NR509 WEEK 8: LIFESPAN: TEST QUESTIONS WITH
ACCURATE SOLUTIONS
1) A newborn who is floppy and limp, blue in color, with a heart rate of 60, and
minimal respiratory effort has just been delivered. The infant has no grimace and
only a very weak cry. What is the best immediate response to the infant in this
situation?
A) Discuss the infant's poor appearance with the parents who are
both in the room.
B) Suction the infant's mouth while waiting to calculate the 5-minute
APGAR score.
C) Dry the infant off and swaddle him.
D) Begin neonatal resuscitation.
E) Order a chest x-ray -- Answer ✔✔ D
2) An infant is born 4 weeks preterm to a mother with a history of hypertension,
severe diabetes, and alcohol abuse. The infant is noted to be small for gestational
age (SGA), weighing just 1,500 g. Which of the following is the most important
reason for assessing both gestational age and birth weight for any infant?
A) These two factors help to anticipate certain medical and
developmental problems.
B) The parents should be informed of these.
, C) A SGA infant is at low risk for neonatal problems.
D) A premature infant with a weight appropriate for gestational age
has a very low risk for neonatal problems.
E) Full-term, appropriate-for-gestational age (AGA) infants having a
high risk of long-term problems -- Answer ✔✔ A
3) A clinician arrives at the hospital several hours after the birth of a full-term infant.
The infant is rooming in with her parents and appears to be doing well. There
were no problems with the pregnancy, labor, or delivery. The nurse asks if the
baby should be taken back to the nursery for examination. What is the best
response to the nurse?
A) State that it will be much more efficient to conduct the
examination in the nursery.
B) Note that the infant already had an examination in the delivery
room and does not need another examination so soon.
C) State that the infant should be examined in the presence of the
parents so they can be taught about what their newborn can do.
D) Note that the lighting is better in the newborn nursery.
E) Refer the parents to a good book on newborns and wheel the
infant back to the newborn nursery to conduct the examination --
Answer ✔✔ c
4) A mother brings her 15-month-old toddler to the clinic for his preventive health
care visit. The clinician takes the history and observes the child's interactions and
behaviors and is then ready to begin the rest of the examination. Which of the
following best describes the general approach to the pediatric examination of the
young child?
A) Always give immunizations prior to beginning the examination.
B) Examine the child in the same order as for an adult patient.
C) Children age <2 years do not need to be examined.
D) Begin with least invasive parts of the examination first.
E) Never examine a young child in the mother's lap. -- Answer ✔✔ D
5) In caring for children, physicians and other clinicians need to understand child
development. Of the following, which is a principle of normal child development?
, A) Child development proceeds along a predictable pathway in a
healthy child.
B) There is minimal variation in when children achieve milestones.
C) All delays in development can be explained by one or two risk
factors.
D) Regression in developmental skills is not a cause for concern.
E) A child's developmental level can be ignored in conducting an
examination -- Answer ✔✔ A
6) The parents of a 21-month-old child explain that their son used to speak nearly
50 words and was using 2-word phrases. In the last month or so, the child has
not been using as many words and tends to echo what is being said to him rather
than use language spontaneously. They want to know if this is normal. After
taking a thorough developmental history, the clinician finds that the child makes
poor eye contact and does not play with toys in a purposeful manner. The
physical examination is normal except for the child's limited social interactions.
There is a family history of autism in two first cousins. Which of the following
would be the best response to the parents at this time?
A) Reassure the parents that all toddlers lose skills at some point in
development.
B) Reassure the parents that the child is fine as long as he has not lost
skills in other domains.
C) Send the child to the Emergency Department (ED).
D) Ref -- Answer ✔✔ D
7) A clinician is meeting the mother of a 5-year-old with asthma for the first time.
The mother notes that the asthma has been poorly controlled and that the child
has had multiple hospitalizations. The clinician inquiries about family stressors and
finds that the parents are divorced, the mother recently lost her job, and the
child spent 2 months living with her grandparents who both smoke. Which of the
following is the best example of the role of health promotion with this family?
A) Plan less frequent pediatric visits because the family will take too
much time.
B) Delay immunizations because of the family stressors.
