PEDS D119 – WGU ACTUAL EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
Which of the following children requires a language referral for further evaluation?
2 year old who cannot put two words together
While evaluating a three-day-old infant, the FNP turns the infant on the side to examine
the back and notes a sharp line of demarcation dividing the upper and lower parts of the
body. The dependent half is bright red and the superior half is pale. The etiology of this
phenomenon is:
An immature autonomic regulatory system, generally referred to as the "Harlequin" sign
The FNP is measuring a newborn's frontal occipital circumference. What does the correct
technique involve?
Placing the paper tape measure at the frontal-occipital prominence and just above the eyebrows
The FNP notes an undescended testicle on a newborn. She understands that testicular
function and ability to produce healthy sperm as an adult may be impaired if the repair is
not made by age:
1 year
The FNP is examining a full-term infant who developed physiologic jaundice and is being
treated with phototherapy. What is the mechanism of action of phototherapy in the
treatment of this infant?
The light is absorbed by bilirubin and promotes the conversion of a toxic bilirubin to and
unconjugated product that can be excreted in the bile
Which newborn screening tests are mandatory State requirements?
Thyroid function tests & Phenylketonuria (PKU)
The FNP is assessing an infant that was delivered by cesarean section. What is a
complication frequently associated with cesarean delivery?
Respiratory distress
The FNP is performing a newborn assessment on a full-term infant approximately 6 hours
after birth. When evaluating the infant's head, the FNP identifies an edematous area that
crosses the cranial suture lines, is soft, and varies with size. The cranial suture lines have
minimal space between them. What is the interpretation of these findings?
A caput succedaneum is present
A typically developing 6-month-old would be expected to:
,Laugh and play a clapping game
Which of the following is the leading cause of nonfatal injury in children?
Falls
Which of the following is the MOST appropriate intervention for 2-year-old patient who
has not received the MMR vaccine?
Administer two doses 4 weeks apart
The parent of a newborn infant asks the Family nurse practitioner when to intervene to
help the infant's future intellectual growth. What will the nurse practitioner tell the
parent?
language and literacy skills begin at birth
The FNP performs a well-baby examination on a 7-day-old infant who is nursing well,
according to the mother. The FNP notes that the infant weighed 3250 grams at birth and
2990 grams when discharged on the second day of life. The infant weighs 3080 grams at
this visit. Which action is correct?
Schedule a weight check in 1 week
During an assessment of a 4-week-old infant, the FNP learns that a breastfed infant nurses
every 2 hours during the day but is able to sleep for a 4-hour period during the night. The
infant has gained 20 grams per day in the interval since last seen in the clinic. What will the
FNP recommend?
Continuing to nurse the infant using the current pattern
The FNP is performing a well-baby examination on a 2-month-old infant who has gained
25 grams per day in the last interval. The mother is nursing and tells the nurse practitioner
that her infant seems fussy and wants to nurse more often. What will the FNP tell her?
The infant may be going through an expected growth spurt
The mother of a 6-week-old breastfeeding infant tells the FNP that her baby, who
previously had bowel movements with each feeding, now has a bowel movement once every
second day. What will the FNP tell her?
This may be normal for breast feeding babies
The parent of a 5-month-old is worried because the infant becomes fussy but doesn't
always seem interested in nursing. What will the nurse practitioner tell this parent?
The infant may be expressing a desire to play or to rest
The mother of a 6-month-old infant is distressed because the infant can say "dada" but not
"mama" and asks the Family nurse practitioner why this is when she is the one who spends
more time with the infant. How will the FNP respond?
, "At this age, your baby does not understand the meaning of sounds."
The FNP is performing a well-child examination on an 8-month-old infant whose hearing is
normal but who responds to verbal cues with only single-syllable vocalizations. What will
the FNP recommend to the parents to improve speech and language skills in this infant?
Read simple board books to the infant at bedtime.
TheFNP is evaluating a 2-year-old with a documented speech delay. Screenings to assess
motor skills and cognition are normal, and the child passed a recent hearing test. What will
the pediatric FNP do next?
Ask the child's parents whether they read to the child
During a well-child assessment of an 18-month-old child, the Family nurse practitioner
observes the child point to a picture of a dog and say, "Want puppy!" The FNP recognizes
this as an example of what type of speech?
Telegraphic
The FNP is offering anticipatory guidance to the parents of a 12-month-old child. The
parents are bilingual in Spanish and English and have many Spanish-speaking relatives
nearby. They are resisting exposing the child to Spanish out of concern that the child will
not learn English well. What will the pediatric FNP tell the parents?
Most bilingual children are able to shift from one language to another when appropriate
The parent of a 24-month-old child asks the FNP when toilet training should begin. How
will the pediatric FNP respond?
"Tell me about your child's daily habits"
The FNP performs a physical examination on a 9-month-old infant and notes two central
incisors on the lower gums. The parent states that the infant nurses, take solid foods three
times daily, and occasionally take water from a cup. What will the pediatric FNP counsel
the parent to promote optimum dental health?
To make an appointment for an initial dental examination
During a well-child visit, a mother expressed concern that her three-year-old has recently
started to stutter when excited. The FNP informs the mother that stuttering in a preschool-
age child:
Is a normal characteristic of language development
The FNP examines a three-year-old patient who underwent a myringotomy 4 months ago.
65% of the child's speech remains unintelligible. The FNP's response is to:
Interpret the patient's speech performance against expected standards and recommend a referral
to an audiologist
WITH VERIFIED SOLUTIONS
Which of the following children requires a language referral for further evaluation?
