WGU D119 Pediatric Primary Care Questions With
Complete Solutions
1 day old bilirubin 14, direct 0.5? Correct Answer Pathologic
Jaundice (>12, direct >2, day of life 1, fast rate of rise >5/day).
Next best test is a Coombs test (+ means Rh or ABO
incompatibility; - indicated maternal fetal transfusion, twin/twin
trasfusion, IDM, spherocytosis
1 week old baby with cyanosis when feeding but pinks up when
crying? Correct Answer Choanal Atresia - Restricted nasal
passages (choana). Associated with CHARGE syndrome
(Coloboma, Heart defects, Atresia choanal, Growth retardation,
Ear anomalies)
14 day old, bilirubin 12, direct 0.5. Has regained birth weight.
Correct Answer Breast Milk Jaundice (milk contains
glucuronidase and de-conjugates bilirubin)
3 day old with bilirubin 10, direct 0.5, eating/pooping well?
Correct Answer Physiologic Jaundice - gone by 5th day of life
(immature liver) bilirubin usually doesn't go above 15
5 causes of direct hyperbilirubinemia Correct Answer r/o
SEPSIS, galactosemia, hypothyroidism, choledochal cyst, cystic
fibrosis
5 minute APGAR score is an indication of:
a. how the newborn tolerated labor
b. how the mother tolerated labor
c. how successful resuscitation efforts were
, d. how the newborn will do over the next 24 hours
e. how the newborn will do over the next 28 days Correct
Answer c. Identifies how successful resuscitation efforts were
7 day old with dark urine, pale stool. Bilirubin 12, direct 8,
LFT's elevated: Correct Answer Biliary Atresia - can't drain
bile, leads to liver failure, requires surgical intervention
7 day old, bilirubin 12, direct 0.5, dry mucous membranes, not
gaining weight? Correct Answer Breastfeeding Jaundice (or
lack of breastfeeding). Baby is dehydrated, can be latching
problems or not feeding long or often enough.
Age infant can go 6-12 hours without feeding Correct Answer
6 Months
Age that infant:
-rolls from supine to prone
-steadily sits for up to 10 minutes
-walks holding 1 hand Correct Answer 4-6 months
9 months
12 months
APGAR Correct Answer Appearance (all pink, pink and blue,
blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Complete Solutions
1 day old bilirubin 14, direct 0.5? Correct Answer Pathologic
Jaundice (>12, direct >2, day of life 1, fast rate of rise >5/day).
Next best test is a Coombs test (+ means Rh or ABO
incompatibility; - indicated maternal fetal transfusion, twin/twin
trasfusion, IDM, spherocytosis
1 week old baby with cyanosis when feeding but pinks up when
crying? Correct Answer Choanal Atresia - Restricted nasal
passages (choana). Associated with CHARGE syndrome
(Coloboma, Heart defects, Atresia choanal, Growth retardation,
Ear anomalies)
14 day old, bilirubin 12, direct 0.5. Has regained birth weight.
Correct Answer Breast Milk Jaundice (milk contains
glucuronidase and de-conjugates bilirubin)
3 day old with bilirubin 10, direct 0.5, eating/pooping well?
Correct Answer Physiologic Jaundice - gone by 5th day of life
(immature liver) bilirubin usually doesn't go above 15
5 causes of direct hyperbilirubinemia Correct Answer r/o
SEPSIS, galactosemia, hypothyroidism, choledochal cyst, cystic
fibrosis
5 minute APGAR score is an indication of:
a. how the newborn tolerated labor
b. how the mother tolerated labor
c. how successful resuscitation efforts were
, d. how the newborn will do over the next 24 hours
e. how the newborn will do over the next 28 days Correct
Answer c. Identifies how successful resuscitation efforts were
7 day old with dark urine, pale stool. Bilirubin 12, direct 8,
LFT's elevated: Correct Answer Biliary Atresia - can't drain
bile, leads to liver failure, requires surgical intervention
7 day old, bilirubin 12, direct 0.5, dry mucous membranes, not
gaining weight? Correct Answer Breastfeeding Jaundice (or
lack of breastfeeding). Baby is dehydrated, can be latching
problems or not feeding long or often enough.
Age infant can go 6-12 hours without feeding Correct Answer
6 Months
Age that infant:
-rolls from supine to prone
-steadily sits for up to 10 minutes
-walks holding 1 hand Correct Answer 4-6 months
9 months
12 months
APGAR Correct Answer Appearance (all pink, pink and blue,
blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
