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MVU NURS 629 Ped Exam 4 Study Guide 100% Correct Answers Verified Latest 2024 Version

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MVU NURS 629 Ped Exam 4 Study Guide | 100% Correct Answers | Verified | Latest 2024 Version 1. The primary care pediatric nurse practitioner counseling the parent of an overweight schoolage child about improving overall fitness. What will the nurse practitioner include? - Encourage the child to begin by engaging in swimming or cycling. 2. A child has a difficult temperament. What will the primary care pediatric nurse practitioner tell the parent about managing this child's behavior? - It is important for the parent to learn to manage criticism and power struggles 2. A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium swallow study reveals a normal esophagus. What will the primary care pediatric nurse practitioner consider next to manage this child's nutritional needs? - Video fluoroscopy swallowing study 2. The clean catch urine specimen of a child with dysuria, frequency, and fever has a colony count between 50,000 and 100,000 of E. coli. What is the treatment for this child? - Treat with antibiotics for urinary tract infection 2. The parent of a 10yearold boy tells the primary care pediatric nurse practitioner that the child doesn't appear to have any interest in girls and spends most of his time with a couple of other boys. The parent is worried about the child's sexual identity. The nurse practitioner will tell the parent - this attachment to other samegender children is how the child learns to interact with others 2. The parent of a toddler tells the primary care pediatric nurse practitioner that the family has adopted a plantbased diet and the child is receiving rice and almond milk instead of cow's milk. The nurse practitioner will counsel the parents about - protein deficiency2. The primary care pediatric nurse practitioner cares for a preschoolage child who was exposed to drugs prenatally. The child bites other children and has tantrums when asked to stop but is able to state later why this behavior is wrong. This child most likely has a disorder of - executive function. 2. The primary care pediatric nurse practitioner examines a child who has had stiffness and warmth in the right knee and left ankle for 7 or 8 months but no back pain. The nurse practitioner will refer the child to a rheumatology specialist to evaluate for - oligoarticular JIA 2. The primary care pediatric nurse practitioner is examining a 15yearold female who reports having her first period at age 13. She states that she has had five periods in the last year, with the last one 2 months prior. She participates in basketball at school. Which action is correct? - A. Perform biometric screening to determine lean body mass. 2. The primary care pediatric nurse practitioner is performing a well child examination on a 5yearold girl. The parents ask if the child s adult height can be predicted. The nurse practitioner learns that the mother is 5'2" tall and the father is 5'9" tall. The nurse practitioner will estimate which expected adult height for this child? - 5'3" tall 2. The primary care pediatric nurse practitioner performs a developmental assessment on a 32monthold child. The child's parent reports that about 70% of the child's speech is intelligible. The pediatric nurse practitioner observes that the child has difficulty pronouncing "t," "d," "k," and "g" sounds. Which action is correct? - Reassure the parent that this is normal 2. What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow maneuver when screening for developmental dysplasia of the hip? - Dislocation of an unstable hip

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MVU NURS 629 Ped Exam 4 Study Guide
| 100% Correct Answers | Verified |
Latest 2024 Version
1. The primary care pediatric nurse practitioner counseling the parent of an

overweight schoolage child about improving overall fitness. What will the nurse practitioner

include? - ✔✔Encourage the child to begin by engaging in swimming or cycling.



2. A child has a difficult temperament. What will the primary care pediatric nurse practitioner tell the
parent about managing this child's behavior? - ✔✔It is important for the parent to learn to manage
criticism and power struggles



2. A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium
swallow study reveals a normal esophagus. What will the primary care pediatric nurse practitioner
consider next to manage this child's nutritional needs? - ✔✔Video fluoroscopy swallowing study



2. The clean catch urine specimen of a child with dysuria, frequency, and fever has

a colony count between 50,000 and 100,000 of E. coli. What is the treatment for this child? - ✔✔Treat
with antibiotics for urinary tract infection