2 year old who cannot put two words together
While evaluating a three-day-old infant, the FNP turns the infant on the side to examine
the back and notes a sharp line of demarcation dividing the upper and lower parts of the
body. The dependent half is bright red and the superior half is pale. The etiology of this
phenomenon is:
An immature autonomic regulatory system, generally referred to as the "Harlequin" sign
The FNP is measuring a newborn's frontal occipital circumference. What does the correct
technique involve?
Placing the paper tape measure at the frontal-occipital prominence and just above the eyebrows
The FNP notes an undescended testicle on a newborn. She understands that testicular
function and ability to produce healthy sperm as an adult may be impaired if the repair is
not made by age:
1 year
The FNP is examining a full-term infant who developed physiologic jaundice and is being
treated with phototherapy. What is the mechanism of action of phototherapy in the
treatment of this infant?
The light is absorbed by bilirubin and promotes the conversion of a toxic bilirubin to and
unconjugated product that can be excreted in the bile
Which newborn screening tests are mandatory State requirements?
Thyroid function tests & Phenylketonuria (PKU)
The FNP is assessing an infant that was delivered by cesarean section. What is a
complication frequently associated with cesarean delivery?
Respiratory distress
The FNP is performing a newborn assessment on a full-term infant approximately 6 hours
after birth. When evaluating the infant's head, the FNP identifies an edematous area that
crosses the cranial suture lines, is soft, and varies with size. The cranial suture lines have
minimal space between them. What is the interpretation of these findings?
A caput succedaneum is present
A typically developing 6-month-old would be expected to:
,Laugh and play a clapping game
Which of the following is the leading cause of nonfatal injury in children?
Falls
Which of the following is the MOST appropriate intervention for 2-year-old patient who
has not received the MMR vaccine?
Administer two doses 4 weeks apart
The parent of a newborn infant asks the Family nurse practitioner when to intervene to
help the infant's future intellectual growth. What will the nurse practitioner tell the
parent?
language and literacy skills begin at birth
The FNP performs a well-baby examination on a 7-day-old infant who is nursing well,
according to the mother. The FNP notes that the infant weighed 3250 grams at birth and
2990 grams when discharged on the second day of life. The infant weighs 3080 grams at
this visit. Which action is correct?
Schedule a weight check in 1 week
During an assessment of a 4-week-old infant, the FNP learns that a breastfed infant nurses
every 2 hours during the day but is able to sleep for a 4-hour period during the night. The
infant has gained 20 grams per day in the interval since last seen in the clinic. What will the
FNP recommend?
Continuing to nurse the infant using the current pattern
The FNP is performing a well-baby examination on a 2-month-old infant who has gained
25 grams per day in the last interval. The mother is nursing and tells the nurse practitioner
that her infant seems fussy and wants to nurse more often. What will the FNP tell her?
The infant may be going through an expected growth spurt
The mother of a 6-week-old breastfeeding infant tells the FNP that her baby, who
previously had bowel movements with each feeding, now has a bowel movement once every
second day. What will the FNP tell her?
This may be normal for breast feeding babies
The parent of a 5-month-old is worried because the infant becomes fussy but doesn't
always seem interested in nursing. What will the nurse practitioner tell this parent?
The infant may be expressing a desire to play or to rest
The mother of a 6-month-old infant is distressed because the infant can say "dada" but not
"mama" and asks the Family nurse practitioner why this is when she is the one who spends
more time with the infant. How will the FNP respond?
, "At this age, your baby does not understand the meaning of sounds."
The FNP is performing a well-child examination on an 8-month-old infant whose hearing is
normal but who responds to verbal cues with only single-syllable vocalizations. What will
the FNP recommend to the parents to improve speech and language skills in this infant?
Read simple board books to the infant at bedtime.
TheFNP is evaluating a 2-year-old with a documented speech delay. Screenings to assess
motor skills and cognition are normal, and the child passed a recent hearing test. What will
the pediatric FNP do next?
Ask the child's parents whether they read to the child
During a well-child assessment of an 18-month-old child, the Family nurse practitioner
observes the child point to a picture of a dog and say, "Want puppy!" The FNP recognizes
this as an example of what type of speech?
Telegraphic
The FNP is offering anticipatory guidance to the parents of a 12-month-old child. The
parents are bilingual in Spanish and English and have many Spanish-speaking relatives
nearby. They are resisting exposing the child to Spanish out of concern that the child will
not learn English well. What will the pediatric FNP tell the parents?
Most bilingual children are able to shift from one language to another when appropriate
The parent of a 24-month-old child asks the FNP when toilet training should begin. How
will the pediatric FNP respond?
"Tell me about your child's daily habits"
The FNP performs a physical examination on a 9-month-old infant and notes two central
incisors on the lower gums. The parent states that the infant nurses, take solid foods three
times daily, and occasionally take water from a cup. What will the pediatric FNP counsel
the parent to promote optimum dental health?
To make an appointment for an initial dental examination
During a well-child visit, a mother expressed concern that her three-year-old has recently
started to stutter when excited. The FNP informs the mother that stuttering in a preschool-
age child:
Is a normal characteristic of language development
The FNP examines a three-year-old patient who underwent a myringotomy 4 months ago.
65% of the child's speech remains unintelligible. The FNP's response is to:
Interpret the patient's speech performance against expected standards and recommend a referral
to an audiologist
