WGU D119 PEDIATRIC PRIMARY CARE
OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
WITH RATIONALES
1. The primary care pediatric nurse practitioner sees a 17-year-old client who quit smoking
almost a year prior but who reports having renewed cravings when around friends who smoke.
Using knowledge of the maintenance stage of change, the primary care pediatric nurse
practitioner will
a. go over with the adolescent about the health risks associated with smoking.
b. recommend avoiding friends who smoke and making new friends.
c. remind the adolescent about the struggles associated with quitting smoking.
d. suggest that the teen consider taking up a sport or other physical activity.
- ANSWER ANS: D
RATIONALE: During the maintenance stage, the PNP should help the client with plans to prevent
relapse, including establishing new behaviors as long-term changes. Adding a sport can help the
client enjoy the benefits of not smoking, while substituting one activity for another. The
adolescent already knows about the healthrisks and the difficulties of quitting. Suggesting giving
up friends may be seen as another hardship and is not part of the maintenance stage.
2. The parent of a newborn has quit smoking cigarettes within the past month and reports
feeling fidgety. Using a "reframing" technique, how will the primary care pediatric nurse
practitioner respond?
,a. Explore ways that the parent can use this extra energy to do things for the baby.
b. Remind the parent that this is a normal, temporary part of nicotine withdrawal.
c. Suggest that the parent take up exercise to enjoy the benefits of not smoking.
d. Tell the parent that, over time, these symptoms of withdrawal will subside.
- ANSWER ANS: A
RATIONALE: Reframing is a counseling strategy that uses the context of an experience to give it
a new meaning, creating a frame of reference that focuses on a desired outcome instead of the
current problem. The withdrawal symptoms associated with tobacco cessation are
uncomfortable, but the PNP can suggest channeling this nervous energy into positive action for
the baby. Telling the parent that the symptoms of withdrawal are temporary or normal does not
reframe the perception. Suggesting exercise may be beneficial, but does not reframe the
situation
3. The primary care pediatric nurse practitioner is examining a newborn who is
breastfeeding and notes the presence of an ankyloglossia. What will the nurse practitioner
do next?
a. a. Ask the mother if the infant has any feeding difficulties.
b. b. Refer the infant for a possible frenulectomy.
c. c. Schedule an appointment with a lactation consultant.
d. d. Suggest that the mother feed breast milk by bottle. - ANSWER ANS: A
RATIONALE: Infants with ankyloglossia may have difficulty feeding if the tongue does not extend
well. The PNP should first assess feeding difficulties and then may refer for a lactation
consultant or consider a frenulectomy.
4. The pediatric nurse practitioner provides primary care for a special needs infant whose
parent takes an active role in the infant's care. The parent has a high school diploma and asks
many questions about her infant's treatments. Which approach will the nurse practitioner take
to ensure health literacy for this parent?
,a. Ask the parent to read back all information given.
b. Encourage the parent to ask questions when confused.
c. Provide written materials presented at an 8th grade level.
d. Reinforce written information with verbal instructions. - ANSWER ANS: A
RATIONALE: The PNP should take a precautionary approach and assume that all clients will have
health literacy limitations. Assessment of health literacy can be done by asking clients to "read
back" the information the provider gives. While encouraging questions is important, parents
may not want to admit that they are confused and may not ask questions. Written materials
should be given at a 5th grade level. Parents who do not understand medical terms will not
understand written or verbal information.
5. The primary care pediatric nurse practitioner is counseling an obese adolescent whose
parents both have type 2 diabetes mellitus. Which health behavior prediction model is useful
when the nurse practitioner discusses lifestyle changes with this client?
a. Behavioral change model
b. Health belief model
c. Health promotion model
d. Transtheoretical model - ANSWER ANS: B
RATIONALE: The health belief model explains behavior used to prevent disease rather than to
promote health. Clients need to believe that they are vulnerable to the disease, will have
negative consequences if they are affected, and that taking action will reduce the risk. The
adolescent who believes that there is a risk of diabetes may be willing to undertake lifestyle
changes if taught that these can reduce the risk. The behavioral change model is useful for
changing behaviors to promote health. The health promotion model has a focus on health
promotion and not disease promotion. The transtheoretical model identifies the stages of
change.
