MN 580 Midterm Exam Actual Exam ( Version) |
Complete Questions and Correct Answers | Graded
A+ | Verified Answers | Brand New Version!
The mother of a 16yearold male was recently divorced after several years of an
abusive relationship and tells the primary care pediatric nurse practitioner that
the adolescent has begun skipping school and hanging out with friends at the
local shopping mall. When she confronts her child, he responds by saying that he
hates her. What will the nurse practitioner tell this mother?
a. Adolescence is marked by an inability to comprehend complex situations
.b. Adolescence is typically marked by tempestuous and transient episodes.
c. Adolescents normally have extreme, disruptive conflicts with parents.
d. Adolescents often need counseling to help them cope with life events -
(ANSWER)d
The primary care pediatric nurse practitioner performs a well baby examination
on a 7-day-old infant who is nursing well, according to the mother. The nurse
practitioner notes that the infant weighed 3250 grams at birth and 2990 grams
when discharged on the second day of life. The infant weighs 3080 grams at this
visit. Which action is correct?
a. Follow up at the 2-month checkup.
b. Refer to a lactation consultant.
c. Schedule a weight check in 1 week.
d. Suggest supplementing with formula. - (ANSWER)C
,This infant lost about 8% of its birth weight, which is normal and, since discharge
home, has gained at least 15 grams per day, which is also normal. The PNP should
schedule a weight check in a week to make sure the infant regains its birth
weight, since most should regain this in 10 to 14 days and since this loss of birth
weight is at the high end of normal. It is not necessary to refer to a lactation
consultant or supplement with formula, since the infant is gaining weight
adequately.
The parent of a newborn infant asks the primary care pediatric nurse practitioner
when to intervene to help the infant's future intellectual growth. What will the
nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning. - (ANSWER)c. Language
and literacy skills begin at birth.
General learning and acquisition of skills for later reading and writing begin at
birth, not in kindergarten or first grade, and these skills grow with everyday loving
interactions between infants and caregivers. Cognitive learning changes during
toddler years but begins at birth. Intellectual growth is not tied to speech alone.
The parent of a 10 yearold boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his
,time with a couple of other boys. The parent is worried about the child's sexual
identity. The nurse practitioner will tell the parent:
A. children at this age who prefer interactions with same gender peers usually
have a homosexual orientation.
B. children experiment with sexuality at this age as a means of deciding later
sexual orientation.
C.this attachment to other same gender children is how the child learns to
interact with others.
D. to encourage mixed gender interactions in order to promote development of
sexual values - (ANSWER)C.this attachment to other same gender children is how
the child learns to interact with others.
The parent of a 2weekold
infant reports that the infant was diagnosed with
transient tachypnea of the newborn shortly after birth. The primary carepediatric
nurse
practitioner understands that, in this condition,
A. antibiotic therapy is generally necessary to prevent severeinfection.
B. home oxygen therapy is needed until the infant grows out of thecondition.
C. recovery is usually complete with minimal intervention and
treatments.
D. treatment with exogenous surfactant and mechanical ventilation isneeded -
(ANSWER)C. recovery is usually complete with minimal intervention and
, treatments
An infant has congenital adrenal hyperplasia. At a routine well baby
checkup, the
primary care pediatric nurse practitioner notes vomiting, poor feeding, lethargy,
and dehydration. Which action is correct?
A Administer an intramuscular stress dose of hydrocortisone succinate.
B Administer intravenous fluids in the clinic and reassess hydration status.
C Prescribe an oral hydrocortisone in a replacement dose of 8 to 10mg/M2.
D Refer the infant to the emergency department for fluids, dextrose,
and steroids. - (ANSWER)D Refer the infant to the emergency department for
fluids, dextrose, and steroids.
The parent of a 4-day-old infant tells the primary care pediatric nurse
practitioner that the infant was diagnosed with hydronephrosis while in utero and
asks what will be done. What will the nurse practitioner tell this parent?
A.Renal function will be abnormal and will require lifetime treatment.
B. Spontaneous resolution often occurs within 6 months to a yearof
age.
C. The affected kidney will be nonfunctionalbut the
other kidney will
compensate.
