NRNP-6541C-2/NRNP-6541-2-Primary Care of Adol & Child2020 ....96%

You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: Selected Answer: a. Set his own bedtime based on his internal clock. Answers: a. Set his own bedtime based on his internal clock. b. Protest when he goes to bed, but the parents should not pick him up or give him any attention. c. Put himself to sleep somewhere other than his own bed and the parents should move him to the bed once he is asleep. d. Make multiple requests, but the parents should only respond to every third request. A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child’s small size? Selected Answer: a. Congenital cytomegalovirus infection Answers: a. Congenital cytomegalovirus infection b. Down syndrome c. Glycogen storage disease type II d. Congenital e. Craniopharyngioma I like to use my pincer grasp that involves the ablitily 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? Selected c. Answer: 9 months Answers: a. 4 months b. 6 months c. 9 months d. 15 months 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: Selected Answer: b. 2-1/2 years old (30 months) Answers: a. 2 years old (24 months) b. 2-1 /2 years old (30 months) c. 3 years old (36 months) d. 4 years old (48 months) Appropriate anticipatory guidance for the parents of an 8-year-old girl includes Selected Answer: c. Information that the child will start to value personal idols and role models. Answers: a. Preparation for an increase in nervous mannerisms and activity b. Preparation for decreased needs for parental guidance and supervision c. Information that the child will start to value personal idols and role models. d. Information on menstrual hygiene practices An expected milestone of a 4-year-old is the ability to Selected Answer: a. Copy a cross Answers: a. Copy a cross b. Copy a circle c. Copy a vertical line d. Draw a person in six parts You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? Selected Answer: b. DTaP, IPV, MMR, and Varivax Answers: a. Pneumococcal conjugate vaccine (PCV13), IPV, varicella, and DTaP b. DTaP, IPV, MMR, and Varivax c. Tetanus and diphtheria toxoid with acellular pertussis (TdaP), MMR, hepatitus B, and IPV d. PVC 13, DTaP, IPV, MMR, and Varivax 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? Selected Answer: d. Conservation Answers: a. Object permanence b. Formal operations c. Abstract reasoning d. Conservation The first sign of the onset of female puberty is usually: Selected Answer: b. Breast buds Answers: a. Sparsely distributed fine, pale pubic hairs b. Breast buds c. Menarche d. Peak height growth velocity A 7-month-old male is found to have a spiral fracture of the femur that his father says he got by climbing onto a chair and then jumping off. Which of the following statements is true regarding this situation? Selected Answer: d. You can be held legally liable for failing to report child abuse. Answers: a. You cannot report this to child protective services because the history provides a legitimate possible mechanism of injury other than abuse. b. The father can sue you if you report this to the authorities and they determine that no abuse occurred. c. You should anonymously report the abuse to the authorities. d. You can be held legally liable for failing to report child abuse. A breastfed infant is expected to have a lower incidence of which of the following? Selected Answer: a. Asthma Answers: a. Asthma b. Conjunctivitis c. Diarrhea d. Impetigo e. Urinary tract infections You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has bowel movements at the same time every day.” This describes which aspect of temperament? Selected Answer: b. Rhythmicity Answers: a. Activity b. Rhythmicity c. Adaptability d. Threshold of response The nurse practitioner role was initially established to Selected Answer: b. Improve access to care and partially solve physician shortage. Answers: a. Reduce the nursing shortage and improve access to care. b. Improve access to care and partially solve physician shortage. c. Improve working condition of nurses while improving access to care. d. Improving nursing's image through expansion of the role. The mother of a 5-year-old informs you that her daughter cheats when playing board games. What is the best response?