6. The primary care pediatric nurse practitioner is assessing the health literacy of the parent of
a toddler. Which tool will the nurse practitioner use to estimate reading level?
a. Flesch-Kincaid Readability Test
b. Gunning Fog Index
, c. Number of children's books in the home
d. SMOG - ANSWER ANS: D
RATIONALE: The best tool to estimate reading level is the SMOG. The Gunning Fog Index and
the Flesch-Kincaid Readability Test are used as well but are not considered the best indices. The
number of children's books
in the home can be asked as a screen but is not a reliable estimate of true literacy.
7. The primary care pediatric nurse practitioner examines an infant whose weight is below the
3rd percentile and whose mother does not comply with the feeding regimen. When attempting
to enlist the help of the infant's grandmother, the grandmother says, "My daughter was like this
when she was a baby and she turned out all right." Which approach will the nurse practitioner
take to improve the outcome for this infant?
a. Ask the grandmother about her daughter's health during childhood.
b. Explain that the condition is potentially serious if not treated.
c. Give the grandmother and mother information about normal growth.
d. Refer the family to a social worker to investigate possible neglect. - ANSWER ANS: A
RATIONALE: This family has an altered perception of health and health behaviors based on their
own experience with the condition. The grandmother considers this infant's weight similar to
her own daughter's and assumes that things will resolve. The PNP should evaluate the mother's
health to see if any problems occurred.
Giving more information or trying to alarm the family will not be effective if their perception is
that everything is normal. It is not necessary to refer to a social worker unless the condition
persists.
8. An adolescent who is overweight expresses a desire to lose weight in order to participate in
sports but tells the primary care pediatric nurse practitioner that he doesn't want to give up
sweets and soft drinks because he enjoys them too much. Which stage of change does this
represent?
a. Action
b. Contemplation
OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
WITH RATIONALES
1. The primary care pediatric nurse practitioner sees a 17-year-old client who quit smoking
almost a year prior but who reports having renewed cravings when around friends who smoke.
Using knowledge of the maintenance stage of change, the primary care pediatric nurse
practitioner will
a. go over with the adolescent about the health risks associated with smoking.
b. recommend avoiding friends who smoke and making new friends.
c. remind the adolescent about the struggles associated with quitting smoking.
d. suggest that the teen consider taking up a sport or other physical activity.
- ANSWER ANS: D
RATIONALE: During the maintenance stage, the PNP should help the client with plans to prevent
relapse, including establishing new behaviors as long-term changes. Adding a sport can help the
client enjoy the benefits of not smoking, while substituting one activity for another. The
adolescent already knows about the healthrisks and the difficulties of quitting. Suggesting giving
up friends may be seen as another hardship and is not part of the maintenance stage.
2. The parent of a newborn has quit smoking cigarettes within the past month and reports
feeling fidgety. Using a "reframing" technique, how will the primary care pediatric nurse
practitioner respond?
,a. Explore ways that the parent can use this extra energy to do things for the baby.
b. Remind the parent that this is a normal, temporary part of nicotine withdrawal.
c. Suggest that the parent take up exercise to enjoy the benefits of not smoking.
d. Tell the parent that, over time, these symptoms of withdrawal will subside.
- ANSWER ANS: A
RATIONALE: Reframing is a counseling strategy that uses the context of an experience to give it
a new meaning, creating a frame of reference that focuses on a desired outcome instead of the
current problem. The withdrawal symptoms associated with tobacco cessation are
uncomfortable, but the PNP can suggest channeling this nervous energy into positive action for
the baby. Telling the parent that the symptoms of withdrawal are temporary or normal does not
reframe the perception. Suggesting exercise may be beneficial, but does not reframe the
situation
3. The primary care pediatric nurse practitioner is examining a newborn who is
breastfeeding and notes the presence of an ankyloglossia. What will the nurse practitioner
do next?
a. a. Ask the mother if the infant has any feeding difficulties.
b. b. Refer the infant for a possible frenulectomy.
c. c. Schedule an appointment with a lactation consultant.
d. d. Suggest that the mother feed breast milk by bottle. - ANSWER ANS: A
RATIONALE: Infants with ankyloglossia may have difficulty feeding if the tongue does not extend
well. The PNP should first assess feeding difficulties and then may refer for a lactation
consultant or consider a frenulectomy.
