D119 OBJECTIVE ASSESSMENT AND
PRACTICE EXAM NEWEST 2026/2027
TEST BANK| D119 PEDIATRIC
PRIMARY CARE FINAL EXAM PREP
WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
Asnyounbeginnanwell-childnvisitnonnan12-month-
oldninfant,nyounobserventhenchildnpullnhimselfnupnusingnthenchairnfornsupportnandnton"cruise."nYoun
notenthenchildnhasnansteppingngaitninnwhichnthenwholenlegnisnraisednatnthenhipntonensurenadequaten
groundnclearance.
Whatnisnthenappropriatencoursenofnactionnfornyountontake?
A.nSendntheninfantntonthenERnfornimmediatenevaluation.
B.nContinuenthenwellnvisitnbecausenmostninfantsnoutgrownthisngaitnpattern.
C.nPerformnancomprehensivenhistorynandnphysical,nwithnspecialnattentionntonmusculoskeletalnandn
neurologicnsystems.
D.nReferntheninfantntonanpediatricnorthopedist.n-
nCORRECTnANSWERnC.nWhennevaluatingnannabnormalngaitnpattern,nyounshouldnfirstnperformnanco
mprehensivenhistorynandnphysicalnwithnspecialnattentionntonmusculoskeletalnandnneurologicnsyste
ms.nAnsteppingngaitnmaynbenansymptomnofnperipheralnneuropathies,nspinanbifida,nornpolio.
Itnisnimportantnfornyountonassessnanfamily'snbeliefsnonninfantnsleepingnhabits.nDoingnsonwillnhelpnens
urenthenfamilynheedsnyourndirectionnregardingnanpatient'snsleep.nWhatnarensomenfamilies'nerroneo
usnbeliefsnaboutninfantnsleeping?
,A.nUsingnanfamilynbed
B.nUsingnannewncrib
C.nProvidingnansafensleepnenvironment
D.nPlacingnchildrennonntheirnbackntonsleepn-
nCORRECTnANSWERnD.nInnsomencultures,nanfamilynbednisnthennorm.nEnsurenparentsnunderstandnth
enimportancenofninfantsnsleepingninntheirnownnbedsntonhelpnpreventninjurynandndeathnfromnparent
snrollingnontonornsmotheringnthenchildnduringnsleep.nProvidingnansafenareanfornchildrenntonsleepnan
dnavoidingnanfamilynbednentirelynimprovesnsleepingnsafetynfornchildren.
Thenparentnofnannewbornninfantnasksnyounwhennthenparentnshouldnintervenentonhelpntheninfant'snf
uturenintellectualngrowth.
Whatnshouldnyountellnthenparent?
A.nIntellectualngrowthnbeginsnwhennspeechndevelops.
B.nLanguagenandnliteracynskillsnbeginnatnbirth.
C.nCognitivenlearningnbeginsnduringnthentoddlernyears.
D.nPreschoolnisnannoptimalntimentonbeginngeneralnlearning.n-
nCORRECTnANSWERnB.nTalkingnto,nreadingnto,nplayingnwith,nandninteractingnwithnanchildnarensomen
ofnthenmostnimportantnthingsnanparentncanndontonenhancenandnstimulatenintellectualngrowth.nIntel
lectualnlearningnbeginsnlongnbeforenpreschool.nWaitingnuntilnpreschoolnmaynproducenandelayninnth
enchild'sndevelopment.nChildrennabsorbninformationnfromnbirth,nandnlearningnoccursnbeforenspeec
h.nIntellectualndevelopmentnbeginsnatnbirthnandnlongnbeforentoddlernyears.
Younarenexaminingnan12-month-
oldninfantnwhonwasnsixnweeksnpremature.nYounobserventhatntheninfantnusesnanrakingnmotionntonpic
knupnsmallnobjects.nThenParents'nEvaluationnofnDevelopmentalnStatusn(PEDS)nquestionnairencompl
etednbynthenparentndidnnotnindicatensignificantndevelopmentalndelays.
Whatnshouldnyoundonfirst?
,A.nPerformnannin-depthndevelopmentalnassessment.
B.nSuggestnactivitiesntonimprovenfinenmotornskills.
C.nReassurenthenparentnthatnthisnisnnormalnfornanprematureninfant.