2. The parent of a 10yearold boy tells the primary care pediatric nurse practitioner

that the child doesn't appear to have any interest in girls and spends most of his time with a

couple of other boys. The parent is worried about the child's sexual identity. The nurse practitioner will

tell the parent - ✔✔this attachment to other samegender children is how the child learns to interact
with

others



2. The parent of a toddler tells the primary care pediatric nurse practitioner that the

family has adopted a plantbased diet and the child is receiving rice and almond milk instead of

cow's milk. The nurse practitioner will counsel the parents about - ✔✔protein deficiency

,2. The primary care pediatric nurse practitioner cares for a preschoolage child

who was exposed to drugs prenatally. The child bites other children and has tantrums

when asked to stop but is able to state later why this behavior is wrong. This child most

likely has a disorder of - ✔✔executive function.



2. The primary care pediatric nurse practitioner examines a child who has had stiffness and warmth in
the right knee and left ankle for 7 or 8 months but no back pain. The nurse practitioner will refer the
child to a rheumatology specialist to evaluate for - ✔✔oligoarticular JIA



2. The primary care pediatric nurse practitioner is examining a 15yearold

female who reports having her first period at age 13. She states that she has had five

periods in the last year, with the last one 2 months prior. She participates in basketball at

school. Which action is correct? - ✔✔A. Perform biometric screening to determine lean body mass.



2. The primary care pediatric nurse practitioner is performing a well child examination on a 5yearold girl.
The parents ask if the child s adult height can be predicted. The nurse practitioner learns that the mother
is 5'2" tall and the father is 5'9" tall. The nurse practitioner will estimate which expected adult height for
this child? - ✔✔5'3" tall



2. The primary care pediatric nurse practitioner performs a developmental

assessment on a 32monthold child. The child's parent reports that about 70% of the

child's speech is intelligible. The pediatric nurse practitioner observes that the child has difficulty

pronouncing "t," "d," "k," and "g" sounds. Which action is correct? - ✔✔Reassure the parent that this is
normal



2. What will the primary care pediatric nurse practitioner elicit when obtaining a

positive Barlow maneuver when screening for developmental dysplasia of the hip? - ✔✔Dislocation of
an unstable hip

, 2. When reviewing a white blood cell (WBC) count, the primary care pediatric nurse practitioner suspects
a viral infection when which WBC element is elevated? - ✔✔Lymphocytes



3. A 3yearold child is brought to the clinic by a parent who reports that the child refuses to use the right
arm after being swung by both arms while playing. The child is sitting with the right arm held slightly
flexed and close to the body. There is no swelling or ecchymosis present. What will the primary care
pediatric nurse practitioner do? - ✔✔Gently attempt a supination and flexion technique



3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in a schoolage

child with dysuria and foulsmelling urine but no fever who has not had previous urinary tract

infections. A culture is pending. What will the pediatric nurse practitioner do to treat this child? -
✔✔Prescribe trimethoprimsulfamethoxazole (TMP) twice daily for 3 to 5 days



3. A toddler is seen in the clinic after a 2day history of intermittent vomiting and diarrhea. An assessment
reveals an irritable child with dry mucous membranes, 3second capillary refill, 2 second recoil of skin,
mild tachycardia and tachypnea, and cool hands and feet.

The child has had two wet diapers in the past 24 hours. What will the primary care pediatric nurse
practitioner recommend? - ✔✔Oral rehydration solution with followup in 24 hours



3. During a well child assessment of a 13yearold male, the primary care

pediatric nurse practitioner notes small testicles and pubic and axillary hair. To further evaluate

these findings, the nurse practitioner will ask the patient about - ✔✔participation in sports.



3. During a well child assessment of a preschoolage child, the parent voices

concerns that, because the child has behavior problems at school, the child may have a mental

health disorder. Which initial approach will provide the best information? - ✔✔Take time to actively
listen to the parent's and child's perceptions of the problem



3. The parent of a 12monthold infant asks the primary care pediatric nurse

practitioner why 2% cow's milk is recommended instead of whole milk. What will the nurse

practitioner tell this parent? - ✔✔Younger children need a limited amount of fats.

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