4. The pediatric nurse practitioner provides primary care for a special needs infant whose
parent takes an active role in the infant's care. The parent has a high school diploma and asks
many questions about her infant's treatments. Which approach will the nurse practitioner take
to ensure health literacy for this parent?
,a. Ask the parent to read back all information given.
b. Encourage the parent to ask questions when confused.
c. Provide written materials presented at an 8th grade level.
d. Reinforce written information with verbal instructions. - ANSWER ANS: A
RATIONALE: The PNP should take a precautionary approach and assume that all clients will have
health literacy limitations. Assessment of health literacy can be done by asking clients to "read
back" the information the provider gives. While encouraging questions is important, parents
may not want to admit that they are confused and may not ask questions. Written materials
should be given at a 5th grade level. Parents who do not understand medical terms will not
understand written or verbal information.
5. The primary care pediatric nurse practitioner is counseling an obese adolescent whose
parents both have type 2 diabetes mellitus. Which health behavior prediction model is useful
when the nurse practitioner discusses lifestyle changes with this client?
a. Behavioral change model
b. Health belief model
c. Health promotion model
d. Transtheoretical model - ANSWER ANS: B
RATIONALE: The health belief model explains behavior used to prevent disease rather than to
promote health. Clients need to believe that they are vulnerable to the disease, will have
negative consequences if they are affected, and that taking action will reduce the risk. The
adolescent who believes that there is a risk of diabetes may be willing to undertake lifestyle
changes if taught that these can reduce the risk. The behavioral change model is useful for
changing behaviors to promote health. The health promotion model has a focus on health
promotion and not disease promotion. The transtheoretical model identifies the stages of
change.
6. The primary care pediatric nurse practitioner is assessing the health literacy of the parent of
a toddler. Which tool will the nurse practitioner use to estimate reading level?
a. Flesch-Kincaid Readability Test
b. Gunning Fog Index
, c. Number of children's books in the home
d. SMOG - ANSWER ANS: D
RATIONALE: The best tool to estimate reading level is the SMOG. The Gunning Fog Index and
the Flesch-Kincaid Readability Test are used as well but are not considered the best indices. The
number of children's books
in the home can be asked as a screen but is not a reliable estimate of true literacy.
7. The primary care pediatric nurse practitioner examines an infant whose weight is below the
3rd percentile and whose mother does not comply with the feeding regimen. When attempting
to enlist the help of the infant's grandmother, the grandmother says, "My daughter was like this
when she was a baby and she turned out all right." Which approach will the nurse practitioner
take to improve the outcome for this infant?
a. Ask the grandmother about her daughter's health during childhood.
b. Explain that the condition is potentially serious if not treated.
c. Give the grandmother and mother information about normal growth.
d. Refer the family to a social worker to investigate possible neglect. - ANSWER ANS: A
RATIONALE: This family has an altered perception of health and health behaviors based on their
own experience with the condition. The grandmother considers this infant's weight similar to
her own daughter's and assumes that things will resolve. The PNP should evaluate the mother's
health to see if any problems occurred.
Giving more information or trying to alarm the family will not be effective if their perception is
that everything is normal. It is not necessary to refer to a social worker unless the condition
persists.
8. An adolescent who is overweight expresses a desire to lose weight in order to participate in
sports but tells the primary care pediatric nurse practitioner that he doesn't want to give up
sweets and soft drinks because he enjoys them too much. Which stage of change does this
represent?
a. Action
b. Contemplation