D.nReferntheninfantntonandevelopmentalnspecialist.n-
nCORRECTnANSWERnD.nTonfullynunderstandnthendevelopmentalnstagenofnyournpatient,nyounmustndo
nanfullnassessment.nThisnmaynornmaynnotnbennormalnbehavior.nYounwillnnotnknownforncertainnwithou
tnanfullnevaluation.nIfnabnormalitiesnarenfoundnduringnthenfullnassessment,nanreferralnwouldnbenapp
ropriate.nAnfullnassessmentnmaynrevealnothernproblemsnornnonenatnall.nIfnnonothernproblemsnarenre
vealed,nyounmaynsuggestnactivitiesntonimprovenfinenmotornskills,nasnappropriate.nAnfullnassessment
,nhowever,nwouldnbenthenfirstnstep.
Duringnannassessmentnofnanfour-week-
oldninfant,nyounlearnnthatnthenbreastfedninfantnnursesneveryntwonhoursnduringnthendaynbutnisnablent
onsleepnfornanfour-
hournperiodnduringnthennight.nTheninfantnhasngainedn20ngramsnperndaynsincenlastnseenninnthenclinic.
Whatnshouldnyounrecommendntonthenparent?
A.nWakentheninfantneveryntwonhoursntonnursenduringnthennight
B.nContinuentonnursentheninfantnusingnthencurrentnpattern
C.nSupplementnwithnformulanatnthenlastnnighttimenfeeding
D.nNursentheninfantnfornlongernperiodsneverynfournhoursn-
nCORRECTnANSWERnB.nInfantsnwhonarenencouragedntonbreastfeedneveryntwontonthreenhoursnmayn
havenonenlongernstretchnofnfournhoursnatnnightnwithoutnanfeeding.nThisninfantnisngainingnbetweenn0
.5nandnonengramnpernday,nwhichnisnappropriate.nItnisnnotnnecessaryntonalternthenpatternnofnnursingn
orntonsupplementnwithnformula.
Thenmothernofnansix-week-
oldnbreastfeedingninfantntellsnyounthatnhernbaby,nwhonpreviouslynhadnbowelnmovementsnwithneac
hnfeeding,nnownhasnanbowelnmovementnonlynonceneverynthirdnday.
Whatnshouldnyountellnher?
, A.nThenbabynshouldnconsumenmorenwater.
B.nThenbabynisnprobablynconstipated.
C.nThisnchangenmaynbenrelatedntonthenbaby'sndietarynintake.
D.nThisnchangenmaynbennormalnfornbreastfednbabies.n-
nCORRECTnANSWERnA.nThenbabynshouldnconsumenmorenwater.
Duringnanwell-childnassessmentnofnann18-month-
oldnchild,nyounobserventhenchildnbecomingnirritablenandnuncooperative.nThenparentntellsnthenchildn
tonstopnfussing.
Whatnshouldnyoundo?
A.nStopnthenexaminationnbecausenthenchildnisnhavingnanmeltdown.
B.nAllownthenparentntonputnthenchildninnantime-out.
C.nAsknthenparentnaboutnusualndisciplinenpractices.
D.nOffernthenchildnanbooknorntoy.n-
nCORRECTnANSWERnC.nChildrennofnthisnagenrequirenfrequentnentertainmentnandninteraction.nItnisn
normalnfornanchildntonbecomenfussynduringnannassessmentnthatnrequiresnthenchildntonremainnstillnfo
rnantime,nandnthisnisnannopportunitynfornparentalneducation.nEducatenthenparentnthatnprovidingneas
yntoysnfornentertainmentnwillnbenmoreneffectiventhanndiscipline.nThenchildnisnnotnmisbehavingnbutn
needsnandiversion.nProvidingnandiversionnthroughntoysnornothernentertainmentnwillnhelpndiffusenth
ensituation.
Younconductnanwell-babynexaminationnonnanneight-month-
oldninfantnandnnotenmildngrossnmotorndelaysnbutnnondelaysninnothernareas.
Whichninitialncoursenofnactionnshouldnyountake?
A.nReferntheninfantntonannearlyninterventionnprogramnfornphysicalntherapy.
B.nConsultnandevelopmentalnspecialistnfornancompletenevaluation.
C.nTeachnthenparentsntonprovidenexercisesntonencouragenmotorndevelopment.
