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The primary care pediatric nurse practitioner is counseling the parents of a 13-
year-old female who has Down syndrome about sexual maturation. What will
the nurse practitioner tell these parents?
A. It is important to discuss and support healthy sexuality.
B. Providing too much information about sexuality may be confusing given the
child's cognitive level of understanding.
C. Suppressing periods with contraceptives will lessen their daughter's
distress.
D. They should give her information about periods but not about sexuality.
A. It is important to discuss and support healthy sexuality.
, Page 2 of 51
During a well child exam on a 13-year-old female, the primary care pediatric
nurse practitioner notes that the child is at Tanner Stage 3. During the exam,
when the nurse practitioner initiates a conversation about healthy sexuality
education, the parent states that this topic is "off limits." What will the nurse
practitioner do?
A. Ask the adolescent whether she wishes to discuss these matters since she
is becoming an adult.
B. Separate the parent from the adolescent to discuss the adolescent's
concerns in private.
C. Spend private time with the parent to discuss how sexuality education
reduces the risk of early sexual intercourse and risky sexual behaviors.
D. Tell the parent that this information is a routine part of adolescent well child
examinations and must be included.
C. Spend private time with the parent to discuss how sexuality education reduces the
risk of early sexual intercourse and risky sexual behaviors.
During a well child examination, a 15-year-old female tells the primary care
pediatric nurse practitioner that some of her friends have begun having sex.
She has a boyfriend but denies engaging in sex with him. What will the nurse
practitioner do initially?
A. Ask her for her definitions of "sex."
B. Discuss the risks of sexually transmitted diseases.
C. Find out if she is considering sexual relations.
D. Give her information about contraception.
A. Ask her for her definitions of "sex."
girl, the primary care pediatric nurse practitioner notes that the child becomes
embarrassed and resists taking off her underwear for the exam. What should
the nurse practitioner infer from this observation?
A. The child has been sexually molested.
B. The child is feeling violated by the examiner.
C. The parent is exhibiting regressive behavior.
D. This is a normal reaction in a child of this age.
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D. This is a normal reaction in a child of this age.
The primary care pediatric nurse practitioner is providing anticipatory
guidance to the parent of a schoolage boy. The parent expresses concerns
that the child prefers to play with dolls, is worried that the child will be a
homosexual, and asks what can be done to prevent this from happening. What
will the nurse practitioner tell this parent?
A. Homosexual identity formation cannot be predicted by early childhood
behavior.
B. Masculinizing boys from an early age helps to determine heterosexual
orientation.
C. Sexual orientation identification begins late in adolescence and not in
childhood.
D. The development of sexual orientation is generally a multifaceted process.
D. The development of sexual orientation is generally a multifaceted process.
Which of the following statements best defines the term child maltreatment?
A. intentional injury of a child
B. failure to provide what a child needs
C. not giving a child what he or she wants
D. accidental harm to a child by someone
A. intentional injury of a child
Which of the following statements best defines the term physical abuse?
A. bodily injury to a person that seems to have been inflicted by other than
accidental means
B. purposefully beating a child so that there are highly visible marks on the
child's body
C. use of the hands applied to a child in an excessively forceful manner
D. any damage to a child that involves the use of muscle-applied force
A. bodily injury to a person that seems to have been inflicted by other than accidental
means
The school nurse observes parents interacting with a school-aged child and
notices that they do not show any affection toward the child and there is no
, Page 4 of 51
evidence of emotional support or supervision. Later the nurse learns from the
child that he must take care of all his own hygiene tasks, has to find
something to eat on his own, and his parents never say anything nice about
him. The nurse at this point believes that the parents are engaging in:
A. physical abuse
B. poor parenting
C. psychological abuse
D. withholding of love
C. psychological abuse
The majority of perpetrators of abuse to children reported to state Child
Protective Service agencies as suspected victims of abuse and neglect are:
A. neighbors within one block
B. strangers
C. parents
D. relatives other than parents
C. parents
The majority of child abuse victims fall into which of the following age ranges?
A. over 10 years
B. 6 to 8 years
C. 8 to 10 years
D. under 6 years
D. under 6 years
Which of the following is the most common type of mistreatment of children?
A. physical abuse
B. neglect
C. sexual abuse
D. emotional maltreatment
B. neglect
In the sociological model of family violence, family violence is viewed as:
Burn's Pediatric Primary Care Exam 3 Questions Newest
2026 Exam Latest Version Solved Questions & Answers
Verified 100 %
Get all Pediatric test banks for Exam preparation for 2026. The test banks
include comprehensive preparation are designed to significantly enhance your
likelihood of passing all exams on the first attempt, with a success rate of up
to 97%. start preparing for your upcoming exams email
Get all NCLEX Tutorial Class test banks for Exam preparation for 2026. The test
banks include comprehensive preparation for both Exam I and Exam II, and are
designed to significantly enhance your likelihood of passing all exams on the first
attempt
The primary care pediatric nurse practitioner is counseling the parents of a 13-
year-old female who has Down syndrome about sexual maturation. What will
the nurse practitioner tell these parents?
