Pediatrics FNP Board Review (Fitzgerald)
m m m m
Whenmcounselingmambreastfeedingmwomanmaboutmalcoholmusemduringmlactation,myoumrelate
mthat:
A. drinkingmamglassmofmwinemormbeer mwillmenhancemthemlet-downmreflex.
B. becausemofmitsmhighmmolecular mweight,mrelativelymlittlemalcoholmismpassedminto mbreastmmil
k.mC.mmaternalmalcoholmusemcausesmamreductionminmthemamountmofmmilkmingestedmbymtheminf
ant.
D.minfantmintoxicationmcanmbemseenmwithmmother'smhavingmasmfewmasmonemto mtwo malcoholicm
drinks.m-mC
Atmwhatmpointmafter mchildbirthmcanmamcombinedmoralmcontraceptivembemstartedmwithoutmoth
ermriskmfactorsmformvenousmthrombosisminmamwomanmwho mismnotmbreastfeeding?
A.1 day
B.1 week
C. 3mweeks
D. 6mweeksm-mC
Themanticipatedmaveragemdailymweightmgainmduringmthemfirstm3mmonthsmofmlifemismapproximately:
A. 15mgmorm0.53moz.
B. 20mgmorm0.7moz.
C. 25mgmorm0.88moz.
D. 30mgmorm1moz.m-mD
Themaveragemrequiredmcaloricmintakeminmanminfantmfrommagem0mto m3mmonthsmismusually:
A. 40mto m60mkcal/kg/d.
B. 60mto m80mkcal/kg/d.
C. 80mto m100mkcal/kg/d.
D. 100mto m120mkcal/kg/d.m-mC
Physiologicmjaundicemusuallympresentsmbetweenmdaysm3mandm5mandmresultsmfrommto mthemno
rmalmbreakdownmofmfetalmhemoglobinmandmimmaturemlivermmetabolism.
bilirubinmismelev
atedminmthismprocess.m-mUnconjugated
Ifmtheremismanmincreasemin bilirubinmormjaundicemoccursminmthemfirst
hoursmofmlife,mpathologicalmetiologiesmneedmto mbemconsid
ered,msuchmasmanmABOmincompatibility,mfamilialmGilbertmsyndrome,mormother manomaly.m-
mconjugated,m24
Progestin-onlymoralmcontraceptivemoptionsmcanmbemstarted
postpartummifmthemwomanmismnotmbreastfeedingman
dmasmearlymas weeksmpostpartummifmshemismbreastfeeding.m-
mimmediately,m3mweeks
31.mItmismconsideredmamdevelopmentalm"redmflag"mifmamchildmdoesmnotmrespondmto mhismormhe
rmnamembymninemmonthsmofmage.mA.mtruemB.mfalsem-mB
,OnemphysicalmsignmofmfragilemXmsyndromeminmmalesmincludes:mA.mlargemeyes.mB.mlargemforehea
d.mC.msmallmhead.mD.mrecessivemjaw.m-mB
36.mKlinefelter msyndromemismmostmcommonlymmarkedmby:mA.mlanguagemimpairmentminmmales.
