NURS 6541 Midterm Review
1. Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following?
- Sleep in the supine position is recommended
2. Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th
percentile for height, weight and head circumference. He was born at 30 weeks'
gestation and weighed 1000g. He was a planned pregnancy, and his mother's prenatal
course was uneventful until an automobile accident initiated the labor. He was
ventilated for 3 days in the intensive care unit but otherwise did well without ongoing
problems. He was discharged at 8 weeks of life. Which of the following is the most likely
explanation for his small size?
- Normal ex-preemie infant growth
3. A Mantoux test in a child with no risk factors is considered positive with a reaction of
- at least 15 mm induration
4. A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one.
The child has not yet achieved which of the principles of Piaget?
- Conservation
5. I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger
foods, but I can't wave bye-bye yet. How old am I?
- 6 months
6. A 4-month-old child has poor weight gain. Her current weight is less than the 5th
percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery;
mother and child were discharged after a 48-hour hospitalization. Feeding is via breast
, and bottle; the quantity seems sufficient. The child has had no illness. The examination
is unremarkable except for the child's small size. Screening laboratory shows the
hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of
198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood
cells, bacteria, protein, ketones, or reducing substances. Which of the following is the
most appropriate therapy for this child?
- Oral supplementation with bicarbonate
7. Which of the following vaccines is routinely recommended at 4 months of age?
- Diphtheria, tetanus, acellular pertussis (DTaP)
8. I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I
cannot balance on one foot for 1 second. I am
- 2-1/2 years old (30 months)
9. You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received
the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second
dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second
dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B
(Hib) fourth dose. Which of the following do you order today?
- DTaP, varicella, hepatitis A, and hepatitis B
10. Which is the correct order for introduction of solid foods to an infant?
- Cereal, vegetables, fruits, and meats
11. I like to use my pincer grasp that involves the ability to pick up a small object such as a
raisin or piece of cereal with the thumb and forefinger, and that is mastered around
what age?
, - 9 months
12. The first sign of the onset of female puberty is usually
- Breast buds
13. A mother of a 6-month-old asks you about normal sleep patterns for an infant this age.
The best response is:
- 10 hours at night and 3-4 hours during the day
14. Medicaid provides health insurance coverage to
- Certain categories of people whose personal income falls below a certain percentage
of the federal poverty level.
15. You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note
large lower lateral incisor bulges. You recommend: - A and D
16. You see a young child who has tripled her birth weight and looks for hidden objects.
When given blocks, she places one in each hand. She has a fine pincer grasp. On the
floor, she walks around holding objects and is trying to take independent steps. This
child is most likely how old?
- 12 months
17. Sally, age 4, presents to the office with her mother for a well-child visit. To assess for
age-appropriate fine motor skills, what activity would you ask her to perform?
- Cut on a line with scissors
18. Which adolescent would be at greatest risk for developing anorexia nervosa?
1. Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following?
- Sleep in the supine position is recommended
2. Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th
percentile for height, weight and head circumference. He was born at 30 weeks'
gestation and weighed 1000g. He was a planned pregnancy, and his mother's prenatal
course was uneventful until an automobile accident initiated the labor. He was
ventilated for 3 days in the intensive care unit but otherwise did well without ongoing
problems. He was discharged at 8 weeks of life. Which of the following is the most likely
explanation for his small size?
- Normal ex-preemie infant growth
3. A Mantoux test in a child with no risk factors is considered positive with a reaction of
- at least 15 mm induration
4. A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one.
The child has not yet achieved which of the principles of Piaget?
- Conservation
5. I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger
foods, but I can't wave bye-bye yet. How old am I?
- 6 months
6. A 4-month-old child has poor weight gain. Her current weight is less than the 5th
percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery;
mother and child were discharged after a 48-hour hospitalization. Feeding is via breast
, and bottle; the quantity seems sufficient. The child has had no illness. The examination
is unremarkable except for the child's small size. Screening laboratory shows the
hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of
198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood
cells, bacteria, protein, ketones, or reducing substances. Which of the following is the
most appropriate therapy for this child?
- Oral supplementation with bicarbonate
7. Which of the following vaccines is routinely recommended at 4 months of age?
- Diphtheria, tetanus, acellular pertussis (DTaP)
8. I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I
cannot balance on one foot for 1 second. I am
- 2-1/2 years old (30 months)
9. You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received
the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second
dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second
dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B
(Hib) fourth dose. Which of the following do you order today?
- DTaP, varicella, hepatitis A, and hepatitis B
10. Which is the correct order for introduction of solid foods to an infant?
- Cereal, vegetables, fruits, and meats
11. I like to use my pincer grasp that involves the ability to pick up a small object such as a
raisin or piece of cereal with the thumb and forefinger, and that is mastered around
what age?
, - 9 months
12. The first sign of the onset of female puberty is usually
- Breast buds
13. A mother of a 6-month-old asks you about normal sleep patterns for an infant this age.
The best response is:
- 10 hours at night and 3-4 hours during the day
14. Medicaid provides health insurance coverage to
- Certain categories of people whose personal income falls below a certain percentage
of the federal poverty level.
15. You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note
large lower lateral incisor bulges. You recommend: - A and D
16. You see a young child who has tripled her birth weight and looks for hidden objects.
When given blocks, she places one in each hand. She has a fine pincer grasp. On the
floor, she walks around holding objects and is trying to take independent steps. This
child is most likely how old?
- 12 months
17. Sally, age 4, presents to the office with her mother for a well-child visit. To assess for
age-appropriate fine motor skills, what activity would you ask her to perform?
- Cut on a line with scissors
18. Which adolescent would be at greatest risk for developing anorexia nervosa?
