FNP Pediatric Exam Test Bank; 2022. f f f f f
The concept of health promotion consists of efforts to prevent rather than to cure disease or
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disability. This description best describes: a. tertiary prevention
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b. secondary prevention f
c. primary prevention f
d. morbidity prevention ✅- c f f f
Standards for well child care and health promotion are set forth by the:
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a. Task Force on Preventative Services, US Department of Health and Human services
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b. American Academy of Family Physicians f f f f
c. American Academy of pediatrics f f f
d. Healthy People 2010 and 2020 ✅- c f f f f f f
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no
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complaints. She does well in school, has many friends, and gets along well with her parents and
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two siblings. She has recently become sexually active with her boyfriend of 6mo. The physical
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exam is normal for her age. What screening, lab tests, and/or immunizations should the PNP
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order?
f
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
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b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
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c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
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d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if
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indicated. ✅- a
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Which of the following is the best written chief complaint? a.
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5yo asian female with itchy red rash
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b. 1 mo with difficulty feeding
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c. 15yo african american female complaining of lower abdominal pain for 3 days
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d. 12yo caucasian with itchy eye for 1 week ✅- c
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The past history should include a. family
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history
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b. social hx f
,c. symptom analysis f
d. hospitalization ✅- d f f
The family history should include:
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a. the health status of the paternal grandparents
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b. the living conditions of the family
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c. the work status of the parents
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d. school information ✅- a f f f
Which of the following statements would be considered subjective data obtained from the
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client during the review of systems for the skin? a. the skin appears dry & excoriated
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b. a lesion is noted on the lateral aspect of the right leg
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c. there is moderate acne on the forehead and back
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d. the patient denies changes in skin texture ✅- d
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The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
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cardiac problem in the infant & require a more thorough history? a. the baby gets the hiccups
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often.
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b. it takes the baby over 30min to complete a bottle
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c. the baby's heart seems to beat rapidly sometimes
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d. sometimes the baby sounds congested ✅- b f f f f f f
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
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a. the date of last breast self-exam.
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b. any limitations related to sports participation.
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c. the last hematocrit and hemoglobin
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d. the last lead screen ✅- b
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The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP
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explores further, asking:
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a. how the mother did the toilet training
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b. if the child is dry at night and fully trained for urine and stool day and night
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c. at what age did the mother begin toilet training the other child.
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d. if the child gets up at night to use the bathroom ✅- b
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,Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her mother's
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arms. What should the PNP do first?
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a. Examine the ears, since this is uncomfortable for the infant. f f f f f f f f f
b. Quickly give any needed immunizations. f f f f
c. Begin with assessment of the head and proceed from head to toe.
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d. auscultate the heart & lungs while the infant is sleeping. ✅- d f f f f f f f f f f f
The mother of a newborn brings the baby to the clinic because she is afraid something is wrong
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with her baby ("his head is so big"). The PNP responds that:
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a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
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b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
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neurologist."f
d. "your head appears large so it is probably genetic." ✅- a
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A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked elevation
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of the right scapula and right thoracic hump and spinal curve abnormally are noted.
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Spinal films indicate 20 degree curve. The PNP should: a.
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refer the patient to an orthopedist
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b. monitor the patient every 3 mo until menarche f f f f f f f
c. refer the patient for physical therapy f f f f f
d. recommend bedrest and back brace ✅- a f f f f f f
What zis zthe z% zof zrisk zan zautosomal zdominant zgene zis zbeing zpassed zon zto zeach zoffspring? z
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za. z25 z
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b. 50z f
c. 100z f
d. nonez✅-zbz f f f
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Az13yozfemaleziszat zthe zcliniczforzazroutine zcheckzup.zWhat zpresentingzsymptomszmight
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zalert zthe zPNP zto zthe zpresence zof za zpossible zgenetic zdisorder? z
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a. <10% zon zgrowth zchart, zTanner zI, zand zlearning zdifficulties z
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b. Precocious zpuberty, zdevelopmental zdelays, zgifted zpiano zplayer z f f f f f f f
c. Lactose zintolerance, zfrequent zear zinfections, zspeech zdelays z f f f f f f f
d. Peanut zallergy, zright-sided zweakness, zand zexhibits zbullying zbehavior z✅- za z
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, z
Thezparentszof zazchild zwithzcysticzfibrosiszarezconsidering zanother zpregnancy.zTheyzwant zto
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zknow zwhat ztheir zchances zare zof zhaving zanother zchild zwith zcystic zfibrosis. zThe zPNP zexplains
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zthat zcystic zfibrosis zis zan zautosomal zrecessive zdisorder zand zthat zeach zconception zof zcarrier
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zparents zhas za: z
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a. 25% zchance zof zbeing zaffected z
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b. 50% zchance zof zbeing zaffected z
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c. 75% zchance zof zbeing zaffected z
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d. 100% zchance zof zbeing zaffected z✅- za z f f f f f f f f z
The zparents zof za zson zwith zhemophilia zare zconsidering zanother zpregnancy. zThe zmother zhas zbeen
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zidentified zas za zcarrier zof zthe zhemophilia zgene. zWhat zchance zdoes zeach zfemale zoffspring zhave
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zof zhaving zhemophilia. z za. z100% z
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b. 50%z f
c. 25%z f
d. nonez✅-zdz f f f
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A zmale zwith zVitamin zD-resistant zrickets zasks zwhat zhis zchances zare zof zpassing zhis zdisease zto
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zhis zparents. zThe zPNP zanswers: z
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a. all zsons zwill zbe zaffected zby zonly z25% zdaughters z
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b. all zdaughters zare zaffected zby zonly z25% zsons z
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c. 50% zof zall zoffspring zwill zhave zthe zdisease z
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d. all zdaughters zwill zbe zaffected zbut zno zsons. z✅- zd z
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The zPNP zis zfollowing za z15-year-old zmale zadolescent zwith zconsistent zblood zpressure
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zreadings zof z132 zto z138/84 zto z86 zmm zHg, zwhich zis zclassified zas zsignificant zhypertension.
