NRNP 6541 PRIMARY CARE OF
ADOLESCENTS AND CHILDREN
MIDTERM EXAM WITH ALL
ANSWERS CORRECT
A 2-day-old newborn with conjunctivitis is likely due to
Chemical irritation from eye drops
You see a 13-year-old who reports she is learning some basic geometry
(areas, volume etc.). The ability to successfully master these concepts
occurs during which Piaget developmental stage?
Formal operational
A mother brings her 4-week-old infant into the office because she noticed
small yellow-white glistening bumps on her infant's gums. She says
they look like teeth but is concerned that they may be cancer. You diagnose
these bumps as
Epstein's pearls
Fluorescein staining of the eye is used to detect a Selected Answer
Corneal abrasion
,A new mom calls the NP on postpartum day 5. She reports her newborn
wants to nurse for 30 minutes every 1-1/2 to 2 hours. Which of these is the
best response?
"This is a very healthy breastfeeding pattern. Be sure to rest when you can.
You are doing a great job."
Tammy, age 3, is at the office for her well-child visit. She has trouble
removing her own shirt as requested. Her mother yanks off her shirt after
smacking her wrist and saying, "you must do as you're told quickly." Which
action is indicated?
Observe Tammy for signs of child abuse.
Which of the following injuries is most likely to be caused by the abuse of a
toddler?
A displaced posterior rib fracture
Hannah, age 4, is brought into the office by her father. She complains of a
sore throat, difficulty swallowing, copious oral secretions, stridor, and a
temperature of 102F. She does not have pharyngeal erythema or cough.
What do you suspect?
Epiglottitis
Miguel, age 14, was hit in the eye with a baseball and developed eye pain,
decreased visual acuity, and injection of the globe. Upon exam, you note
blood in the anterior chamber and confirm a diagnosis of hyphema. What
treatment do you recommend while Miguel is waiting to see the
ophthalmologist
, Apply bilateral eye patches
Which of the following children has abnormal language development?
Speech is 50% understandable at 36 months of age
The parent of a 2-year-old tells you her daughter recently started having
breath-holding spells. She tells you the older sibling "did the same thing" and
asks you for help. You advise her that after a breath-holding event
Act as if nothing abnormal happened
You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the
right eye. She asks you what that means and you respond
"You can see at 20 feet with your right eye what most people can see at 50
feet."
Head and chest circumferences should be equal at
1 year of age
A common feature of 2-year-old behavior is
Negativism
ADOLESCENTS AND CHILDREN
MIDTERM EXAM WITH ALL
ANSWERS CORRECT
A 2-day-old newborn with conjunctivitis is likely due to
Chemical irritation from eye drops
You see a 13-year-old who reports she is learning some basic geometry
(areas, volume etc.). The ability to successfully master these concepts
occurs during which Piaget developmental stage?
Formal operational
A mother brings her 4-week-old infant into the office because she noticed
small yellow-white glistening bumps on her infant's gums. She says
they look like teeth but is concerned that they may be cancer. You diagnose
these bumps as
Epstein's pearls
Fluorescein staining of the eye is used to detect a Selected Answer
Corneal abrasion
,A new mom calls the NP on postpartum day 5. She reports her newborn
wants to nurse for 30 minutes every 1-1/2 to 2 hours. Which of these is the
best response?
"This is a very healthy breastfeeding pattern. Be sure to rest when you can.
You are doing a great job."
Tammy, age 3, is at the office for her well-child visit. She has trouble
removing her own shirt as requested. Her mother yanks off her shirt after
smacking her wrist and saying, "you must do as you're told quickly." Which
action is indicated?
Observe Tammy for signs of child abuse.
Which of the following injuries is most likely to be caused by the abuse of a
toddler?
A displaced posterior rib fracture
Hannah, age 4, is brought into the office by her father. She complains of a
sore throat, difficulty swallowing, copious oral secretions, stridor, and a
temperature of 102F. She does not have pharyngeal erythema or cough.
What do you suspect?
Epiglottitis
Miguel, age 14, was hit in the eye with a baseball and developed eye pain,
decreased visual acuity, and injection of the globe. Upon exam, you note
blood in the anterior chamber and confirm a diagnosis of hyphema. What
treatment do you recommend while Miguel is waiting to see the
ophthalmologist
, Apply bilateral eye patches
Which of the following children has abnormal language development?
Speech is 50% understandable at 36 months of age
The parent of a 2-year-old tells you her daughter recently started having
breath-holding spells. She tells you the older sibling "did the same thing" and
asks you for help. You advise her that after a breath-holding event
Act as if nothing abnormal happened
You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the
right eye. She asks you what that means and you respond
"You can see at 20 feet with your right eye what most people can see at 50
feet."
Head and chest circumferences should be equal at
1 year of age
A common feature of 2-year-old behavior is
Negativism
