WGU D119 PEDIATRIC PRIMARY CARE OBJECTIVE ASSESSMENT Comprehensive Resource To Help You Ace Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

WGU D119 PEDIATRIC PRIMARY CARE OBJECTIVE ASSESSMENT Comprehensive Resource To Help You Ace Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. You are performing a well-child examination on a 12-year-old female who has achieved early sexual maturation. The mother reports that the girl spends more time with her older sister's friends instead of her own classmates. What should you tell this parent? A. Girls who join an older group of peers may become sexually active at an earlier age. B. Girls who mature early need to identify with older adolescents to feel a sense of belonging. C. The association with older adolescents will help her daughter gain social maturity. D. The desire to spend time with older adolescents indicates a healthy adjustment to her maturing body. - ANSWER A. Girls who join an older group of peers may become sexually active at an earlier age. - Although females who mature early may join an older group of peers to feel that they fit in, the ones who do increase their likelihood of engaging in risky behaviors, including sexual activity. Many teens feel awkward when they mature at different rates than their peers. But for teens to join a group of older peers demonstrates a poor adjustment to the changes and does not promote social maturity. 2. During a well-child examination, a 15-year-old female tells you that some of her friends have begun having sex. She has a boyfriend but denies engaging in sex with him. What should you do initially? A. Give her information about contraception. B. Discuss the risks of sexually transmitted diseases. C. Find out if she is considering sexual relations. D. Ask her how she defines sex. - ANSWER D. Ask her how she defines sex. Many adolescents do not equate oral or anal intercourse with sex, so it is important to find out how this patient defines sex. The other options also may be considered depending on the situation; however, clarity about the words used in the discussion are most important initially for you to focus the subsequent conversation appropriately. 3. During a well-child assessment of a 13-year-old male, you note small testicles and pubic and axillary hair. You need to further evaluate these findings. What should you ask the patient about? A. His alcohol and tobacco use B. His participation in sports C. Changes in his voice D. His increase in height and weight - ANSWER B. His participation in sports. The initial sign of puberty in males is testicular enlargement. If this does not precede other changes, you should consider whether the child is taking exogenous anabolic steroids, common among those who wish to improve athletic ability. Voice changes and rapid growth may accompany pubic hair development, but the primary concern is anabolic steroid use. 4. You are discussing sexual maturation with the parents of a 13-year-old female who has Down syndrome. The mother is concerned that starting menstruation will cause her daughter distress and wonders how much sexual information the teen needs at this stage of her life. What should you counsel these parents to do? A. Avoid providing too much information about sexuality so the child does not become confused given the child's cognitive level of understanding B. Discuss and support healthy sexuality with the child C. Use contraceptives to suppress the child's periods, which will lessen the parents' distress D. Give the child information about periods but not about sexuality - ANSWER B. Discuss and support healthy sexuality with the child. - People with disabilities have the same desires to make decisions and foster fulfilling relationships with others as other people have. Unless healthy sexuality is taught and supported, unhealthy and abusive sexuality is more likely to occur. Parents should give information when it is desired, and they should deliver it in a manner appropriate to the child's level of understanding. 5. During a well-child examination on a 13-year-old female, you note that the child is at Tanner stage 3. During the examination, when you initiate a conversation about healthy sexuality education, the parent states that the topic is "off limits." What should you do? A. Tell the parent that this information is a routine part of adolescent well-child examinations and must be included. B. Separate the parent from the adolescent to discuss the adolescent's concerns in private. C. Spend private time with the parent to discuss how sexuality education reduces the risk of early sexual intercourse and risky sexual behaviors. D. Ask the adolescent whether she wishes to discuss these matters because she is becoming an adult. - ANSWER C. Spend private time with the parent to discuss how sexuality education reduces the risk of early sexual intercourse and risky sexual behaviors. - Research has shown that sexuality education leads to a reduction in early onset of sexual intercourse and risky sexual behaviors. It is important for you to be sensitive to the values of the family but also advocate for your patient. The adolescent should be told, especially when she shows an interest in sexual relationships, that she may seek care independently of her parent and that it will remain confidential. When possible, the parent's wishes should be considered, and both the adolescent and the parent should be encouraged to have an open dialogue about these matters. 6. You perform a physical examination on a 12-year-old child and note poor hygiene and inappropriate clothing for the weather. The child's mother appears clean and well dressed. The child reports getting six to seven hours of sleep each night because of texting with friends late into the evening. What should you do to help promote healthy practices for this patient? A. Tell the mother that experimenting with self-care behaviors is normal. B. Discuss setting clear expectations about self-care with the mother. C. Give the child information about sleep and self-care. D. Reassure the mother that this noncompliance is temporary. - ANSWER B. Discuss setting clear expectations about self-care with the mother. Parents of school-age children should be advised to set clear limits for their children for cleanliness, healthy exercise, hours of sleep, and other health promotion behaviors. This encourages children to develop responsibility for their health behaviors. Giving the child information can be done along with the parent setting expectations, but, at this age, the parent should still be supervising a child's selfcare. Although noncompliance is common for this age and is a means of asserting independence, parents need to discuss this with children to resolve the issue.