B.mfinemmotormdelayminmmales.mC.mhipmandmbreastmenlargementminmwomen.mD.mattentionmdeficitmd
isorder minmmales.m-mA
38.mAtmwhichmofmthemfollowingmagesminmanminfant'smlifemismparentalmanticipatorymguidancemab
outmteethingmmostmhelpful?mA.m1mto m2mmonthsmB.m2mto m4mmonthsmC.m4mto m6mmonthsmD.m8mto m1
0mmonths
-mC
Whatmaremsomemdevelopmentalmredmflagsmform6m,m9m,m12m,m24m?m-
syndrome,mamchromosomalmalteration,mismthemmostmcommonmknownmcausemofmauti
smminmeither mgender mandmoccursminmallmracialmandmethnicmgroups.m-mFragilemX
syndromem(XXYmmale),malso mismassociatedmwithmdevelopmentalmissues,mmainlymver
balminmnaturem(Tablem17-4).m-mKlinefelter
Developmentmchartm-
Developmentmchartm
-
m Developmentmchart
m -
Atmwhichmofmthemfollowingmagesminmamyoungmchild'smlifemismparentalmanticipatorymguidancema
boutmtempermtantrumsmmostmhelpful?mA.m8mto m10mmonthsmB.m10mto m12mmonthsmC.m12mto m14m
monthsmD.m14mto m16mmonthsm-mB
Atmwhichmofmthemfollowingmagesminmamyoungmchild'smlifemismparentalmanticipatorymguidancema
boutmusingm"timemout"masmamdisciplinemmethodmmostmhelpful?mA.m12mto m18mmonthsmB.m18mto
m24mmonths mC.m24mto m30mmonths mD.m30mto m36mmonthsm-mB
Themfollowingmaremriskmfactorsmformhypertensionminmchildrenmandmteensm(choosemallmthatma
pply):
A. beingmobese.
B. drinkingmwholemmilk.
C. beingmexposedmto msecond-handmsmoke.
D. watchingm2mormmoremhoursmofmtelevisionmpermday.m-mAmandmC
Fruitmjuicemintakemismacceptableminmchildrenm6mmonthsmandmolder mpermthemfollowingmrecommen
dationm(choosemallmthatmapply):
A. Themjuicemismmixedminmsmallmamountsmto mflavormwater.
B. Onlym100%mjuicemismused.
,C. Juicemreplacesmno mmoremthanmonemservingmofmmilk.
, D. Themjuicemismconsumedminmthemmorningmwithmbreakfast.
E. No mmoremthanm6mozm(177mmL)mpermdaymismrecommendedmformchildrenm6mmonthsmto m5mye
ars.m-mABE
Inmevaluatingmam9-year-
oldmchildmwithmamhealthymBMImduringmamwellmvisit,mamcomprehensivemcardiovascularmevaluation
mshould mbem conducted mbymthe mfollowing mmethods m(choose mallmthatmapply):
A. Obtainmfastingmlipidmprofile.
B. Screenmformtypem2mdiabetesmmellitusmbymmeasuringmHbA1c.
C. Assessmformfamilymhistorymofmthyroidmdisease.
D. Assessmdietmandmphysicalmactivity.m-mAmandmD
Atmwhatmagemismitmappropriatemto mrecommendmdietarymchangesmto mparentsmifmoverweightm
ormobesitymismamconcern?
A. 12mmonthsmold
B. 5myearsmold
C. 10myearsmold
D. 18myearsmoldm-mA
Themfollowingmaremriskmfactorsmformtypem2mdiabetesmmellitusminmchildrenmandmteensm(choos
emallmthatmapply):
A. hyperinsulinemia.
B. abnormalmweight-to-heightmratio.
C. onsetmofmnonorganicmfailuremto mthriveminmthemtoddler myears.
D. NativemAmericanmancestry.m-mABD
Screeningmchildrenmwithmamknownmriskmfactormformtypem2mdiabetesmmellitusmismrecommende
dmatmagem10mormatmonsetmofmpuberty,mandmshouldmbemrepeatedmhowmoften?
A. everymothermyear.
B. everymyear.
C. everymsixmmonths.
D. ifmchildmpresentsmwithmambodymmassmindexminmthem85thmpercentilemormhigher.m-mB
Prediabetesminmchildrenmismdefinedmasm(choosemallmthatmapply):
A. impairedmfastingmglucosem(glucosemlevelm≥100mmg/dL morm6.2mmmol/L)mbutm≤125mmg/d
Lmorm7mmmol/L).
B. impairedmglucosemtolerancem(2-hourmpostprandialm≥140-199mmg/dLmorm7.8mmmol/L-
11mmmol/L).
