Leik PEDS 89 Questions 2 With Solutions
C) A bluish discoloration or bruising that is located on the umbilical area
Cullen's sign is the acute onset of bluish discoloration that is located on
the umbilical/ periumbilical area; it is caused by bruising underneath
the skin. The bluish discoloration - ✔ ✔ What is the best description
of Cullen's sign?
A) The onset of hyperactive bowel sound before the onset of ileus
B) A reddish-purple discoloration that is located on the flank area
C) A bluish discoloration or bruising that is located on the umbilical area
D) The acute-onset subcutaneous bleeding seen during acute
pancreatitis
C) Advise the mother that you suspect that her daughter has been
sexually abused and that she is legally required to report the case to
the child protection program
The NP is legally required to report the case to the child protection
program. If the child is in danger, child protective services may ask for a
court order to take the child away for protection until the investigation
is completed. Talking about the boyfriend's behavior will not be
effective and may put the child and/ or mother in danger if the
boyfriend suspects that he is being watched. - ✔ ✔ An 13-year-old
girl is brought in by the mother because her daughter is complaining of
,vaginal discharge and pain. The mother tells the nurse practitioner that
her daughter is not sexually active yet. The mother is divorced and lives
with her boyfriend and works full time. During the exam, the nurse
practitioner notes that the vaginal introitus is red, with tears and a torn
hymen. The cervix is covered with green discharge. The nurse
practitioner suspects that the child has been sexually abused by the
mother's boyfriend. What is the best action for the nurse practitioner
to take?
A) Ask the mother questions about her boyfriend's behaviors
B) Advise the mother to watch how her boyfriend interacts with her
daughter and to call within 1 week to discuss his behavior with her
C) Advise the mother that you suspect that her daughter has been
sexually abused and that she is legally required to report the case to
the child protection program
D) Report the child abuse to the local police department
C) Cones Rods and cones are photoreceptor cells of the retina. The
cones of the eyes are responsible for color vision. Cones are very
sensitive to colors (red, blue, or green) and work better in brighter light.
Rods are good for night vision and for vision in low light conditions
because they are sensitive to light and dark. To remember them, note
that both cone and color start with the letter "C." - ✔ ✔ Which of
the following structures of the eyes is responsible for color vision?
A) Rods
B) Macula
C) Cones
,D) Pupils
A) Acute pancreatitis
Grey-Turner's sign is the acute onset of bluish discoloration located on
the flank area that is caused by bruising. It is usually associated with
severe acute pancreatitis, but it can also be found in some cases of
ruptured ectopic pregnancy. - ✔ ✔ Grey-Turner's sign is highly
suggestive of which of the following conditions?
A) Acute pancreatitis
B) Acute appendicitis
C) Acute diverticulitis
D) Gastric cancer
C) Cranial nerve 8
The Rinne and Weber tests are used to assess cranial nerve 8 or the
acoustic nerve. The patient's hearing is tested by air conduction (Rinne
and Weber) and bone conduction (Rinne only). - ✔ ✔ The Rinne and
the Weber tests are used to assess which of the following cranial nerve(
s)?
A) Cranial nerves 3, 4, and 6
B) Cranial nerve 7
C) Cranial nerve 8
, D) Cranial nerves 9 and 10
B) Acute appendicitis
Both the psoas and obturator signs are associated with acute
appendicitis. When the appendix becomes inflamed or ruptured, the
blood and pus irritate the psoas and/ or obturator muscles, which are
both located in the retroperitoneal area. Both muscles are hip flexors
and assist with hip movement. - ✔ ✔ A positive psoas and obturator
sign is highly suggestive of which of the following conditions?
A) Ectopic pregnancy
B) Acute appendicitis
C) Peritonitis
D) Abdominal aortic aneurysm
B) 4 year old
According to the Denver II Developmental Stages, a 4-year-old child
can copy a cross and draw a person with 3 body parts. At this age, some
children can start to ride a bicycle (with or without training wheels). In
contrast, a 3-year-old can only ride a tricycle and can copy a circle. - ✔
✔ One of the developmental milestones for this age group is the
ability to draw a stick figure "person" with 2 to 3 separate body parts.
What is the age group that this finding is associated with?
