Pediatrics DNP Final Exam – Questions With Solutions
When would you expect an infant to double their birth weight? Correct
Ans - between 4-5 months (by 6 months)
When would you expect an infant to return to their birth weight? Correct
Ans - 7-10 days
When would you expect an infant to triple their birth weight? Correct Ans
- 1 year
At what age should the anterior fontanelle close? Correct Ans - 2 years
At what age should the posterior fontanelle close? Correct Ans - 2
months
At 9 months during a well-child exam, you notice that the infant exhibits the
moro reflex. Is this a normal or abnormal finding? Correct Ans -
abnormal (disappears at 3-4 months)
how do you elicit the babinski reflex? duration? Correct Ans - stroke
sole of foot and the toes fan out; goes away at 9 mo.-->1year
how do you elicit the grasping reflex? duration? Correct Ans - palms
touched and grasps tightly; weakens at 3 mo., gone at 1 year
how do you elicit the moro reflex? duration? Correct Ans - sudden
movement/loud noise startles...throw out arms and legs and then pull to the
body; disappears at 3-4 mo.
how do you elicit the rooting reflex? duration? Correct Ans - cheek
stroked or side of mouth touched, turns toward source, opens mouth and
sucks; 3-4 mo.
how do you elicit the stepping reflex? duration? Correct Ans - infant
held upright with feet touching ground; moves feet as if to walk; 3-4 mo.
,how do you elicit the sucking reflex? duration? Correct Ans - mouth
touched by object and suck on object; 3-4 mo.
how do you elicit the swimming reflex? duration? Correct Ans - placed
face down in water, makes coordinated swimming movements; disappears 7
mo.
how do you elicit the tonic neck reflex? duration? Correct Ans - placed
on back, makes fists and turns to the right; 2 mo.
In general, infants should walk by ______ and sit up by _______ Correct Ans -
Infant should walk by 1 year
Not walking by 15 months is cause for investigation
Infants should sit by 9 months
Infants begin to sit at 6 months (with support)
age of motor milestone: neck holding Correct Ans - 3 mo.
age of motor milestone: rolls over Correct Ans - 5 mo.
age of motor milestone: sits with own support Correct Ans - 6 mo.
age of motor milestone: sits without support Correct Ans - 8 mo.
age of motor milestone: standing holding on (with support) Correct Ans -
9 mo.
age of motor milestone: creep well, stand without support Correct Ans -
12 mo.
age of motor milestone: walks alone, creeps upstairs Correct Ans - 15
mo.
age of motor milestone: runs Correct Ans - 18 mo.
age of motor milestone: 2 years Correct Ans - walks up/down stairs
age of motor milestone: 3 years Correct Ans - rides tricycle
, age of motor milestone: 4 years Correct Ans - hops on one foot,
alternate feet going downstairs
What are the effects of excess lead in developing children? How do we treat
the patient with between 10-14 g/dL of lead in their body? Correct Ans -
●Sx: Decreased intelligence, impaired neurobehavioral development, and
decreased growth.
●Tx: Dietary and environmental changes, follow up with blood lead
monitoring in one month, and report the incident to the state
vaccines at: birth Correct Ans - hep B
vaccines at: 2 mo. Correct Ans - 2B DR HIP
hep B (by 1 mo.)
Dtap
rotovirus
hib
ipv
pcv
vaccines at: 4 mo. Correct Ans - 4 DR HIP
Dtap
roto
hib
ipv
pcv
vaccines at: 6 mo Correct Ans - B DR HIP IN 6mo.
hep b
dtap
roto
hib
ipv
pcv
flu (get 2 doses separated by 1 month)
When would you expect an infant to double their birth weight? Correct
Ans - between 4-5 months (by 6 months)
When would you expect an infant to return to their birth weight? Correct
Ans - 7-10 days
When would you expect an infant to triple their birth weight? Correct Ans
- 1 year
At what age should the anterior fontanelle close? Correct Ans - 2 years
At what age should the posterior fontanelle close? Correct Ans - 2
months
At 9 months during a well-child exam, you notice that the infant exhibits the
moro reflex. Is this a normal or abnormal finding? Correct Ans -
abnormal (disappears at 3-4 months)
how do you elicit the babinski reflex? duration? Correct Ans - stroke
sole of foot and the toes fan out; goes away at 9 mo.-->1year
how do you elicit the grasping reflex? duration? Correct Ans - palms
touched and grasps tightly; weakens at 3 mo., gone at 1 year
how do you elicit the moro reflex? duration? Correct Ans - sudden
movement/loud noise startles...throw out arms and legs and then pull to the
body; disappears at 3-4 mo.
how do you elicit the rooting reflex? duration? Correct Ans - cheek
stroked or side of mouth touched, turns toward source, opens mouth and
sucks; 3-4 mo.
how do you elicit the stepping reflex? duration? Correct Ans - infant
held upright with feet touching ground; moves feet as if to walk; 3-4 mo.
,how do you elicit the sucking reflex? duration? Correct Ans - mouth
touched by object and suck on object; 3-4 mo.
how do you elicit the swimming reflex? duration? Correct Ans - placed
face down in water, makes coordinated swimming movements; disappears 7
mo.
how do you elicit the tonic neck reflex? duration? Correct Ans - placed
on back, makes fists and turns to the right; 2 mo.
In general, infants should walk by ______ and sit up by _______ Correct Ans -
Infant should walk by 1 year
Not walking by 15 months is cause for investigation
Infants should sit by 9 months
Infants begin to sit at 6 months (with support)
age of motor milestone: neck holding Correct Ans - 3 mo.
age of motor milestone: rolls over Correct Ans - 5 mo.
age of motor milestone: sits with own support Correct Ans - 6 mo.
age of motor milestone: sits without support Correct Ans - 8 mo.
age of motor milestone: standing holding on (with support) Correct Ans -
9 mo.
age of motor milestone: creep well, stand without support Correct Ans -
12 mo.
age of motor milestone: walks alone, creeps upstairs Correct Ans - 15
mo.
age of motor milestone: runs Correct Ans - 18 mo.
age of motor milestone: 2 years Correct Ans - walks up/down stairs
age of motor milestone: 3 years Correct Ans - rides tricycle
, age of motor milestone: 4 years Correct Ans - hops on one foot,
alternate feet going downstairs
What are the effects of excess lead in developing children? How do we treat
the patient with between 10-14 g/dL of lead in their body? Correct Ans -
●Sx: Decreased intelligence, impaired neurobehavioral development, and
decreased growth.
●Tx: Dietary and environmental changes, follow up with blood lead
monitoring in one month, and report the incident to the state
vaccines at: birth Correct Ans - hep B
vaccines at: 2 mo. Correct Ans - 2B DR HIP
hep B (by 1 mo.)
Dtap
rotovirus
hib
ipv
pcv
vaccines at: 4 mo. Correct Ans - 4 DR HIP
Dtap
roto
hib
ipv
pcv
vaccines at: 6 mo Correct Ans - B DR HIP IN 6mo.
hep b
dtap
roto
hib
ipv
pcv
flu (get 2 doses separated by 1 month)
