NUNP-6541N, Primary Care Adolescent & Child 2020 Spring Qtr Week 6 - Midterm Exam

NUNP-6541N, Primary Care Adolescent & Child. 2020 Spring Qtr Week 6 - Midterm Exam • Question 2 1 out of 1 points Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected Answer: a. Apply bilateral eye patches. • Question 3 1 out of 1 points The father of a 3-year-old is concerned because the child stutters. What should your approach be? Selected Answer: a. Explain that this can be normal until 4 years of age. • Question 4 0 out of 1 points A 2-day-old newborn with conjunctivitis is likely due to Selected Answer: b. Gonorrhea • Question 5 0 out of 1 points You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? Selected Answer: b. Sensorimotor • Question 6 1 out of 1 points For adolescent girls, peak height velocity should occur by Tanner Stage (SMR): Selected Answer: a. 3 • Question 7 0 out of 1 points Which is the correct order for introduction of solid foods to an infant? Selected Answer: a. Fruits, cereal, vegetables, and meats • Question 8 1 out of 1 points I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am: Selected Answer: b. 2-1/2 years old (30 months) • Question 9 1 out of 1 points You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: Selected Answer: c. Set his own bedtime based on his internal clock. • Question 10 0 out of 1 points A 15-month-old boy says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selected Answer: c. Reevaluate the child at the 24 -month visit. • Question 11 1 out of 1 points At what age would a child be expected to remember a string of numbers and repeat them backwards? Selected Answer: b. 12 years • Question 12 1 out of 1 points A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child’s small size? Selected Answer: e. Congenital cytomegalovirus infection • Question 13 1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? Selected Answer: a. 2 years • Question 14 1 out of 1 points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: Selected Answer: a. Assessing the family supports available to the child. • Question 15 0 out of 1 points All of the following are consistent with peritonsillar abscess except: Selected Answer: b. Exudate on tonsils • Question 16 1 out of 1 points Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Selected Answer: b. Glomerulonephritis • Question 17 1 out of 1 points A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? Selected Answer: b. Conservation • Question 18 1 out of 1 points Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage Selected Answer: d. II • Question 19 1 out of 1 points A breastfed infant is expected to have a lower incidence of which of the following? Selected Answer: e. Diarrhea • Question 20 1 out of 1 points A 12-year-old male states he noticed an enlargement of his testes and scrotum. When counseling him about the next step in pubertal development, you state: Selected Answer: d. The penis will grow in length and width. • Question 21 1 out of 1 points You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is Selected Answer: a. Fluid restriction and voiding prior to the night may be effective. • Question 22 1 out of 1 points Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected Answer: c. Flushing the ear with water. • Question 23 1 out of 1 points By what age should most children be able to sit well without support? Selected Answer: a. 9 months • Question 24 1 out of 1 points A typically developing 8-year-old girl will have which of the following genital development? Selected Answer: a. No pubic hair at all • Question 25 0 out of 1 points John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam? Selected Answer: c. Serous and clear • Question 26 1 out of 1 points Which of the following vaccines is routinely recommended at 4 months of age? Selected Answer: a. Diphtheria, tetanus, acellular pertussis (DTaP) • Question 27 1 out of 1 points An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider? Selected Answer: d. Ocular mobility • Question 28 1 out of 1 points Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? Selected Answer: b. Preschoolers • Question 29 1 out of 1 points Conductive hearing loss can be caused by Selected Answer: c. Serous otitis • Question 30 1 out of 1 points You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond: Selected Answer: d. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age."