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zAfter zperforming za zworkup, zthe zPNP zdetermines zthat zthe zadolescent zhas zprimary
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zhypertension. zThe zmost zjudicious zrecommendation zfor ztherapy zis: z
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A) Diet zand zexercise zcounseling zand zreferral zto za zspecialist z
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B) A zdiuretic, zlow-salt zdiet, zexercise, zand zcounseling zby za zdietician z
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C) Perform zan zextensive zfamily zhistory zto zdetermine zother zrisk zfactors z
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D) A zvasodilator, zrestricted zactivity, zand za zlow-fat zdiet z✅- za z
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The zPNP zis zexamining za zneonate zwith za zheart zmurmur. zThe zS2 zsound zis zloudest zat zthe zapex.
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zThe zrespiratory zrate zis z65 zbreaths zper zminute, zand zthe zheart zrate zis z180 zbeats zper zminute.
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zWhich zof zthe zfollowing zwould zbe zan zappropriate zaction zby zthe zPNP? z
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A) Reevaluate zthe zneonate zin z24 zhours z f f f f f f
The concept of health promotion consists of efforts to prevent rather than to cure disease or
f f f f f f f f f f f f f f f
disability. This description best describes: a. tertiary prevention
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b. secondary prevention f
c. primary prevention f
d. morbidity prevention ✅- c f f f
Standards for well child care and health promotion are set forth by the:
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a. Task Force on Preventative Services, US Department of Health and Human services
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b. American Academy of Family Physicians f f f f
c. American Academy of pediatrics f f f
d. Healthy People 2010 and 2020 ✅- c f f f f f f
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no
f f f f f f f f f f f f f f f f
complaints. She does well in school, has many friends, and gets along well with her parents and
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two siblings. She has recently become sexually active with her boyfriend of 6mo. The physical
f f f f f f f f f f f f f f f
exam is normal for her age. What screening, lab tests, and/or immunizations should the PNP
f f f f f f f f f f f f f f f
order?
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a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
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b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
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c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
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d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if
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indicated. ✅- a
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Which of the following is the best written chief complaint? a.
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5yo asian female with itchy red rash
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b. 1 mo with difficulty feeding
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c. 15yo african american female complaining of lower abdominal pain for 3 days
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d. 12yo caucasian with itchy eye for 1 week ✅- c
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The past history should include a. family
f f f f f f
history
f
b. social hx f
,c. symptom analysis f
d. hospitalization ✅- d f f
The family history should include:
f f f f
a. the health status of the paternal grandparents
f f f f f f
b. the living conditions of the family
f f f f f
c. the work status of the parents
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d. school information ✅- a f f f
Which of the following statements would be considered subjective data obtained from the
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client during the review of systems for the skin? a. the skin appears dry & excoriated
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b. a lesion is noted on the lateral aspect of the right leg
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c. there is moderate acne on the forehead and back
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d. the patient denies changes in skin texture ✅- d
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The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
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cardiac problem in the infant & require a more thorough history? a. the baby gets the hiccups
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often.
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b. it takes the baby over 30min to complete a bottle
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c. the baby's heart seems to beat rapidly sometimes
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d. sometimes the baby sounds congested ✅- b f f f f f f
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
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a. the date of last breast self-exam.
f f f f f
b. any limitations related to sports participation.
f f f f f
c. the last hematocrit and hemoglobin
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d. the last lead screen ✅- b
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The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP
f f f f f f f f f f f f f f f f
explores further, asking:
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a. how the mother did the toilet training
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b. if the child is dry at night and fully trained for urine and stool day and night
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c. at what age did the mother begin toilet training the other child.
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d. if the child gets up at night to use the bathroom ✅- b
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,Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her mother's
f f f f f f f f f f f f f f f f f f
arms. What should the PNP do first?
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a. Examine the ears, since this is uncomfortable for the infant. f f f f f f f f f
b. Quickly give any needed immunizations. f f f f
c. Begin with assessment of the head and proceed from head to toe.
