FNP PEDIATRICS EXAM 3 LATEST VERSIONS
(VERSION A, B & C) ACTUAL EXAM COMPLETE
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.
The acquisition of milestones is monitored from birth to what age? - <<ANSWER>>3
years of age
Birth Weights - <<ANSWER>>Low Birth Weight (LBW): <2,500 g Very Low Birth Weight
(VLBW): <1,500 g Extremely Low Birth Weight (ELBW): <1,000 g
Weight for Gestational Age - <<ANSWER>>Appropriate for Gestational Age (AGA):
between the 10th and 90th percentile; ***Large for gestational age (LGA): weight >90th
percentile, associated with maternal diabetes; ***Small for gestational age (SGA):
weight <10th percentile, symmetric (Head circumference, weight, & length are all <10th
percentile) vs. asymmetric (head cicumference and length are WNL but weight < 10th
percentile)
What are the 5 areas of the APGAR score? - <<ANSWER>>Appearance, pulse,
grimace, activity, and respirations. Scored at 1 and 5 minutes; score of 0, 1, or 2.
Average weight, length, head cirumference - <<ANSWER>>Average weight: 7 lbs (3.1
kg) Average length: 20 to 21 inches (51 cm) Average head circumference: 13 to 14" (33
to 35 cm) measured up to age of 2.
(VERSION A, B & C) ACTUAL EXAM COMPLETE
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.
The acquisition of milestones is monitored from birth to what age? - <<ANSWER>>3
years of age
Birth Weights - <<ANSWER>>Low Birth Weight (LBW): <2,500 g Very Low Birth Weight
(VLBW): <1,500 g Extremely Low Birth Weight (ELBW): <1,000 g
Weight for Gestational Age - <<ANSWER>>Appropriate for Gestational Age (AGA):
between the 10th and 90th percentile; ***Large for gestational age (LGA): weight >90th
percentile, associated with maternal diabetes; ***Small for gestational age (SGA):
weight <10th percentile, symmetric (Head circumference, weight, & length are all <10th
percentile) vs. asymmetric (head cicumference and length are WNL but weight < 10th
percentile)
What are the 5 areas of the APGAR score? - <<ANSWER>>Appearance, pulse,
grimace, activity, and respirations. Scored at 1 and 5 minutes; score of 0, 1, or 2.
Average weight, length, head cirumference - <<ANSWER>>Average weight: 7 lbs (3.1
kg) Average length: 20 to 21 inches (51 cm) Average head circumference: 13 to 14" (33
to 35 cm) measured up to age of 2.
