675 Exam 3 Complete Questions And Answers | Verified
1. b. Obtaining
The primary care pediatric nurse practitioner evaluates children's growth to
seri- al
screen for
measurements
endocrine and metabolic disorders. Which is a critical component of this
to assess pat-
screen- ing?
terns over time
a. Measuring supine length in children over the age of 2 years
b. Obtaining serial measurements to assess patterns over time
c. Using the CDC growth chart for children under age 2 years
d. Using the WHO growth chart for children over age 2 years
2. b. 5'7" tall The primary care pediatric nurse practitioner is performing a well child
examina- tion on a
5-year-old girl. The parents ask if the child s adult height can be predicted. The
nurse
practitioner learns that the mother is 5'8" tall and the father is 5'11" tall. The
nurse practitioner
will estimate which expected adult height for this child?
a. 5'11" tall
b. 5'7" tall
c. 5'8" tall
d. 6' tall
3. a. The primary care pediatric nurse practitioner is evaluating a child who
Constitutional has short stature.
growth delay Although bone age studies reveal a delay in bone age, the child's
growth is consistent with
, 675 Exam 3 Complete Questions And Answers | Verified
bone age. Which diagnosis is most likely?
a. Constitutional growth delay
b. Growth hormone deficiency
c. Idiopathic short stature
d. Klinefelter syndrome
4. d. Premature the- The mother of a female infant is concerned that her daughter is
developing breasts.
larche which The
will resolve primary care pediatric nurse practitioner notes mild breast development
over time but no pubic or
axillary hair. What is the likely diagnosis?
a. Congenital adrenal hyperplasia causing breast development
b. Precocious puberty needing endocrinology management
c. Premature adrenarche which will lead to pubic hair onset
d. Premature thelarche which will resolve over time
A 7-year-old female has recently developed pubic and axillary hair without
5. c. Polycystic breast development. Her bone age is consistent with her chronological
ovary age, and a pedi- atric
syndrome endocrinologist has diagnosed idiopathic premature adrenarche. The
primary care pediatric
nurse practitioner will monitor this child for which condition?
a. Adrenal tumor
, 675 Exam 3 Complete Questions And Answers | Verified
b. Congenital adrenal
hyperplasia
, 675 Exam 3 Complete Questions And Answers | Verified
c. Polycystic ovary syndrome
d. Type 1 diabetes mellitus
6. d. Refer the A 6-year-old female has had a recent growth spurt and an exam reveals
child to a breast and pubic hair
pediatric en- development. Her bone age is determined to be 8 years. What will the
docrinologist primary care pediatric
for nurse practitioner do next?
management.
a. Order LH and FSH levels and a long-acting GnRH agonist.
b. Order thyroid function tests to exclude primary hypothyroidism.
c. Reassure the parent that this is most likely idiopathic.
d. Refer the child to a pediatric endocrinologist for management.
An infant has congenital adrenal hyperplasia. At a routine well baby
checkup, the primary
7. d. Refer the care pediatric nurse practitioner notes vomiting, poor feeding, lethargy,
infant to the and mild dehydration.
emergency
de- partment
for flu-
ids, dextrose, and Which action is correct?
steroids.
a. Administer an intramuscular stress dose of hydrocortisone
succinate.
b. Administer intravenous fluids in the clinic and reassess hydration
status.
1. b. Obtaining
The primary care pediatric nurse practitioner evaluates children's growth to
seri- al
screen for
measurements
endocrine and metabolic disorders. Which is a critical component of this
to assess pat-
screen- ing?
terns over time
a. Measuring supine length in children over the age of 2 years
b. Obtaining serial measurements to assess patterns over time
c. Using the CDC growth chart for children under age 2 years
d. Using the WHO growth chart for children over age 2 years
2. b. 5'7" tall The primary care pediatric nurse practitioner is performing a well child
examina- tion on a
5-year-old girl. The parents ask if the child s adult height can be predicted. The
nurse
practitioner learns that the mother is 5'8" tall and the father is 5'11" tall. The
nurse practitioner
will estimate which expected adult height for this child?
a. 5'11" tall
b. 5'7" tall
c. 5'8" tall
d. 6' tall
3. a. The primary care pediatric nurse practitioner is evaluating a child who
Constitutional has short stature.
growth delay Although bone age studies reveal a delay in bone age, the child's
growth is consistent with
, 675 Exam 3 Complete Questions And Answers | Verified
bone age. Which diagnosis is most likely?
a. Constitutional growth delay
b. Growth hormone deficiency
c. Idiopathic short stature
d. Klinefelter syndrome
4. d. Premature the- The mother of a female infant is concerned that her daughter is
developing breasts.
larche which The
will resolve primary care pediatric nurse practitioner notes mild breast development
over time but no pubic or
axillary hair. What is the likely diagnosis?
a. Congenital adrenal hyperplasia causing breast development
b. Precocious puberty needing endocrinology management
c. Premature adrenarche which will lead to pubic hair onset
d. Premature thelarche which will resolve over time
A 7-year-old female has recently developed pubic and axillary hair without
5. c. Polycystic breast development. Her bone age is consistent with her chronological
ovary age, and a pedi- atric
syndrome endocrinologist has diagnosed idiopathic premature adrenarche. The
primary care pediatric
nurse practitioner will monitor this child for which condition?
a. Adrenal tumor
, 675 Exam 3 Complete Questions And Answers | Verified
b. Congenital adrenal
hyperplasia
, 675 Exam 3 Complete Questions And Answers | Verified
c. Polycystic ovary syndrome
d. Type 1 diabetes mellitus
6. d. Refer the A 6-year-old female has had a recent growth spurt and an exam reveals
child to a breast and pubic hair
pediatric en- development. Her bone age is determined to be 8 years. What will the
docrinologist primary care pediatric
for nurse practitioner do next?
management.
a. Order LH and FSH levels and a long-acting GnRH agonist.
b. Order thyroid function tests to exclude primary hypothyroidism.
c. Reassure the parent that this is most likely idiopathic.
d. Refer the child to a pediatric endocrinologist for management.
An infant has congenital adrenal hyperplasia. At a routine well baby
checkup, the primary
7. d. Refer the care pediatric nurse practitioner notes vomiting, poor feeding, lethargy,
infant to the and mild dehydration.
emergency
de- partment
for flu-
ids, dextrose, and Which action is correct?
steroids.
a. Administer an intramuscular stress dose of hydrocortisone
succinate.
b. Administer intravenous fluids in the clinic and reassess hydration
status.