A) 3 year old
B) 4 year old
C) A bluish discoloration or bruising that is located on the umbilical area
Cullen's sign is the acute onset of bluish discoloration that is located on
the umbilical/ periumbilical area; it is caused by bruising underneath
the skin. The bluish discoloration - ✔ ✔ What is the best description
of Cullen's sign?
A) The onset of hyperactive bowel sound before the onset of ileus
B) A reddish-purple discoloration that is located on the flank area
C) A bluish discoloration or bruising that is located on the umbilical area
D) The acute-onset subcutaneous bleeding seen during acute
pancreatitis
C) Advise the mother that you suspect that her daughter has been
sexually abused and that she is legally required to report the case to
the child protection program
The NP is legally required to report the case to the child protection
program. If the child is in danger, child protective services may ask for a
court order to take the child away for protection until the investigation
is completed. Talking about the boyfriend's behavior will not be
effective and may put the child and/ or mother in danger if the
boyfriend suspects that he is being watched. - ✔ ✔ An 13-year-old
girl is brought in by the mother because her daughter is complaining of
,vaginal discharge and pain. The mother tells the nurse practitioner that
her daughter is not sexually active yet. The mother is divorced and lives
with her boyfriend and works full time. During the exam, the nurse
practitioner notes that the vaginal introitus is red, with tears and a torn
hymen. The cervix is covered with green discharge. The nurse
practitioner suspects that the child has been sexually abused by the
mother's boyfriend. What is the best action for the nurse practitioner
to take?
A) Ask the mother questions about her boyfriend's behaviors
B) Advise the mother to watch how her boyfriend interacts with her
daughter and to call within 1 week to discuss his behavior with her
C) Advise the mother that you suspect that her daughter has been
sexually abused and that she is legally required to report the case to
the child protection program
D) Report the child abuse to the local police department
C) Cones Rods and cones are photoreceptor cells of the retina. The
cones of the eyes are responsible for color vision. Cones are very
sensitive to colors (red, blue, or green) and work better in brighter light.
Rods are good for night vision and for vision in low light conditions
because they are sensitive to light and dark. To remember them, note
that both cone and color start with the letter "C." - ✔ ✔ Which of
the following structures of the eyes is responsible for color vision?
A) Rods
B) Macula
C) Cones
,D) Pupils
A) Acute pancreatitis
Grey-Turner's sign is the acute onset of bluish discoloration located on
the flank area that is caused by bruising. It is usually associated with
severe acute pancreatitis, but it can also be found in some cases of
ruptured ectopic pregnancy. - ✔ ✔ Grey-Turner's sign is highly
suggestive of which of the following conditions?
A) Acute pancreatitis
B) Acute appendicitis
C) Acute diverticulitis
D) Gastric cancer
C) Cranial nerve 8
The Rinne and Weber tests are used to assess cranial nerve 8 or the
acoustic nerve. The patient's hearing is tested by air conduction (Rinne
and Weber) and bone conduction (Rinne only). - ✔ ✔ The Rinne and
the Weber tests are used to assess which of the following cranial nerve(
s)?
A) Cranial nerves 3, 4, and 6
B) Cranial nerve 7
C) Cranial nerve 8
, D) Cranial nerves 9 and 10
B) Acute appendicitis
Both the psoas and obturator signs are associated with acute
appendicitis. When the appendix becomes inflamed or ruptured, the
blood and pus irritate the psoas and/ or obturator muscles, which are
both located in the retroperitoneal area. Both muscles are hip flexors
and assist with hip movement. - ✔ ✔ A positive psoas and obturator
sign is highly suggestive of which of the following conditions?
A) Ectopic pregnancy
B) Acute appendicitis
C) Peritonitis
D) Abdominal aortic aneurysm
B) 4 year old
According to the Denver II Developmental Stages, a 4-year-old child
can copy a cross and draw a person with 3 body parts. At this age, some
children can start to ride a bicycle (with or without training wheels). In
contrast, a 3-year-old can only ride a tricycle and can copy a circle. - ✔
✔ One of the developmental milestones for this age group is the
ability to draw a stick figure "person" with 2 to 3 separate body parts.
What is the age group that this finding is associated with?
A) 3 year old
B) 4 year old
