FNP Pediatric Exam Test
Bank | Accurate Questions
and Answers with Solutions
‣ Factors that influence self perception . Answer: significance,
worthiness, competence
-media
-chronic/acute illness
-family (relationships, genetics, finances, race/ethnicity, structure,
discipline, communication)
-values, beliefs, religion
-environment (home, school, community, activities)
-temperament, coping style
-friends, support persons
-developmental stage, cognition
-health perception (nutrition, sleep, health activities)
-sexuality
‣ Munchausen syndrome by proxy . Answer: -a relatively rare form of
child abuse that involves the exaggeration or fabrication of illnesses or
symptoms by a primary caretaker
,-mental illness-parent needs attention and sympathy from others
-most victims are preschoolers-hard to ID because parent seems attentive
and caring
‣ Child abuse risk factors . Answer: -alcohol and drug abuse
-Parental abuse (domestic or as child)
-prior history of abuse or unexplained death of child, history of violence
-mental illness
-lack of attachment to child, lacks basic parenting skills
-parental stress, lack of support (alone)
-child factors (ADHD, chronic ill)
-community factors (poverty)
‣ pneumonia, lobular pneumonia . Answer: -lobular= typical pnemonia
-non-localized consolidtaion= atypical
-viral often leads to bacterial infection
-neonate: GBS, C trachomatis, lack of prenatal care, slower onset
-ask immun, TB, sick contacts
-s/s: resp distress, apnea tachycardia, nasal flaring, retractions, fine
crackles, dullness, diminished breath sounds, fever, hypoxia, cough can
last weeks
-treatment: supportive: antipyretics, hydration, rest
-only abx if bacterial suspected
, -complications: meningitis, CNS abscess, endocarditits, osteomyelitis,
septic arthritis, plural effusion, pulm complications
‣ 2 parent families . Answer: -married
-unmarried
-remarried/blended: most do well, comm resources
-gay/lesbian: same as hetero, better if told sooner
-working parents
‣ Single parent family . Answer: -higher rate of depression
-higher risk of child abuse
-higher rate of poverty
-dating (children form attachment easily)
‣ Adoptive parents . Answer: -don't know health history, needs
-don't know developmental history
‣ Teen parent . Answer: -low rates right now
-assist with prenatal care: WIC, insurance
-adjustment to emotional and physical changes
‣ Extended family . Answer: -lots of kids not with parents
-54% with grandparents
Bank | Accurate Questions
and Answers with Solutions
‣ Factors that influence self perception . Answer: significance,
worthiness, competence
-media
-chronic/acute illness
-family (relationships, genetics, finances, race/ethnicity, structure,
discipline, communication)
-values, beliefs, religion
-environment (home, school, community, activities)
-temperament, coping style
-friends, support persons
-developmental stage, cognition
-health perception (nutrition, sleep, health activities)
-sexuality
‣ Munchausen syndrome by proxy . Answer: -a relatively rare form of
child abuse that involves the exaggeration or fabrication of illnesses or
symptoms by a primary caretaker
,-mental illness-parent needs attention and sympathy from others
-most victims are preschoolers-hard to ID because parent seems attentive
and caring
‣ Child abuse risk factors . Answer: -alcohol and drug abuse
-Parental abuse (domestic or as child)
-prior history of abuse or unexplained death of child, history of violence
-mental illness
-lack of attachment to child, lacks basic parenting skills
-parental stress, lack of support (alone)
-child factors (ADHD, chronic ill)
-community factors (poverty)
‣ pneumonia, lobular pneumonia . Answer: -lobular= typical pnemonia
-non-localized consolidtaion= atypical
-viral often leads to bacterial infection
-neonate: GBS, C trachomatis, lack of prenatal care, slower onset
-ask immun, TB, sick contacts
-s/s: resp distress, apnea tachycardia, nasal flaring, retractions, fine
crackles, dullness, diminished breath sounds, fever, hypoxia, cough can
last weeks
-treatment: supportive: antipyretics, hydration, rest
-only abx if bacterial suspected
, -complications: meningitis, CNS abscess, endocarditits, osteomyelitis,
septic arthritis, plural effusion, pulm complications
‣ 2 parent families . Answer: -married
-unmarried
-remarried/blended: most do well, comm resources
-gay/lesbian: same as hetero, better if told sooner
-working parents
‣ Single parent family . Answer: -higher rate of depression
-higher risk of child abuse
-higher rate of poverty
-dating (children form attachment easily)
‣ Adoptive parents . Answer: -don't know health history, needs
-don't know developmental history
‣ Teen parent . Answer: -low rates right now
-assist with prenatal care: WIC, insurance
-adjustment to emotional and physical changes
‣ Extended family . Answer: -lots of kids not with parents
-54% with grandparents