PRACTICE EXAM NEWEST 2026/2027
TEST BANK| D119 PEDIATRIC
PRIMARY CARE FINAL EXAM PREP
WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
Asnyounbeginnanwell-childnvisitnonnan12-month-
oldninfant,nyounobserventhenchildnpullnhimselfnupnusingnthenchairnfornsupportnandnton"cruise."nYoun
notenthenchildnhasnansteppingngaitninnwhichnthenwholenlegnisnraisednatnthenhipntonensurenadequaten
groundnclearance.
Whatnisnthenappropriatencoursenofnactionnfornyountontake?
A.nSendntheninfantntonthenERnfornimmediatenevaluation.
B.nContinuenthenwellnvisitnbecausenmostninfantsnoutgrownthisngaitnpattern.
C.nPerformnancomprehensivenhistorynandnphysical,nwithnspecialnattentionntonmusculoskeletalnandn
neurologicnsystems.
D.nReferntheninfantntonanpediatricnorthopedist.n-
nCORRECTnANSWERnC.nWhennevaluatingnannabnormalngaitnpattern,nyounshouldnfirstnperformnanco
mprehensivenhistorynandnphysicalnwithnspecialnattentionntonmusculoskeletalnandnneurologicnsyste
ms.nAnsteppingngaitnmaynbenansymptomnofnperipheralnneuropathies,nspinanbifida,nornpolio.
Itnisnimportantnfornyountonassessnanfamily'snbeliefsnonninfantnsleepingnhabits.nDoingnsonwillnhelpnens
urenthenfamilynheedsnyourndirectionnregardingnanpatient'snsleep.nWhatnarensomenfamilies'nerroneo
usnbeliefsnaboutninfantnsleeping?
,A.nUsingnanfamilynbed
B.nUsingnannewncrib
C.nProvidingnansafensleepnenvironment
D.nPlacingnchildrennonntheirnbackntonsleepn-
nCORRECTnANSWERnD.nInnsomencultures,nanfamilynbednisnthennorm.nEnsurenparentsnunderstandnth
enimportancenofninfantsnsleepingninntheirnownnbedsntonhelpnpreventninjurynandndeathnfromnparent
snrollingnontonornsmotheringnthenchildnduringnsleep.nProvidingnansafenareanfornchildrenntonsleepnan
dnavoidingnanfamilynbednentirelynimprovesnsleepingnsafetynfornchildren.
Thenparentnofnannewbornninfantnasksnyounwhennthenparentnshouldnintervenentonhelpntheninfant'snf
uturenintellectualngrowth.
Whatnshouldnyountellnthenparent?
A.nIntellectualngrowthnbeginsnwhennspeechndevelops.
B.nLanguagenandnliteracynskillsnbeginnatnbirth.
C.nCognitivenlearningnbeginsnduringnthentoddlernyears.
D.nPreschoolnisnannoptimalntimentonbeginngeneralnlearning.n-
nCORRECTnANSWERnB.nTalkingnto,nreadingnto,nplayingnwith,nandninteractingnwithnanchildnarensomen
ofnthenmostnimportantnthingsnanparentncanndontonenhancenandnstimulatenintellectualngrowth.nIntel
lectualnlearningnbeginsnlongnbeforenpreschool.nWaitingnuntilnpreschoolnmaynproducenandelayninnth
enchild'sndevelopment.nChildrennabsorbninformationnfromnbirth,nandnlearningnoccursnbeforenspeec
h.nIntellectualndevelopmentnbeginsnatnbirthnandnlongnbeforentoddlernyears.
Younarenexaminingnan12-month-
oldninfantnwhonwasnsixnweeksnpremature.nYounobserventhatntheninfantnusesnanrakingnmotionntonpic
knupnsmallnobjects.nThenParents'nEvaluationnofnDevelopmentalnStatusn(PEDS)nquestionnairencompl
etednbynthenparentndidnnotnindicatensignificantndevelopmentalndelays.
Whatnshouldnyoundonfirst?
,A.nPerformnannin-depthndevelopmentalnassessment.
B.nSuggestnactivitiesntonimprovenfinenmotornskills.
C.nReassurenthenparentnthatnthisnisnnormalnfornanprematureninfant.
