WGU D119 NURS 6840 Pediatric
Primary Care Final
Assessment Exam Preparation Newest
2026-2027 With Complete Questions And
Correct Detailed Answers | Brand New
Version
APGAR: Newborn Crying, Acrocyanotic, Moving All Extremities, HR 130, Grimaces to
Stimulation - ANSWER-Score = 8 (loses 1 pt for color and 1pt for irritability)
What does APGAR score at birth reflect? - ANSWER-How baby did during
labor/delivery (1min). Response to resuscitation (5 min)
T or F The APGAR predicts neurologic outcomes - ANSWER-FALSE
What is the deformity associated with extension and medial rotation of the arm
with Moro (startle) reflex assessment? - ANSWER-Erb-Duchenne (C5-6) Refer
if not better by 3-6 months for neurosurgery
LGA infant with crepitus and discontinuity on palpation of clavicle? - ANSWER-
Clavicular Fracture. Treatment: None needed, callus formation at 1 week, MAY
use figure 8 splint.
Term for newborn with edema that crosses the suture line? - ANSWER-Caput
Succedaneum (Spongy, pitting edema)
Term for newborn with head fluctuance that does NOT cross suture line? -
ANSWER-Cephalo-hematoma
Blue/slate gray macule on back or thigh? - ANSWER-Mongolian spots (Arrested
, Melanocytes)
Pale pink vascular macule in NUCHAL AREA and FACE. The lesions on the face will
disappear while the other persists. The lesions are MORE RED WHEN BABY IS
ANGRY. dx? - ANSWER-Nevus Simplex (Salmon Patch). Face generally fades,
Firm white papules on a newborn's face filled with keratin? - ANSWER-Milia
(Day of life 1) - not to be confused with neonatal acne (Week of life 1-2)
Newborn firm yellow white pustules and papules on an erythematous base? -
ANSWER-Erythema Toxicum (Filled with eosinophils)
Red, sharply demarcated raised lesions appearing in first two months, rapidly
expand, then involuting by age 5-9? - ANSWER-Hemangioma
What is the cause of neonatal acne? - ANSWER-Maternal Androgens
Area of alopecia with orange colored nodular skin (Newborn)? - ANSWER-
Nevus Sebaceous
Remove before adolescence b/c it can undergo malignant degeneration.
Thick, yellow/white oily scale on an inflammatory base on a newborn's scalp? -
ANSWER-Seborrheic Dermatitis (Cradle Cap) - Treat with baby shampoo on a
soft toothbrush or with antifungal
What 2 Neonatal Screens are always done? - ANSWER-PKU
(Phenylketonuria): s/s MR, vomiting, athetosis, seizures and Galactosemia s/s MR direct
hyperbili/jaundice
3 day old with bilirubin 10, direct 0.5, eating/pooping well? - ANSWERPhysiologic
Jaundice - gone by 5th day of life (immature liver) bilirubin usually doesn't go above 15
7 day old, bilirubin 12, direct 0.5, dry mucous membranes, not gaining weight? -
ANSWER-Breastfeeding Jaundice (or lack of breastfeeding). Baby is
dehydrated, can be latching problems or not feeding long or often enough.
Primary Care Final
Assessment Exam Preparation Newest
2026-2027 With Complete Questions And
Correct Detailed Answers | Brand New
Version
APGAR: Newborn Crying, Acrocyanotic, Moving All Extremities, HR 130, Grimaces to
Stimulation - ANSWER-Score = 8 (loses 1 pt for color and 1pt for irritability)
What does APGAR score at birth reflect? - ANSWER-How baby did during
labor/delivery (1min). Response to resuscitation (5 min)
T or F The APGAR predicts neurologic outcomes - ANSWER-FALSE
What is the deformity associated with extension and medial rotation of the arm
with Moro (startle) reflex assessment? - ANSWER-Erb-Duchenne (C5-6) Refer
if not better by 3-6 months for neurosurgery
LGA infant with crepitus and discontinuity on palpation of clavicle? - ANSWER-
Clavicular Fracture. Treatment: None needed, callus formation at 1 week, MAY
use figure 8 splint.
Term for newborn with edema that crosses the suture line? - ANSWER-Caput
Succedaneum (Spongy, pitting edema)
Term for newborn with head fluctuance that does NOT cross suture line? -
ANSWER-Cephalo-hematoma
Blue/slate gray macule on back or thigh? - ANSWER-Mongolian spots (Arrested
, Melanocytes)
Pale pink vascular macule in NUCHAL AREA and FACE. The lesions on the face will
disappear while the other persists. The lesions are MORE RED WHEN BABY IS
ANGRY. dx? - ANSWER-Nevus Simplex (Salmon Patch). Face generally fades,
Firm white papules on a newborn's face filled with keratin? - ANSWER-Milia
(Day of life 1) - not to be confused with neonatal acne (Week of life 1-2)
Newborn firm yellow white pustules and papules on an erythematous base? -
ANSWER-Erythema Toxicum (Filled with eosinophils)
Red, sharply demarcated raised lesions appearing in first two months, rapidly
expand, then involuting by age 5-9? - ANSWER-Hemangioma
What is the cause of neonatal acne? - ANSWER-Maternal Androgens
Area of alopecia with orange colored nodular skin (Newborn)? - ANSWER-
Nevus Sebaceous
Remove before adolescence b/c it can undergo malignant degeneration.
Thick, yellow/white oily scale on an inflammatory base on a newborn's scalp? -
ANSWER-Seborrheic Dermatitis (Cradle Cap) - Treat with baby shampoo on a
soft toothbrush or with antifungal
What 2 Neonatal Screens are always done? - ANSWER-PKU
(Phenylketonuria): s/s MR, vomiting, athetosis, seizures and Galactosemia s/s MR direct
hyperbili/jaundice
3 day old with bilirubin 10, direct 0.5, eating/pooping well? - ANSWERPhysiologic
Jaundice - gone by 5th day of life (immature liver) bilirubin usually doesn't go above 15
7 day old, bilirubin 12, direct 0.5, dry mucous membranes, not gaining weight? -
ANSWER-Breastfeeding Jaundice (or lack of breastfeeding). Baby is
dehydrated, can be latching problems or not feeding long or often enough.