Complete Questions and Correct Answers | Graded
A+ | Verified Answers | Brand New Version!
The mother of a 16yearold male was recently divorced after several years of an
abusive relationship and tells the primary care pediatric nurse practitioner that
the adolescent has begun skipping school and hanging out with friends at the
local shopping mall. When she confronts her child, he responds by saying that he
hates her. What will the nurse practitioner tell this mother?
a. Adolescence is marked by an inability to comprehend complex situations
.b. Adolescence is typically marked by tempestuous and transient episodes.
c. Adolescents normally have extreme, disruptive conflicts with parents.
d. Adolescents often need counseling to help them cope with life events -
(ANSWER)d
The primary care pediatric nurse practitioner performs a well baby examination
on a 7-day-old infant who is nursing well, according to the mother. The nurse
practitioner notes that the infant weighed 3250 grams at birth and 2990 grams
when discharged on the second day of life. The infant weighs 3080 grams at this
visit. Which action is correct?
a. Follow up at the 2-month checkup.
b. Refer to a lactation consultant.
c. Schedule a weight check in 1 week.
d. Suggest supplementing with formula. - (ANSWER)C
,This infant lost about 8% of its birth weight, which is normal and, since discharge
home, has gained at least 15 grams per day, which is also normal. The PNP should
schedule a weight check in a week to make sure the infant regains its birth
weight, since most should regain this in 10 to 14 days and since this loss of birth
weight is at the high end of normal. It is not necessary to refer to a lactation
consultant or supplement with formula, since the infant is gaining weight
adequately.
The parent of a newborn infant asks the primary care pediatric nurse practitioner
when to intervene to help the infant's future intellectual growth. What will the
nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning. - (ANSWER)c. Language
and literacy skills begin at birth.
General learning and acquisition of skills for later reading and writing begin at
birth, not in kindergarten or first grade, and these skills grow with everyday loving
interactions between infants and caregivers. Cognitive learning changes during
toddler years but begins at birth. Intellectual growth is not tied to speech alone.
The parent of a 10 yearold boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his
,time with a couple of other boys. The parent is worried about the child's sexual
identity. The nurse practitioner will tell the parent:
A. children at this age who prefer interactions with same gender peers usually
have a homosexual orientation.
B. children experiment with sexuality at this age as a means of deciding later
sexual orientation.
C.this attachment to other same gender children is how the child learns to
interact with others.
D. to encourage mixed gender interactions in order to promote development of
sexual values - (ANSWER)C.this attachment to other same gender children is how
the child learns to interact with others.
The parent of a 2weekold
infant reports that the infant was diagnosed with
transient tachypnea of the newborn shortly after birth. The primary carepediatric
nurse
practitioner understands that, in this condition,
A. antibiotic therapy is generally necessary to prevent severeinfection.
B. home oxygen therapy is needed until the infant grows out of thecondition.
C. recovery is usually complete with minimal intervention and
treatments.
D. treatment with exogenous surfactant and mechanical ventilation isneeded -
(ANSWER)C. recovery is usually complete with minimal intervention and
, treatments
An infant has congenital adrenal hyperplasia. At a routine well baby
checkup, the
primary care pediatric nurse practitioner notes vomiting, poor feeding, lethargy,
and dehydration. Which action is correct?
A Administer an intramuscular stress dose of hydrocortisone succinate.
B Administer intravenous fluids in the clinic and reassess hydration status.
C Prescribe an oral hydrocortisone in a replacement dose of 8 to 10mg/M2.
D Refer the infant to the emergency department for fluids, dextrose,
and steroids. - (ANSWER)D Refer the infant to the emergency department for
fluids, dextrose, and steroids.
The parent of a 4-day-old infant tells the primary care pediatric nurse
practitioner that the infant was diagnosed with hydronephrosis while in utero and
asks what will be done. What will the nurse practitioner tell this parent?
A.Renal function will be abnormal and will require lifetime treatment.
B. Spontaneous resolution often occurs within 6 months to a yearof
age.
C. The affected kidney will be nonfunctionalbut the
other kidney will
compensate.
