VERIFIED ANSWERS
1. Which assessment findings suggest that the neonate is demonstrating
stabilization of physiological functions?
A) Heart rate: 180 bpm, respiratory rate: 70 breaths/min
B) Temperature: 97.7°F, heart rate: 140 bpm, respiratory rate: 40 breaths/min
C) Temperature: 96.5°F, capillary refill: 4 seconds
D) Respiratory rate: 30 breaths/min, oxygen saturation: 88%
Correct Answer: B
2. Which diagnostic study may be ordered when the provider wishes to detect
the presence of additional genetic material on a chromosome?
A) Fluorescence in situ hybridization (FISH)
B) Newborn metabolic screen
C) Karyotype
D) Chromosomal microarray
Correct Answer: C
3. A family medical history conducted during a well baby exam for a newborn
girl reveals that hemophilia A, an X-linked recessive disorder, is present in males
in three previous generations in the mother's family, whose father had the
disease. What will the NP tell the parents about the risk of this disease in their
children?
A) All sons will have the disease
B) Daughters have 50% chance of being carriers of the disease
C) No daughters will be carriers
D) All children will be carriers
Correct Answer: B
4. What is the strongest predictor of health regarding the pediatric patient?
A) Family income level
, B) Parental education level
C) Health literacy of patient &/or caregivers
D) Access to a primary care provider
Correct Answer: C
5. Which type of testing will the primary care pediatric NP recommend for a
couple concerned about the potential for having children with cystic fibrosis
(CF)?
A) Prenatal diagnostic testing
B) Preimplantation genetic testing
C) Carrier testing
D) Newborn screening
Correct Answer: C
6. When meeting with a new family, the primary care pediatric nurse
practitioner develops a database that identifies family members and others
living in the household, relationships with others outside the household, and
significant behavioral and emotional problems. Which tool would the nurse
practitioner use to record this information?
A) Ecomap
B) Genogram
C) Pedigree chart
D) Family APGAR
Correct Answer: B
7. The primary care pediatric nurse practitioner is counseling a couple about
genetic risks and learns that one parent has neurofibromatosis, an autosomal
dominant disorder, and the other parent does not. What will the nurse
practitioner include when discussing this disorder and its transmission?
A) Each child born to this couple will have a 50% risk of having the disease
B) Only male children will be affected
C) All children will be carriers but not affected
D) The risk is 25% for each child
Correct Answer: A