NURS 629 Final Exam V1 | NURS 629 Peds
| Actual Q&A with Rationale (NURS629
Final Exam) | Maryville University
1. Which of the following developmental screening tools are validated and recommended for
use in pediatric primary care? Select all that apply.
A. Ages and Stages Questionnaires (ASQ-3)
B. Parents’ Evaluation of Developmental Status (PEDS)
C. Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)
D. Survey of Well-being of Young Children (SWYC)
E. PHQ-2
F. CRAFFT
Correct Answer: A, B, C, D
The ASQ-3 and PEDS are general developmental screening tools used to identify children
at risk for delays. The M-CHAT-R is specifically designed to screen for autism spectrum
disorders at the 18 and 24-month well-child visits. Use of standardized, validated tools like
the SWYC is mandated by the AAP to ensure that developmental concerns are caught
earlier than clinical observation alone.
,2. A 10-year-old child presents with symptoms of intermittent asthma. Which of the following
best describes the frequency of daytime symptoms for this classification?
A. Symptoms occur more than 2 days per week but not daily.
B. Symptoms occur 2 days per week or less.
C. Symptoms occur daily.
D. Symptoms occur throughout the day.
Correct Answer: B
Intermittent asthma is characterized by daytime symptoms occurring two or fewer days
per week. This classification also includes nighttime awakenings twice a month or less and
no interference with normal activity. Recognizing these thresholds is essential for
determining if a patient requires a daily controller medication versus a rescue inhaler only.
3. When assessing for developmental dysplasia of the hip (DDH) in a 2-month-old infant,
which maneuver is performed by adducting the hip while applying downward pressure to see
if the femoral head dislocates?
A. Barlow maneuver
B. Ortolani maneuver
C. Galeazzi sign
D. Trendelenburg test
Correct Answer: A
, The Barlow maneuver is a provocative test used to detect an unstable hip by attempting to
dislocate the femoral head from the acetabulum. In contrast, the Ortolani maneuver is a
reduction maneuver used to relocate a previously dislocated hip. These assessments are
critical during every well-child visit until the child is walking independently.
4. A 15-month-old child is brought in for a well-visit. The mother is concerned because the
child drinks about 40 ounces of cow’s milk per day. Which laboratory finding would be most
expected?
A. Low hemoglobin and low MCV
B. High serum ferritin
C. Elevated mean corpuscular volume (MCV)
D. Elevated reticulocyte count
Correct Answer: A
Excessive intake of cow’s milk in toddlers is a leading cause of iron deficiency anemia due
to the low iron content of milk and its tendency to cause occult intestinal bleeding. This
typically results in a microcytic, hypochromic anemia characterized by low hemoglobin and
low MCV. Providers should counsel parents to limit milk intake to no more than 16-24
ounces per day in this age group.
5. In the diagnosis of ADHD according to the DSM-5, which of the following is a requirement
for a child under age 17?
A. Symptoms must be present in at least one setting.
| Actual Q&A with Rationale (NURS629
Final Exam) | Maryville University
1. Which of the following developmental screening tools are validated and recommended for
use in pediatric primary care? Select all that apply.
A. Ages and Stages Questionnaires (ASQ-3)
B. Parents’ Evaluation of Developmental Status (PEDS)
C. Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)
D. Survey of Well-being of Young Children (SWYC)
E. PHQ-2
F. CRAFFT
Correct Answer: A, B, C, D
The ASQ-3 and PEDS are general developmental screening tools used to identify children
at risk for delays. The M-CHAT-R is specifically designed to screen for autism spectrum
disorders at the 18 and 24-month well-child visits. Use of standardized, validated tools like
the SWYC is mandated by the AAP to ensure that developmental concerns are caught
earlier than clinical observation alone.
,2. A 10-year-old child presents with symptoms of intermittent asthma. Which of the following
best describes the frequency of daytime symptoms for this classification?
A. Symptoms occur more than 2 days per week but not daily.
B. Symptoms occur 2 days per week or less.
C. Symptoms occur daily.
D. Symptoms occur throughout the day.
Correct Answer: B
Intermittent asthma is characterized by daytime symptoms occurring two or fewer days
per week. This classification also includes nighttime awakenings twice a month or less and
no interference with normal activity. Recognizing these thresholds is essential for
determining if a patient requires a daily controller medication versus a rescue inhaler only.
3. When assessing for developmental dysplasia of the hip (DDH) in a 2-month-old infant,
which maneuver is performed by adducting the hip while applying downward pressure to see
if the femoral head dislocates?
A. Barlow maneuver
B. Ortolani maneuver
C. Galeazzi sign
D. Trendelenburg test
Correct Answer: A
, The Barlow maneuver is a provocative test used to detect an unstable hip by attempting to
dislocate the femoral head from the acetabulum. In contrast, the Ortolani maneuver is a
reduction maneuver used to relocate a previously dislocated hip. These assessments are
critical during every well-child visit until the child is walking independently.
4. A 15-month-old child is brought in for a well-visit. The mother is concerned because the
child drinks about 40 ounces of cow’s milk per day. Which laboratory finding would be most
expected?
A. Low hemoglobin and low MCV
B. High serum ferritin
C. Elevated mean corpuscular volume (MCV)
D. Elevated reticulocyte count
Correct Answer: A
Excessive intake of cow’s milk in toddlers is a leading cause of iron deficiency anemia due
to the low iron content of milk and its tendency to cause occult intestinal bleeding. This
typically results in a microcytic, hypochromic anemia characterized by low hemoglobin and
low MCV. Providers should counsel parents to limit milk intake to no more than 16-24
ounces per day in this age group.
5. In the diagnosis of ADHD according to the DSM-5, which of the following is a requirement
for a child under age 17?
A. Symptoms must be present in at least one setting.