C. bodymmassmindexminmthem85thmpercentilemormhigher.
D. bodymmassmindexminmthem60thmpercentilemormhigher.m-mAmandmB
m m m m
Whenmcounselingmambreastfeedingmwomanmaboutmalcoholmusemduringmlactation,myoumrelate
mthat:
A. drinkingmamglassmofmwinemormbeer mwillmenhancemthemlet-downmreflex.
B. becausemofmitsmhighmmolecular mweight,mrelativelymlittlemalcoholmismpassedminto mbreastmmil
k.mC.mmaternalmalcoholmusemcausesmamreductionminmthemamountmofmmilkmingestedmbymtheminf
ant.
D.minfantmintoxicationmcanmbemseenmwithmmother'smhavingmasmfewmasmonemto mtwo malcoholicm
drinks.m-mC
Atmwhatmpointmafter mchildbirthmcanmamcombinedmoralmcontraceptivembemstartedmwithoutmoth
ermriskmfactorsmformvenousmthrombosisminmamwomanmwho mismnotmbreastfeeding?
A.1 day
B.1 week
C. 3mweeks
D. 6mweeksm-mC
Themanticipatedmaveragemdailymweightmgainmduringmthemfirstm3mmonthsmofmlifemismapproximately:
A. 15mgmorm0.53moz.
B. 20mgmorm0.7moz.
C. 25mgmorm0.88moz.
D. 30mgmorm1moz.m-mD
Themaveragemrequiredmcaloricmintakeminmanminfantmfrommagem0mto m3mmonthsmismusually:
A. 40mto m60mkcal/kg/d.
B. 60mto m80mkcal/kg/d.
C. 80mto m100mkcal/kg/d.
D. 100mto m120mkcal/kg/d.m-mC
Physiologicmjaundicemusuallympresentsmbetweenmdaysm3mandm5mandmresultsmfrommto mthemno
rmalmbreakdownmofmfetalmhemoglobinmandmimmaturemlivermmetabolism.
bilirubinmismelev
atedminmthismprocess.m-mUnconjugated
Ifmtheremismanmincreasemin bilirubinmormjaundicemoccursminmthemfirst
hoursmofmlife,mpathologicalmetiologiesmneedmto mbemconsid
ered,msuchmasmanmABOmincompatibility,mfamilialmGilbertmsyndrome,mormother manomaly.m-
mconjugated,m24
Progestin-onlymoralmcontraceptivemoptionsmcanmbemstarted
postpartummifmthemwomanmismnotmbreastfeedingman
dmasmearlymas weeksmpostpartummifmshemismbreastfeeding.m-
mimmediately,m3mweeks
31.mItmismconsideredmamdevelopmentalm"redmflag"mifmamchildmdoesmnotmrespondmto mhismormhe
rmnamembymninemmonthsmofmage.mA.mtruemB.mfalsem-mB
,OnemphysicalmsignmofmfragilemXmsyndromeminmmalesmincludes:mA.mlargemeyes.mB.mlargemforehea
d.mC.msmallmhead.mD.mrecessivemjaw.m-mB
36.mKlinefelter msyndromemismmostmcommonlymmarkedmby:mA.mlanguagemimpairmentminmmales.
