CORRECT ANSWERS(VERIFIED ANSWERS)|AGRADE
when assessing a 3 month old for developmental dysplasia of the hips, which one of the
following symptoms would be suspicious - Answer-limitation of abduction of the affected
extremity, shortening of the femur and positive Ortolanis sign
/.Exam of 6 week old infant, developmental hip dysplasia is suspected. If DHH is
present, it might be evidenced by - Answer-limited abduction of the affected leg
/.Blue sclera, weak muscles, and increased joint flexibility during a newborn assessment
may be suggestive of: - Answer-osteogenesis imperfecta
/.normal finding in the msk assessment of a 3 year old would be the presence of -
Answer-genu valgum
/.symptoms indicative of shaken baby syndrome are related to - Answer-uncontrollable
cerebral edema and hypoxia
/.when assessing a 3 year old african american child, the most likely cause of black,
dusky mucous membranes in related to - Answer-cyanosis
/.findings would necessitate need for further evaluation in the newborn - Answer-dusky
cyanotic when crying
/.which of the following infants would be seen immediately by the NP - Answer-2 week
old nasal congestion and rr 64 breaths/minute
/.Screening for scoliosis - Answer-observing the back while the child is bending forward
/.when auscultating the apex of the heart in an 8 year old, the bell should be placed at
the - Answer-5th intercostal space left to the MCL
less than 7yo heard at the 3rd or 4th intercostal space and lateral to the MCL
/.when attempting to elicit the moro reflex in a newborn, the NP identifies the absence of
movement in the left arm. next assessment would be to - Answer-examine the clavicle
/.assessment of 3 month old boy, incomplete descent of the left testicle into the scrotum
is noted. the NP understands that - Answer-testes should descend by 6 months old
/.assessing preschoolers mouth, number of deciduous teeth - Answer-16-20
, /.examining the scrotum in a young male child, test the cremasteric reflex by - Answer-
scratching the medial aspect of the thigh
/.which of the following statements made by a parent would alert the NP to suspect
autism - Answer-seems to be speaking less and less
/.which one of the following pt positions would be least beneficial to examine the
genitals of a young female child - Answer-child sit cross legged on the table
/.disparity between the brachial and femoral pulses in a 4 month old could indicate -
Answer-coarctation of the aorta (COA)
/.assessing the HR of a healthy 13 month old child, which of the following sites is the
most appropriate - Answer-apical pulse between the 3rd and 4th intercostal space in the
left MCL
/.most common cause of viral encephalitis in children is - Answer-herpes simplex type I
/.hemodynamic changes resulting from structural defects in children can lead to heart
failure. the most common reason for these changes is related to - Answer-volume and
pressure overload leading to decreased cardiac output
/.which exam finiding is defined as congenital central displacement of the meatus of the
penis - Answer-hypospadias
/.presence of a heart murmur in a child would be considered organic is the child -
Answer-2 year old with congenital heart defect
/.anticipatory guidance for the family of a pre-adolescent with a cognitive impairment
should include info about - Answer-sexual development
/.all of the following are causes for sensorineural hearing loss in children except -
Answer-cerumen impaction
/.renal adaptation of the newborn, which statement is correct - Answer-kidneys have an
inability to concentrate urine and adapt to fluid and electrolyte stress
/.age considered normal for child to pick up objects with palm of hand only - Answer-6
months
/.symptoms of dehydration in a 4 year old - Answer-thirst and specific gravity of 1.038
/.A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may
be present at birth and enlarge during the first 10 to 15 months is characteristic of a: -
Answer-cavernous hemangioma