MSN 572 Quiz 2 Questions & Answers
• A mother brings her 15-month-old toddler to the clinic for his preventative 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?
o Begin with least invasive parts of the examination first
• In caring for children, physicians and other clinicians need to understand child development.
Of the following, which is a principle of normal child development?
o Child development proceeds along a predictable pathway in a healthy child
• 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?
o Refer the child to a developmental and behavioral pediatrician
• 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 inquires 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?
o Develop a health promotion plan that includes more frequent visits and guidance
to assist family with stressors and improve the child’s asthma symptoms
• A clinician is reading the chart of a full-term newborn whose mother had an uneventful
pregnancy in the hospital for the first time on the day of birth. In reviewing the infant’s chart,
the clinician notes that, in the delivery room at 5 minutes, the infant had a heart rate >100,
strong respiratory effort, was crying vigorously, moving actively, and had good color except for
some acrocyanosis of the hands and feet. This infant’s APGAR score is closest to which of the
following?
o 9
• A newborn who is floppy and lip, 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?
o Begin neonatal resuscitation
• 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 birthweight for any infant?
, o These two factors help to anticipate certain medical and developmental problems
• 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 are no problems with the
• A mother brings her 15-month-old toddler to the clinic for his preventative 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?
o Begin with least invasive parts of the examination first
• In caring for children, physicians and other clinicians need to understand child development.
Of the following, which is a principle of normal child development?
o Child development proceeds along a predictable pathway in a healthy child
• 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?
o Refer the child to a developmental and behavioral pediatrician
• 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 inquires 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?
o Develop a health promotion plan that includes more frequent visits and guidance
to assist family with stressors and improve the child’s asthma symptoms
• A clinician is reading the chart of a full-term newborn whose mother had an uneventful
pregnancy in the hospital for the first time on the day of birth. In reviewing the infant’s chart,
the clinician notes that, in the delivery room at 5 minutes, the infant had a heart rate >100,
strong respiratory effort, was crying vigorously, moving actively, and had good color except for
some acrocyanosis of the hands and feet. This infant’s APGAR score is closest to which of the
following?
o 9
• A newborn who is floppy and lip, 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?
o Begin neonatal resuscitation
• 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 birthweight for any infant?
, o These two factors help to anticipate certain medical and developmental problems
• 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 are no problems with the