C) Postpone vision and hearing screening because the child may not
pass
ACCURATE SOLUTIONS
1) A newborn who is floppy and limp, blue in color, with a heart rate of 60, and
minimal respiratory effort has just been delivered. The infant has no grimace and
only a very weak cry. What is the best immediate response to the infant in this
situation?
A) Discuss the infant's poor appearance with the parents who are
both in the room.
B) Suction the infant's mouth while waiting to calculate the 5-minute
APGAR score.
C) Dry the infant off and swaddle him.
D) Begin neonatal resuscitation.
E) Order a chest x-ray -- Answer ✔✔ D
2) An infant is born 4 weeks preterm to a mother with a history of hypertension,
severe diabetes, and alcohol abuse. The infant is noted to be small for gestational
age (SGA), weighing just 1,500 g. Which of the following is the most important
reason for assessing both gestational age and birth weight for any infant?
A) These two factors help to anticipate certain medical and
developmental problems.
B) The parents should be informed of these.
, C) A SGA infant is at low risk for neonatal problems.
D) A premature infant with a weight appropriate for gestational age
has a very low risk for neonatal problems.
E) Full-term, appropriate-for-gestational age (AGA) infants having a
high risk of long-term problems -- Answer ✔✔ A
3) A clinician arrives at the hospital several hours after the birth of a full-term infant.
The infant is rooming in with her parents and appears to be doing well. There
were no problems with the pregnancy, labor, or delivery. The nurse asks if the
baby should be taken back to the nursery for examination. What is the best
response to the nurse?
A) State that it will be much more efficient to conduct the
examination in the nursery.
B) Note that the infant already had an examination in the delivery
room and does not need another examination so soon.
C) State that the infant should be examined in the presence of the
parents so they can be taught about what their newborn can do.
D) Note that the lighting is better in the newborn nursery.
E) Refer the parents to a good book on newborns and wheel the
infant back to the newborn nursery to conduct the examination --
Answer ✔✔ c
4) A mother brings her 15-month-old toddler to the clinic for his preventive health
care visit. The clinician takes the history and observes the child's interactions and
behaviors and is then ready to begin the rest of the examination. Which of the
following best describes the general approach to the pediatric examination of the
young child?
A) Always give immunizations prior to beginning the examination.
B) Examine the child in the same order as for an adult patient.
C) Children age <2 years do not need to be examined.
D) Begin with least invasive parts of the examination first.
E) Never examine a young child in the mother's lap. -- Answer ✔✔ D
5) In caring for children, physicians and other clinicians need to understand child
development. Of the following, which is a principle of normal child development?
, A) Child development proceeds along a predictable pathway in a
healthy child.
B) There is minimal variation in when children achieve milestones.
C) All delays in development can be explained by one or two risk
factors.
D) Regression in developmental skills is not a cause for concern.
E) A child's developmental level can be ignored in conducting an
examination -- Answer ✔✔ A
6) The parents of a 21-month-old child explain that their son used to speak nearly
50 words and was using 2-word phrases. In the last month or so, the child has
not been using as many words and tends to echo what is being said to him rather
than use language spontaneously. They want to know if this is normal. After
taking a thorough developmental history, the clinician finds that the child makes
poor eye contact and does not play with toys in a purposeful manner. The
physical examination is normal except for the child's limited social interactions.
There is a family history of autism in two first cousins. Which of the following
would be the best response to the parents at this time?
A) Reassure the parents that all toddlers lose skills at some point in
development.
B) Reassure the parents that the child is fine as long as he has not lost
skills in other domains.
C) Send the child to the Emergency Department (ED).
D) Ref -- Answer ✔✔ D
7) A clinician is meeting the mother of a 5-year-old with asthma for the first time.
The mother notes that the asthma has been poorly controlled and that the child
has had multiple hospitalizations. The clinician inquiries about family stressors and
finds that the parents are divorced, the mother recently lost her job, and the
child spent 2 months living with her grandparents who both smoke. Which of the
following is the best example of the role of health promotion with this family?
A) Plan less frequent pediatric visits because the family will take too
much time.
B) Delay immunizations because of the family stressors.
C) Postpone vision and hearing screening because the child may not
pass
