is growing evidence that climate change is having a
dramatic effect on food crops that leads to food
distribution issues and food insecurity among families.
2. The primary care pediatric nurse practitioner
understands that, to achieve the greatest world-wide
reduction in child mortality from pneumonia and
diarrhea, which intervention is most effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification
ANS: C
Rotavirus is the most common cause of diarrhea globally
and Strep pneumonia is the leading cause of
pneumonia, and together these are the leading infectious
causes of childhood morbidity and mortality
,globally. Both are vaccine-preventable diseases.
Antibiotics to treat pneumonia, optimal nutrition, and
clean water all help to reduce morbidity and mortality,
but vaccination prevents the diseases from
occurring.
3. When providing well child care for an infant in the
first year of life, the primary care pediatric nurse
practitioner is adhering to the most recent American
Academy of Pediatrics Recommendations for
Preventive Pediatric Health Care guidelines by :
a. focusing less on development and more on illness
prevention and nutrition.
b. following guidelines established by the Bright
Futures publication.
c. scheduling well-baby visits to coincide with key
developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12 months when
immunizations are due.
ANS: C
In the most recent AAP Recommendations for Preventive
Pediatric Health Care, there is a greater
emphasis on behavioral and developmental issues and a
recommendation that well child care be based on
child and family development rather than the periodicity
of immunization schedules. This will require a
, revision of the current recommendations in Bright
Futures.
4. Which is true about the health status of children in
the United States?
a. Globalism has relatively little impact on child health
measures in the U.S.
b. Obesity rates among 2- to 5-year-olds have shown a
recent significant decrease.
c. The rate of household poverty is lower than in other
economically developed nations.
d. Young children who attend preschool or day care
have higher food insecurity.
ANS: B
Obesity rates are a major concern for child health in the
U.S. but recently have stabilized in the rate of
increase and have declined among 2- to 5-year-olds
between 2004 and 2013. Globalism has an increasing
effect on child health in the U.S. The rate of household
poverty in the U.S. is higher than in other
economically developed nations. Young children who
attend preschool or day care have lower food
insecurity.
5. Which region globally has the highest infant
mortality rate?
a. Indonesia