A. It is important to discuss and support healthy sexuality.
B. Providing too much information about sexuality may be confusing given the
child's cognitive level of understanding.
C. Suppressing periods with contraceptives will lessen their daughter's
distress.
D. They should give her information about periods but not about sexuality.
A. It is important to discuss and support healthy sexuality.
, Page 2 of 51
During a well child exam on a 13-year-old female, the primary care pediatric
nurse practitioner notes that the child is at Tanner Stage 3. During the exam,
when the nurse practitioner initiates a conversation about healthy sexuality
education, the parent states that this topic is "off limits." What will the nurse
practitioner do?
A. Ask the adolescent whether she wishes to discuss these matters since she
is becoming an adult.
B. Separate the parent from the adolescent to discuss the adolescent's
concerns in private.
C. Spend private time with the parent to discuss how sexuality education
reduces the risk of early sexual intercourse and risky sexual behaviors.
D. Tell the parent that this information is a routine part of adolescent well child
examinations and must be included.
C. Spend private time with the parent to discuss how sexuality education reduces the
risk of early sexual intercourse and risky sexual behaviors.
During a well child examination, a 15-year-old female tells the primary care
pediatric nurse practitioner that some of her friends have begun having sex.
She has a boyfriend but denies engaging in sex with him. What will the nurse
practitioner do initially?
A. Ask her for her definitions of "sex."
B. Discuss the risks of sexually transmitted diseases.
C. Find out if she is considering sexual relations.
D. Give her information about contraception.
A. Ask her for her definitions of "sex."
girl, the primary care pediatric nurse practitioner notes that the child becomes
embarrassed and resists taking off her underwear for the exam. What should
the nurse practitioner infer from this observation?
A. The child has been sexually molested.
B. The child is feeling violated by the examiner.
C. The parent is exhibiting regressive behavior.
D. This is a normal reaction in a child of this age.
, Page 3 of 51
D. This is a normal reaction in a child of this age.
The primary care pediatric nurse practitioner is providing anticipatory
guidance to the parent of a schoolage boy. The parent expresses concerns
that the child prefers to play with dolls, is worried that the child will be a
homosexual, and asks what can be done to prevent this from happening. What
will the nurse practitioner tell this parent?
A. Homosexual identity formation cannot be predicted by early childhood
behavior.
B. Masculinizing boys from an early age helps to determine heterosexual
orientation.
C. Sexual orientation identification begins late in adolescence and not in
childhood.
D. The development of sexual orientation is generally a multifaceted process.
D. The development of sexual orientation is generally a multifaceted process.
Which of the following statements best defines the term child maltreatment?
A. intentional injury of a child
B. failure to provide what a child needs
C. not giving a child what he or she wants
D. accidental harm to a child by someone
A. intentional injury of a child
Which of the following statements best defines the term physical abuse?
A. bodily injury to a person that seems to have been inflicted by other than
accidental means
B. purposefully beating a child so that there are highly visible marks on the
child's body
C. use of the hands applied to a child in an excessively forceful manner
D. any damage to a child that involves the use of muscle-applied force
A. bodily injury to a person that seems to have been inflicted by other than accidental
means
The school nurse observes parents interacting with a school-aged child and
notices that they do not show any affection toward the child and there is no
, Page 4 of 51
evidence of emotional support or supervision. Later the nurse learns from the
child that he must take care of all his own hygiene tasks, has to find
something to eat on his own, and his parents never say anything nice about
him. The nurse at this point believes that the parents are engaging in:
A. physical abuse
B. poor parenting
C. psychological abuse
D. withholding of love
C. psychological abuse
The majority of perpetrators of abuse to children reported to state Child
Protective Service agencies as suspected victims of abuse and neglect are:
A. neighbors within one block
B. strangers
C. parents
D. relatives other than parents
C. parents
The majority of child abuse victims fall into which of the following age ranges?
A. over 10 years
B. 6 to 8 years
C. 8 to 10 years
D. under 6 years
D. under 6 years
Which of the following is the most common type of mistreatment of children?
A. physical abuse
B. neglect
C. sexual abuse
D. emotional maltreatment
B. neglect
In the sociological model of family violence, family violence is viewed as:
