FNP PEDIATRICS EXAM 3 LATEST VERSIONS (VERSION A, B & C)
ACTUAL EXAM COMPLETE 500 QUESTIONS AND CORRECT
DETAILED ANSWERS
What 3 developmental stages demonstrate the most profound and dramatic
changes in growth and development? (CD) - ANSWER: -Pre-natal
-Infancy
-Adolescents
What are the caloric requirements according to age? - ANSWER: -Birth to 6 months:
120 kcal/kg/day -7 months to 1 year: 100 kcal/kg/day -2 to 10 yrs: 70-100
kcal/kg/day -Adolescents: 45 kcal/kg/day
Why do younger children require more calories? (CD) - ANSWER: Increased
metabolic rate
Breast feeding recommended up to what age? - ANSWER: For the first 6 months if
not for the 1st year of life.
How is adequate nutrition confirmed in first 6 months of life? - ANSWER: By weight
gain of **30 g/day (1 oz/day) for the 1st 3 months and **a gain of 15-20 g/day for
the next 3 months.
At what age do you start supplementing a child with Vitamin D? - ANSWER: 2 months
of age
When is Vitamin B12 supplemented in children? - ANSWER: In exclusively breast fed
infants with mothers who are strict vegetarians.
At what age do you start supplementing a child with Iron? - ANSWER: Exclusively
breast fed infants: approximately 1 mg/kg/day after 6 months of age. Bottle feeding
should contain iron supplementation.
At what age do you start supplementing a child with Fluoride? - ANSWER: After 6
months of age AND when local water supply is deficient (less than 0.6 ppm). (See pg
6 for dosing)
Weight Gain Progression - ANSWER: -Initial 10% loss -Regained within 7-14 days -
Doubles by 5 months -Triples by 1 year -Quadruples by 2 years -3 yo-school-age gain
2.5 lbs/yr -School-age gain 5-7 lbs/yr
Tooth Eruption - ANSWER: Central Incisor 6-7 mos / 6-8 yrs Lateral Incisor 7-9 mos /
7-9 yrs Cuspid (Canine) 16-18 mos / 9-12 yrs none/1st Bicuspid --- / 10-12 yrs
,none/2nd Bicuspid --- / 10-12 yrs 1st Molar 12-14 mos / 6-7 yrs 2nd Molar 20-24 mos
/ 11-13 yrs
Who is the theorist for the cognitive theory? - ANSWER: Jean Piaget
What are the sections of Jean Piaget's cognitive theory? - ANSWER: Sensorimotor
Stage: Birth to 2 years Preoperationl/Preconeptual: 2-4 years
Intuitive/Preoperational thinking: 4-7 yrs
Sensorimotor Stage: Birth to 2 years - ANSWER: Jean Piaget; Reflexes: inborn; object
permanence at 8-9 months; sensory abilities improve; becomes increasingly aware
of environment; trial error learning; simple problem solving.
Preoperationl/Preconeptual: 2-4 years - ANSWER: Jean Piaget; can focus on single
aspect of situation; no cause-effect reasoning; egocentric development of intuitive
thought; difficulty distinguishing fact from fantasy.
Intuitive/Preoperational thinking: 4-7 years - ANSWER: Jean Piaget; beginning of
causation.
Concrete thinking: 7-11 years - ANSWER: Jean Piaget; capable of logical thought;
logical operations
Formal Operational thought: 11-15 years - ANSWER: Jean Piaget; ability to abstract;
capable of complex problem solving; reality-based; logical conclusions
Who are the psychosocial theorists? - ANSWER: Erikson and Freud
What are the stages of Erikson's theory? - ANSWER: Infancy: birth to 1 yr; Trust vs
Mistrust Toddler: 1-3 yrs; Autonomy vs shame & doubt Preschool: 3-6 yrs; Initiative
vs guilt School age: 6-12 yrs; Industry vs inferiority Adolescense; 12-18 yrs; Identity
vs role confusion
What are Freud's 3 personality components? - ANSWER: Id (principle of pleasure);
Ego (principle of reality/self-interest); Superego (prinsciple of morality or conscience)
What are Freud's stages of psychosexual devleopment? - ANSWER: Infancy (oral
stage); Toddler-1.5 to 3 yrs (anal stage); Preschool-3 to 6 yrs (Phallic stage); School
age-6 to 12 yrs (Latency stage); Adolescence-12 to 18 yrs (Genital stage)
What is corrected gestationla ge (CGA)? - ANSWER: adjustment of developmental
expectations for premature infants through the age of 2 years.
What is formula for BMI? - ANSWER: (weight in kg)/(height in meters)2
How is bone age determined? - ANSWER: X-ray of tarsals and carpals determines
extent of ossification (developmental process of bone formation).
, What is the Denver II? - ANSWER: A generalized assessment tool used from birth to 6
years of age. It measures gross motor development, fine motor development,
language, and personal-social development. Not an intelligence test.
What are the childhood vaccinations? - ANSWER: (13 Vaccines): Hep B, Rotavirus,
DTaP, Tdap, Hib, Pneumococcal, Polio, Influenza, MMR, Varicella, Hep A,
Meningococcal, and HPV.
Hep B series - ANSWER: Series of 3 (0-2-6 months)
What do you do for infants born to hepatitis B antigen (HBsAg) positive mothers? -
ANSWER: Administer Hep B vaccine (HepB) and 0.5 mL hepatitis B immune globulin
(HBIG) within 12 hours of birth. Test for HBsAg and antibody to HBsAg after 3 or
more doses of HepB series (at age 9 to 18 months)
Rotavirus Vaccine Series - ANSWER: Series of 3 from 6 weeks to 32 weeks. 1st Dose:
6-14 weeks; subsequent doses at 4 week intervals. Do not administer a dose after 32
weeks.
What can the rotavirus vaccine cause? - ANSWER: Intussusception usually 3 weeks
after vaccine is given.
What is one of the causes of Intussusception? - ANSWER: Can be caused by the
rotavirus vaccine 3 weeks after it is given.
DTaP Series - ANSWER: Series of 3 primary (2-4-6 months) and two boosters (15
months to 6 years) Not indicated for children 7 years of age or older.
Tdap series - ANSWER: Series of 1 (11 or 12 years); Td boosters are recommended
every 10 years.
Hib series - ANSWER: Series of 3 primary (2-4-6 months) and one booster (12
months); not recommended for children 5 years of age or older.
Which vaccines have "do not administer after age ###" recommendations? -
ANSWER: Rotavirus (not after age of 32 weeks) DTaP (not after age of 7 years) Hib
(not after age of 5 years) Pneumococcal (not after age of 5 years)
Pneumococcal series - ANSWER: Series of 3 primary (2-4-6 months) and one booster
(12 months). Pneumovax: given if immune compromised at 24 to 59 months.
Polio series - ANSWER: Series of 4 (2-4-6 months and 6 years) Inactivated polio
vaccine (IPV) for the series. Oral polio vaccine (OPV) is discouraged and only possible
for dose number 3 and 4.
ACTUAL EXAM COMPLETE 500 QUESTIONS AND CORRECT
DETAILED ANSWERS
What 3 developmental stages demonstrate the most profound and dramatic
changes in growth and development? (CD) - ANSWER: -Pre-natal
-Infancy
-Adolescents
What are the caloric requirements according to age? - ANSWER: -Birth to 6 months:
120 kcal/kg/day -7 months to 1 year: 100 kcal/kg/day -2 to 10 yrs: 70-100
kcal/kg/day -Adolescents: 45 kcal/kg/day
Why do younger children require more calories? (CD) - ANSWER: Increased
metabolic rate
Breast feeding recommended up to what age? - ANSWER: For the first 6 months if
not for the 1st year of life.
How is adequate nutrition confirmed in first 6 months of life? - ANSWER: By weight
gain of **30 g/day (1 oz/day) for the 1st 3 months and **a gain of 15-20 g/day for
the next 3 months.
At what age do you start supplementing a child with Vitamin D? - ANSWER: 2 months
of age
When is Vitamin B12 supplemented in children? - ANSWER: In exclusively breast fed
infants with mothers who are strict vegetarians.
At what age do you start supplementing a child with Iron? - ANSWER: Exclusively
breast fed infants: approximately 1 mg/kg/day after 6 months of age. Bottle feeding
should contain iron supplementation.
At what age do you start supplementing a child with Fluoride? - ANSWER: After 6
months of age AND when local water supply is deficient (less than 0.6 ppm). (See pg
6 for dosing)
Weight Gain Progression - ANSWER: -Initial 10% loss -Regained within 7-14 days -
Doubles by 5 months -Triples by 1 year -Quadruples by 2 years -3 yo-school-age gain
2.5 lbs/yr -School-age gain 5-7 lbs/yr
Tooth Eruption - ANSWER: Central Incisor 6-7 mos / 6-8 yrs Lateral Incisor 7-9 mos /
7-9 yrs Cuspid (Canine) 16-18 mos / 9-12 yrs none/1st Bicuspid --- / 10-12 yrs
,none/2nd Bicuspid --- / 10-12 yrs 1st Molar 12-14 mos / 6-7 yrs 2nd Molar 20-24 mos
/ 11-13 yrs
Who is the theorist for the cognitive theory? - ANSWER: Jean Piaget
What are the sections of Jean Piaget's cognitive theory? - ANSWER: Sensorimotor
Stage: Birth to 2 years Preoperationl/Preconeptual: 2-4 years
Intuitive/Preoperational thinking: 4-7 yrs
Sensorimotor Stage: Birth to 2 years - ANSWER: Jean Piaget; Reflexes: inborn; object
permanence at 8-9 months; sensory abilities improve; becomes increasingly aware
of environment; trial error learning; simple problem solving.
Preoperationl/Preconeptual: 2-4 years - ANSWER: Jean Piaget; can focus on single
aspect of situation; no cause-effect reasoning; egocentric development of intuitive
thought; difficulty distinguishing fact from fantasy.
Intuitive/Preoperational thinking: 4-7 years - ANSWER: Jean Piaget; beginning of
causation.
Concrete thinking: 7-11 years - ANSWER: Jean Piaget; capable of logical thought;
logical operations
Formal Operational thought: 11-15 years - ANSWER: Jean Piaget; ability to abstract;
capable of complex problem solving; reality-based; logical conclusions
Who are the psychosocial theorists? - ANSWER: Erikson and Freud
What are the stages of Erikson's theory? - ANSWER: Infancy: birth to 1 yr; Trust vs
Mistrust Toddler: 1-3 yrs; Autonomy vs shame & doubt Preschool: 3-6 yrs; Initiative
vs guilt School age: 6-12 yrs; Industry vs inferiority Adolescense; 12-18 yrs; Identity
vs role confusion
What are Freud's 3 personality components? - ANSWER: Id (principle of pleasure);
Ego (principle of reality/self-interest); Superego (prinsciple of morality or conscience)
What are Freud's stages of psychosexual devleopment? - ANSWER: Infancy (oral
stage); Toddler-1.5 to 3 yrs (anal stage); Preschool-3 to 6 yrs (Phallic stage); School
age-6 to 12 yrs (Latency stage); Adolescence-12 to 18 yrs (Genital stage)
What is corrected gestationla ge (CGA)? - ANSWER: adjustment of developmental
expectations for premature infants through the age of 2 years.
What is formula for BMI? - ANSWER: (weight in kg)/(height in meters)2
How is bone age determined? - ANSWER: X-ray of tarsals and carpals determines
extent of ossification (developmental process of bone formation).
, What is the Denver II? - ANSWER: A generalized assessment tool used from birth to 6
years of age. It measures gross motor development, fine motor development,
language, and personal-social development. Not an intelligence test.
What are the childhood vaccinations? - ANSWER: (13 Vaccines): Hep B, Rotavirus,
DTaP, Tdap, Hib, Pneumococcal, Polio, Influenza, MMR, Varicella, Hep A,
Meningococcal, and HPV.
Hep B series - ANSWER: Series of 3 (0-2-6 months)
What do you do for infants born to hepatitis B antigen (HBsAg) positive mothers? -
ANSWER: Administer Hep B vaccine (HepB) and 0.5 mL hepatitis B immune globulin
(HBIG) within 12 hours of birth. Test for HBsAg and antibody to HBsAg after 3 or
more doses of HepB series (at age 9 to 18 months)
Rotavirus Vaccine Series - ANSWER: Series of 3 from 6 weeks to 32 weeks. 1st Dose:
6-14 weeks; subsequent doses at 4 week intervals. Do not administer a dose after 32
weeks.
What can the rotavirus vaccine cause? - ANSWER: Intussusception usually 3 weeks
after vaccine is given.
What is one of the causes of Intussusception? - ANSWER: Can be caused by the
rotavirus vaccine 3 weeks after it is given.
DTaP Series - ANSWER: Series of 3 primary (2-4-6 months) and two boosters (15
months to 6 years) Not indicated for children 7 years of age or older.
Tdap series - ANSWER: Series of 1 (11 or 12 years); Td boosters are recommended
every 10 years.
Hib series - ANSWER: Series of 3 primary (2-4-6 months) and one booster (12
months); not recommended for children 5 years of age or older.
Which vaccines have "do not administer after age ###" recommendations? -
ANSWER: Rotavirus (not after age of 32 weeks) DTaP (not after age of 7 years) Hib
(not after age of 5 years) Pneumococcal (not after age of 5 years)
Pneumococcal series - ANSWER: Series of 3 primary (2-4-6 months) and one booster
(12 months). Pneumovax: given if immune compromised at 24 to 59 months.
Polio series - ANSWER: Series of 4 (2-4-6 months and 6 years) Inactivated polio
vaccine (IPV) for the series. Oral polio vaccine (OPV) is discouraged and only possible
for dose number 3 and 4.
