Burns: Pediatric Primary Care, 6th Edition
Chapter 2: Child and Family Health Assessment
Test Bank .
Multiple Choice
1. 1. 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 (M-CHAT) tool, which
indicates several areas of concern. What will the nurse practitioner
do?
a. a. Administer a Childhood Autism Rating Scale (CARS) in the
clinic.
b. b. Consult a specialist to determine appropriate early
intervention strategies.
c. c. Refer the child to a behavioral specialist for further
evaluation.
d. d. Tell the parent that this result indicates that the child has
autism.
ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors
that may indicate autism. This instrument has been found to have
acceptable sensitivity, specificity, and significant positive predictive
value. If these behaviors are detected, the PNP should refer the child to
a specialist for further assessment, using more diagnostic tools. The
CARS may be used but requires specialty training and proper
credentials. Until the diagnosis is determined, strategies for
intervention are not discussed. The M-CHAT is a screening tool and is
not diagnostic.
1. 2. The mother of a newborn tells the primary care pediatric nurse
practitioner that she is worried that her child will develop allergies
and asthma. Which tool will the nurse practitioner use to evaluate
this risk?
a. a. Three-generation pedigree
b. b. Review of systems
c. c. Genogram
d. d. Ecomap
ANS: A
The three-generation pedigree is used to map out risks for genetic
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https://www.coursehero.com/file/38934382/Chapter-002rtf/
, diseases in families, as well as conditions with modifiable risk factors.
The review of systems is used to evaluate the history of the child’s
body systems. The genogram is an approach to developing a family
database to provide a graphic representation of family structure, roles,
and problems of recurring significance in a family. The ecomap is used
to identify relationships in the family and community that are
supportive or harmful.
1. 3. The primary care pediatric nurse practitioner is performing a well
child check-up on a 20-month-old child. The child was 4 weeks
premature and, according to a parent-completed developmental
questionnaire, has achieved milestones for a 15-month-old infant.
Which action is correct?
a. a. Perform an in-depth developmental assessment screen at
this visit to evaluate this child.
b. b. Reassure the parent that the child will catch up to normal
development by age 2 years.
c. c. Re-evaluate this child’s development and milestone
achievements at the 2-year visit.
d. d. Refer the child to a specialty clinic for evaluation and
treatment of developmental delay.
ANS: A
This child should be at a 19-month adjusted age for prematurity so,
according to the parent screen, is 4 months behind. The PNP should
perform a more in-depth screen to evaluate this delay. Waiting to see if
the child will “catch up” or assuring the parent that this will happen will
cause the delays to become more severe. A referral to a specialty clinic
should not be made solely on the basis of the parent-completed
questionnaire but only after further evaluation of possible delays.
1. 4. When formulating developmental diagnoses for pediatric
patients, the primary care pediatric nurse practitioner may use
which resource?
a. a. DC: 0-3R
b. b. ICD-10-CM
c. c. ICSD-3
d. d. NANDA International
ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health
and Developmental Disorders of Infancy and Early Childhood and is
useful for developmental problem diagnosis. The ICD-10-CM is the
International Classification of Diseases-Tenth Revision, Clinical
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:54:43 GMT -05:00
https://www.coursehero.com/file/38934382/Chapter-002rtf/
Chapter 2: Child and Family Health Assessment
Test Bank .
Multiple Choice
1. 1. 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 (M-CHAT) tool, which
indicates several areas of concern. What will the nurse practitioner
do?
a. a. Administer a Childhood Autism Rating Scale (CARS) in the
clinic.
b. b. Consult a specialist to determine appropriate early
intervention strategies.
c. c. Refer the child to a behavioral specialist for further
evaluation.
d. d. Tell the parent that this result indicates that the child has
autism.
ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors
that may indicate autism. This instrument has been found to have
acceptable sensitivity, specificity, and significant positive predictive
value. If these behaviors are detected, the PNP should refer the child to
a specialist for further assessment, using more diagnostic tools. The
CARS may be used but requires specialty training and proper
credentials. Until the diagnosis is determined, strategies for
intervention are not discussed. The M-CHAT is a screening tool and is
not diagnostic.
1. 2. The mother of a newborn tells the primary care pediatric nurse
practitioner that she is worried that her child will develop allergies
and asthma. Which tool will the nurse practitioner use to evaluate
this risk?
a. a. Three-generation pedigree
b. b. Review of systems
c. c. Genogram
d. d. Ecomap
ANS: A
The three-generation pedigree is used to map out risks for genetic
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:54:43 GMT -05:00
https://www.coursehero.com/file/38934382/Chapter-002rtf/
, diseases in families, as well as conditions with modifiable risk factors.
The review of systems is used to evaluate the history of the child’s
body systems. The genogram is an approach to developing a family
database to provide a graphic representation of family structure, roles,
and problems of recurring significance in a family. The ecomap is used
to identify relationships in the family and community that are
supportive or harmful.
1. 3. The primary care pediatric nurse practitioner is performing a well
child check-up on a 20-month-old child. The child was 4 weeks
premature and, according to a parent-completed developmental
questionnaire, has achieved milestones for a 15-month-old infant.
Which action is correct?
a. a. Perform an in-depth developmental assessment screen at
this visit to evaluate this child.
b. b. Reassure the parent that the child will catch up to normal
development by age 2 years.
c. c. Re-evaluate this child’s development and milestone
achievements at the 2-year visit.
d. d. Refer the child to a specialty clinic for evaluation and
treatment of developmental delay.
ANS: A
This child should be at a 19-month adjusted age for prematurity so,
according to the parent screen, is 4 months behind. The PNP should
perform a more in-depth screen to evaluate this delay. Waiting to see if
the child will “catch up” or assuring the parent that this will happen will
cause the delays to become more severe. A referral to a specialty clinic
should not be made solely on the basis of the parent-completed
questionnaire but only after further evaluation of possible delays.
1. 4. When formulating developmental diagnoses for pediatric
patients, the primary care pediatric nurse practitioner may use
which resource?
a. a. DC: 0-3R
b. b. ICD-10-CM
c. c. ICSD-3
d. d. NANDA International
ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health
and Developmental Disorders of Infancy and Early Childhood and is
useful for developmental problem diagnosis. The ICD-10-CM is the
International Classification of Diseases-Tenth Revision, Clinical
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:54:43 GMT -05:00
https://www.coursehero.com/file/38934382/Chapter-002rtf/
