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Pediatric Primary Care Practice Guidelines for Nurses, Fifth Edition Beth Richardson TESTBANK

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,Pediatric Primary Care Practice Guidelines for Nurses, Fifth Edition
Beth Richardson
Test Bank
Chapter 1

Chapter 1

1. Which question does the practitioner ask when conducting a complete pediatric health history

during to collect initial information?

A. “Did you plan your pregnancy?”

B. “Did you breastfeed your child?”

C. “What are the ages of your child’s siblings?

D. “What is the reason for your child’s visit today?”

[Answer: C]

[Rationale: When collecting initial information during the complete health history, the nurse

collects information about the parents (including names, ages, and health status) along with

information about siblings (age and health status). The other questions are more appropriate

when the nurse collects information during the past history portion of the health history.]

2. The practitioner conducts a health history for an infant who is seen to rule out otitis media.

Which question from the practitioner collects background information for this infant’s current

issue?

A. “Does your child breast or bottle feed?”

B. “Is your child allergic to any medication?”

C. “Did your other children have frequent ear infections?”

D. “When did you notice your child pulling at the left ear?”

[Answer: D]

[Rationale: When collecting background information during the complete health history, the

practitioner inquires about the current problem or illness. One question the practitioner asks is


Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Pediatric Primary Care Practice Guidelines for Nurses, Fifth Edition
Beth Richardson
Test Bank
Chapter 1

when the symptoms began. During the past history portion of the complete health history, the

practitioner asks about the child’s nutrition and any drug allergies. The practitioner inquires if

other members of the child’s family have similar symptoms when collecting background

information; however, asking about ear infections for the parent’s other children will not assist

the practitioner regarding the background information of the current issue.]

3. Which question does the practitioner ask a child’s mother when collecting prenatal

information during an initial complete health history?

A. “Does your child have any allergies?”

B. “What was your child’s birth weight?”

C. “What type of delivery did you have with your child?”

D. “Did you smoke during your pregnancy with this child?”

[Answer: D]

[Rationale: When collecting prenatal data, the practitioner asks if the mother if she smoked

during the pregnancy. The child’s birth weight and type of delivery is collected during the natal

history and care section of the health history. Drug allergies are assessed during the past natal

history portion of the health history.]

4. The practitioner is conducting a review of systems during the health history interview. Which

question does the practitioner ask to determine a history of strabismus?

A. “Is your child wearing glasses to correct nearsightedness?”

B. “Is your child using eye drops for allergic conjunctivitis?”

C. “Does your child report blurred vision during screen time?”

D. “Does your child wear glasses to correct eye muscle weakness?”


Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

, Pediatric Primary Care Practice Guidelines for Nurses, Fifth Edition
Beth Richardson
Test Bank
Chapter 1

[Answer: D]

[Rationale: Strabismus can be caused by problems with the eye muscles, the nerves that transmit

information to the muscles, or the control center in the brain that directs eye movement. It is

often referred to as “cross-eyed.” The other questions do not specific address this issue.]

5. Which question does the practitioner ask to illicit information about the child’s cardiovascular

system during the health history interview?

A. “Does your child snore?”

B. “Has your child ever passed out?”

C. “Does your child have a history of asthma?”

D. “Has your child ever experiences seizures?”

[Answer: B]

[Rationale: When collecting information about a child’s cardiovascular system, the practitioner

asks questions about syncope. Asking about a history of asthma or snoring assesses the child’s

respiratory system. Asking about seizure activity collects data about the child’s neurological

system.]

6. Aside from collecting pertinent health history for a child, what are two other reasons for the

practitioner to conduct a complete health history during the initial visit to the practice?

[Sample Answer: The complete health history taken at the first visit is an opportunity for the

practitioner to establish a relationship with the child and family, gain insight into family

relationships, and obtain pertinent health information.]

7. What situation requires the practitioner to collect a prenatal history during the past history

portion of the complete health history?


Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

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