D.nReferntheninfantntonandevelopmentalnspecialist.n-
nCORRECTnANSWERnD.nTonfullynunderstandnthendevelopmentalnstagenofnyournpatient,nyounmustndo
nanfullnassessment.nThisnmaynornmaynnotnbennormalnbehavior.nYounwillnnotnknownforncertainnwithou
tnanfullnevaluation.nIfnabnormalitiesnarenfoundnduringnthenfullnassessment,nanreferralnwouldnbenapp
ropriate.nAnfullnassessmentnmaynrevealnothernproblemsnornnonenatnall.nIfnnonothernproblemsnarenre
vealed,nyounmaynsuggestnactivitiesntonimprovenfinenmotornskills,nasnappropriate.nAnfullnassessment
,nhowever,nwouldnbenthenfirstnstep.
Duringnannassessmentnofnanfour-week-
oldninfant,nyounlearnnthatnthenbreastfedninfantnnursesneveryntwonhoursnduringnthendaynbutnisnablent
onsleepnfornanfour-
hournperiodnduringnthennight.nTheninfantnhasngainedn20ngramsnperndaynsincenlastnseenninnthenclinic.
Whatnshouldnyounrecommendntonthenparent?
A.nWakentheninfantneveryntwonhoursntonnursenduringnthennight
B.nContinuentonnursentheninfantnusingnthencurrentnpattern
C.nSupplementnwithnformulanatnthenlastnnighttimenfeeding
D.nNursentheninfantnfornlongernperiodsneverynfournhoursn-
nCORRECTnANSWERnB.nInfantsnwhonarenencouragedntonbreastfeedneveryntwontonthreenhoursnmayn
havenonenlongernstretchnofnfournhoursnatnnightnwithoutnanfeeding.nThisninfantnisngainingnbetweenn0
.5nandnonengramnpernday,nwhichnisnappropriate.nItnisnnotnnecessaryntonalternthenpatternnofnnursingn
orntonsupplementnwithnformula.
Thenmothernofnansix-week-
oldnbreastfeedingninfantntellsnyounthatnhernbaby,nwhonpreviouslynhadnbowelnmovementsnwithneac
hnfeeding,nnownhasnanbowelnmovementnonlynonceneverynthirdnday.
Whatnshouldnyountellnher?
, A.nThenbabynshouldnconsumenmorenwater.
B.nThenbabynisnprobablynconstipated.
C.nThisnchangenmaynbenrelatedntonthenbaby'sndietarynintake.
D.nThisnchangenmaynbennormalnfornbreastfednbabies.n-
nCORRECTnANSWERnA.nThenbabynshouldnconsumenmorenwater.
Duringnanwell-childnassessmentnofnann18-month-
oldnchild,nyounobserventhenchildnbecomingnirritablenandnuncooperative.nThenparentntellsnthenchildn
tonstopnfussing.
Whatnshouldnyoundo?
A.nStopnthenexaminationnbecausenthenchildnisnhavingnanmeltdown.
B.nAllownthenparentntonputnthenchildninnantime-out.
C.nAsknthenparentnaboutnusualndisciplinenpractices.
D.nOffernthenchildnanbooknorntoy.n-
nCORRECTnANSWERnC.nChildrennofnthisnagenrequirenfrequentnentertainmentnandninteraction.nItnisn
normalnfornanchildntonbecomenfussynduringnannassessmentnthatnrequiresnthenchildntonremainnstillnfo
rnantime,nandnthisnisnannopportunitynfornparentalneducation.nEducatenthenparentnthatnprovidingneas
yntoysnfornentertainmentnwillnbenmoreneffectiventhanndiscipline.nThenchildnisnnotnmisbehavingnbutn
needsnandiversion.nProvidingnandiversionnthroughntoysnornothernentertainmentnwillnhelpndiffusenth
ensituation.
Younconductnanwell-babynexaminationnonnanneight-month-
oldninfantnandnnotenmildngrossnmotorndelaysnbutnnondelaysninnothernareas.
Whichninitialncoursenofnactionnshouldnyountake?
A.nReferntheninfantntonannearlyninterventionnprogramnfornphysicalntherapy.
B.nConsultnandevelopmentalnspecialistnfornancompletenevaluation.
C.nTeachnthenparentsntonprovidenexercisesntonencouragenmotorndevelopment.