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d. auscultate the heart & lungs while the infant is sleeping. ✅- d f f f f f f f f f f f
The mother of a newborn brings the baby to the clinic because she is afraid something is wrong
f f f f f f f f f f f f f f f f f
with her baby ("his head is so big"). The PNP responds that:
f f f f f f f f f f f f
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
f f f f f f f f f f f f f f f f
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
f f f f f f f f f f f f f f f f f
neurologist."f
d. "your head appears large so it is probably genetic." ✅- a
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A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked elevation
f f f f f f f f f f f f f f f f f
of the right scapula and right thoracic hump and spinal curve abnormally are noted.
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Spinal films indicate 20 degree curve. The PNP should: a.
f f f f f f f f f
refer the patient to an orthopedist
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b. monitor the patient every 3 mo until menarche f f f f f f f
c. refer the patient for physical therapy f f f f f
d. recommend bedrest and back brace ✅- a f f f f f f
What zis zthe z% zof zrisk zan zautosomal zdominant zgene zis zbeing zpassed zon zto zeach zoffspring? z
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za. z25 z
f f f
b. 50z f
c. 100z f
d. nonez✅-zbz f f f
f z
Az13yozfemaleziszat zthe zcliniczforzazroutine zcheckzup.zWhat zpresentingzsymptomszmight
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zalert zthe zPNP zto zthe zpresence zof za zpossible zgenetic zdisorder? z
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a. <10% zon zgrowth zchart, zTanner zI, zand zlearning zdifficulties z
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b. Precocious zpuberty, zdevelopmental zdelays, zgifted zpiano zplayer z f f f f f f f
c. Lactose zintolerance, zfrequent zear zinfections, zspeech zdelays z f f f f f f f
d. Peanut zallergy, zright-sided zweakness, zand zexhibits zbullying zbehavior z✅- za z
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, z
Thezparentszof zazchild zwithzcysticzfibrosiszarezconsidering zanother zpregnancy.zTheyzwant zto
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zknow zwhat ztheir zchances zare zof zhaving zanother zchild zwith zcystic zfibrosis. zThe zPNP zexplains
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zthat zcystic zfibrosis zis zan zautosomal zrecessive zdisorder zand zthat zeach zconception zof zcarrier
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zparents zhas za: z
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a. 25% zchance zof zbeing zaffected z
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b. 50% zchance zof zbeing zaffected z
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c. 75% zchance zof zbeing zaffected z
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d. 100% zchance zof zbeing zaffected z✅- za z f f f f f f f f z
The zparents zof za zson zwith zhemophilia zare zconsidering zanother zpregnancy. zThe zmother zhas zbeen
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zidentified zas za zcarrier zof zthe zhemophilia zgene. zWhat zchance zdoes zeach zfemale zoffspring zhave
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zof zhaving zhemophilia. z za. z100% z
f f f f f f f
b. 50%z f
c. 25%z f
d. nonez✅-zdz f f f
f z
A zmale zwith zVitamin zD-resistant zrickets zasks zwhat zhis zchances zare zof zpassing zhis zdisease zto
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zhis zparents. zThe zPNP zanswers: z
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a. all zsons zwill zbe zaffected zby zonly z25% zdaughters z
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b. all zdaughters zare zaffected zby zonly z25% zsons z
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c. 50% zof zall zoffspring zwill zhave zthe zdisease z
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d. all zdaughters zwill zbe zaffected zbut zno zsons. z✅- zd z
f f f f f f f f f f f z
The zPNP zis zfollowing za z15-year-old zmale zadolescent zwith zconsistent zblood zpressure
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zreadings zof z132 zto z138/84 zto z86 zmm zHg, zwhich zis zclassified zas zsignificant zhypertension.
f f f f f f f f f f f f f f f
zAfter zperforming za zworkup, zthe zPNP zdetermines zthat zthe zadolescent zhas zprimary
f f f f f f f f f f f f
zhypertension. zThe zmost zjudicious zrecommendation zfor ztherapy zis: z
f f f f f f f f f
A) Diet zand zexercise zcounseling zand zreferral zto za zspecialist z
f f f f f f f f f
B) A zdiuretic, zlow-salt zdiet, zexercise, zand zcounseling zby za zdietician z
f f f f f f f f f f
C) Perform zan zextensive zfamily zhistory zto zdetermine zother zrisk zfactors z
f f f f f f f f f f
D) A zvasodilator, zrestricted zactivity, zand za zlow-fat zdiet z✅- za z
f f f f f f f f f f f z
The zPNP zis zexamining za zneonate zwith za zheart zmurmur. zThe zS2 zsound zis zloudest zat zthe zapex.
f f f f f f f f f f f f f f f f f
zThe zrespiratory zrate zis z65 zbreaths zper zminute, zand zthe zheart zrate zis z180 zbeats zper zminute.
f f f f f f f f f f f f f f f f f
zWhich zof zthe zfollowing zwould zbe zan zappropriate zaction zby zthe zPNP? z
f f f f f f f f f f f f f
A) Reevaluate zthe zneonate zin z24 zhours z f f f f f f