B.mfinemmotormdelayminmmales.mC.mhipmandmbreastmenlargementminmwomen.mD.mattentionmdeficitmd
isorder minmmales.m-mA
38.mAtmwhichmofmthemfollowingmagesminmanminfant'smlifemismparentalmanticipatorymguidancemab
outmteethingmmostmhelpful?mA.m1mto m2mmonthsmB.m2mto m4mmonthsmC.m4mto m6mmonthsmD.m8mto m1
0mmonths
-mC
Whatmaremsomemdevelopmentalmredmflagsmform6m,m9m,m12m,m24m?m-
syndrome,mamchromosomalmalteration,mismthemmostmcommonmknownmcausemofmauti
smminmeither mgender mandmoccursminmallmracialmandmethnicmgroups.m-mFragilemX
syndromem(XXYmmale),malso mismassociatedmwithmdevelopmentalmissues,mmainlymver
balminmnaturem(Tablem17-4).m-mKlinefelter
Developmentmchartm-
Developmentmchartm
-
m Developmentmchart
m -
Atmwhichmofmthemfollowingmagesminmamyoungmchild'smlifemismparentalmanticipatorymguidancema
boutmtempermtantrumsmmostmhelpful?mA.m8mto m10mmonthsmB.m10mto m12mmonthsmC.m12mto m14m
monthsmD.m14mto m16mmonthsm-mB
Atmwhichmofmthemfollowingmagesminmamyoungmchild'smlifemismparentalmanticipatorymguidancema
boutmusingm"timemout"masmamdisciplinemmethodmmostmhelpful?mA.m12mto m18mmonthsmB.m18mto
m24mmonths mC.m24mto m30mmonths mD.m30mto m36mmonthsm-mB
Themfollowingmaremriskmfactorsmformhypertensionminmchildrenmandmteensm(choosemallmthatma
pply):
A. beingmobese.
B. drinkingmwholemmilk.
C. beingmexposedmto msecond-handmsmoke.
D. watchingm2mormmoremhoursmofmtelevisionmpermday.m-mAmandmC
Fruitmjuicemintakemismacceptableminmchildrenm6mmonthsmandmolder mpermthemfollowingmrecommen
dationm(choosemallmthatmapply):
A. Themjuicemismmixedminmsmallmamountsmto mflavormwater.
B. Onlym100%mjuicemismused.
,C. Juicemreplacesmno mmoremthanmonemservingmofmmilk.
, D. Themjuicemismconsumedminmthemmorningmwithmbreakfast.
E. No mmoremthanm6mozm(177mmL)mpermdaymismrecommendedmformchildrenm6mmonthsmto m5mye
ars.m-mABE
Inmevaluatingmam9-year-
oldmchildmwithmamhealthymBMImduringmamwellmvisit,mamcomprehensivemcardiovascularmevaluation
mshould mbem conducted mbymthe mfollowing mmethods m(choose mallmthatmapply):
A. Obtainmfastingmlipidmprofile.
B. Screenmformtypem2mdiabetesmmellitusmbymmeasuringmHbA1c.
C. Assessmformfamilymhistorymofmthyroidmdisease.
D. Assessmdietmandmphysicalmactivity.m-mAmandmD
Atmwhatmagemismitmappropriatemto mrecommendmdietarymchangesmto mparentsmifmoverweightm
ormobesitymismamconcern?
A. 12mmonthsmold
B. 5myearsmold
C. 10myearsmold
D. 18myearsmoldm-mA
Themfollowingmaremriskmfactorsmformtypem2mdiabetesmmellitusminmchildrenmandmteensm(choos
emallmthatmapply):
A. hyperinsulinemia.
B. abnormalmweight-to-heightmratio.
C. onsetmofmnonorganicmfailuremto mthriveminmthemtoddler myears.
D. NativemAmericanmancestry.m-mABD
Screeningmchildrenmwithmamknownmriskmfactormformtypem2mdiabetesmmellitusmismrecommende
dmatmagem10mormatmonsetmofmpuberty,mandmshouldmbemrepeatedmhowmoften?
A. everymothermyear.
B. everymyear.
C. everymsixmmonths.
D. ifmchildmpresentsmwithmambodymmassmindexminmthem85thmpercentilemormhigher.m-mB
Prediabetesminmchildrenmismdefinedmasm(choosemallmthatmapply):
A. impairedmfastingmglucosem(glucosemlevelm≥100mmg/dL morm6.2mmmol/L)mbutm≤125mmg/d
Lmorm7mmmol/L).
B. impairedmglucosemtolerancem(2-hourmpostprandialm≥140-199mmg/dLmorm7.8mmmol/L-
11mmmol/L).
C. bodymmassmindexminmthem85thmpercentilemormhigher.
D. bodymmassmindexminmthem60thmpercentilemormhigher.m-mAmandmB
