Midterm Exam 602 new version 2021

1. The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate both nursing and medical aspects of primary care, which will be included in the medical history? A. Complementary medications, alternative health practices, and chief complaint B. Developmental delays, nutritional status, and linear growth patterns C. Medication currently taking, allergy information, and family medical history D. Speech and language development, beliefs about health, and previous illnesses Correct 2. When formulating developmental diagnoses for pediatric patients, the primary care pediatric nurse practitioner may use which resource? A. DC: 03R Correct B. ICD10CM C. ICSD3 D. NANDA International 3. The primary care pediatric nurse practitioner sees a 3yearold child who chronically withholds stools, in spite of the parents’ attempts to stop the behavior, requiring frequent treatments with laxative medications. Which diagnosis will the nurse practitioner use to facilitate thirdparty reimbursement? A. Altered elimination pattern B. Elimination disorder C. Encopresis Correct D. Parenting alteration 4. The primary care pediatric nurse practitioner is assessing a toddler whose weight and body mass index (BMI) are below the 3rd percentile for age. The nurse practitioner learns that the child does not have regular mealtimes and is allowed to carry a bottle of juice around at all times. The nurse practitioner plans to work with this family to develop improved meal patterns. Which diagnosis will the nurse practitioner use for this problem? A. Failure to thrive B. Home care resources inadequate C. Nutrition alteration – less than required D. Parenting alteration Correct 5. The primary care pediatric nurse practitioner is performing a well child check 11176 11192 11172 11182 up on a 20monthold child. The child was 4 weeks premature and, according to a parent completed developmental questionnaire, has achieved milestones for a 15monthold infant. Which action is correct? A. Perform an indepth developmental assessment screen at this visit to evaluate this child. Correct B. Reassure the parent that the child will catch up to normal development by age 2 years. C. Reevaluate this child’s development and milestone achievements at the 2year visit. D. Refer the child to a specialty clinic for evaluation and treatment of developmental delay. 6. The primary care pediatric nurse practitioner performs a developmental assessment on a 3yearold child and notes normal cognitive, finemotor, and grossmotor abilities. The child responds appropriately to verbal commands during the assessment but refuses to speak when asked questions. The parent tells the nurse practitioner that the child talks at home and that most other adults can understand what the child says. The nurse practitioner will A. ask the parent to consider a possible speech delay and report any concerns. B. continue to evaluate the child’s speech at subsequent visits. Correct C. refer the child for a speech and hearing evaluation. D. tell the parent to spend more time in interactive conversations with the child. 7. The parent of a toddler is concerned that the child may have autism. The primary care pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers (MCHAT) tool, which indicates several areas of concern. What will the nurse practitioner do? A. Administer a Childhood Autism Rating Scale (CARS) in the clinic. B. Consult a specialist to determine appropriate early intervention strategies. C. Refer the child to a behavioral specialist for further evaluation. Correct D. Tell the parent that this result indicates that the child has autism. 8. The primary care pediatric nurse practitioner learns that the mother of a 3 yearold child has been treated for depression for over 5 years. Which aspect of this child’s development will be of the most concern to the nurse practitioner? A. Fine motor B. Gross motor C. Social/emotional D. Speech and language Correct 9. When meeting with a new family, the primary care pediatric nurse practitioner 11188 11186 11180 this? 11174 11194 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 will the nurse practitioner use to record this information?