Burns' Pediatric Primary Care (7th ed)
ch 11 Developmental Management of
Early Childhood Questions with
Verified Answers
The primary care pediatric nurse practitioner is evaluating a 2-year old with a
documented speech delay. Screenings to assess motor skills and cognition are normal,
and the child passed a recent hearing test. What will the pediatric nurse practitioner do
next?
a. Ask the child's parents whether they read to the child
b. Give parents educational materials to encourage speech
c. Refer the child to an early intervention program
d. Suggest that they purchase age appropriate music videos - ANSWERSA. Ask the
child's parents whether they read to the child
The primary care pediatric nurse practitioner performs a developmental assessment on
a 32-month old child. The child's parent reports that about 70% of the child's speech is
intelligible. the pediatric nurse practitioner observes that the child has difficulty
pronouncing "t," "d,""k," and "g" sounds. Which action is correct?
a. Evaluate the child's cognitive abilities
b. Obtain a hearing evaluation
c. Reassure the parent that this is normal
d. Refer the child to a speech therapist - ANSWERSC. Reassure the parent that this is
normal
During a well child assessment of an 18-month old child, the primary care pediatric
nurse practitioner observes the child point to a picture of a dog and say, "Want puppy!"
The nurse practitioner recognizes this as an example of:
a. Holophrastic speech
b. Receptive speech
c. Semantic speech
d. Telegraphic speech - ANSWERSD. Telegraphic speech
The primary care pediatric nurse practitioner is offering anticipatory guidance to the
parents of a 12-month old child. The parents are bilingual in Spanish and English and
have many Spanish speaking relative nearby. They are resisting exposing the child to
Spanish out of concern that the child will not learn English well. What will the pediatric
nurse practitioner tell the parents?
a. Children who learn two languages simultaneously often confuse them in conversation
b. Children with multi-language proficiency do not understand that others cannot do this
ch 11 Developmental Management of
Early Childhood Questions with
Verified Answers
The primary care pediatric nurse practitioner is evaluating a 2-year old with a
documented speech delay. Screenings to assess motor skills and cognition are normal,
and the child passed a recent hearing test. What will the pediatric nurse practitioner do
next?
a. Ask the child's parents whether they read to the child
b. Give parents educational materials to encourage speech
c. Refer the child to an early intervention program
d. Suggest that they purchase age appropriate music videos - ANSWERSA. Ask the
child's parents whether they read to the child
The primary care pediatric nurse practitioner performs a developmental assessment on
a 32-month old child. The child's parent reports that about 70% of the child's speech is
intelligible. the pediatric nurse practitioner observes that the child has difficulty
pronouncing "t," "d,""k," and "g" sounds. Which action is correct?
a. Evaluate the child's cognitive abilities
b. Obtain a hearing evaluation
c. Reassure the parent that this is normal
d. Refer the child to a speech therapist - ANSWERSC. Reassure the parent that this is
normal
During a well child assessment of an 18-month old child, the primary care pediatric
nurse practitioner observes the child point to a picture of a dog and say, "Want puppy!"
The nurse practitioner recognizes this as an example of:
a. Holophrastic speech
b. Receptive speech
c. Semantic speech
d. Telegraphic speech - ANSWERSD. Telegraphic speech
The primary care pediatric nurse practitioner is offering anticipatory guidance to the
parents of a 12-month old child. The parents are bilingual in Spanish and English and
have many Spanish speaking relative nearby. They are resisting exposing the child to
Spanish out of concern that the child will not learn English well. What will the pediatric
nurse practitioner tell the parents?
a. Children who learn two languages simultaneously often confuse them in conversation
b. Children with multi-language proficiency do not understand that others cannot do this
