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Exam 1 PEDS with 100% Correct Solutions

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Exam 1 PEDS with 100% Correct Solutions

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Exam 1 PEDS with 100% Correct
Solutions

b - ANSWER-What is the strongest predictor of health regarding the pediatric patient?
a. The early identification of existing health problems
b. Health literacy of the parent(s) and/or caregiver(s)
c. Assess to specialized healthcare professionals
d. Past experience with same of similar health issues

a - ANSWER-The primary care pediatric nurse practitioner (PNP) is evaluating health
literacy in the mother
of a new preschool-age child. How will the nurse practitioner assess this?
a. Ask the child how many books he has at home.
b. Ask the mother about her highest grade in school.
c. Ask the mother to determine the correct dose of a drug from a label.
d. Ask the mother to read a health information handout aloud.

b - ANSWER-What is true about haploid cells?
a. Each contains 23 paired chromosomes.
b. Each one contains 23 chromosomes.
c. Replication produces two identical cells.
d. They replicate via the process of mitosis.

d - ANSWER-A child has a recessive genetic disorder that is homozygous for that
mutation. What is most
likely about this child's parents?
a. Neither parent has a copy of that gene mutation.
b. Only the mother has a copy of that gene mutation.
c. Only the father has a copy of that gene mutation.
d. Each parent has one copy of that gene mutation.

Homozygous: You inherit the same version of the gene from each parent, so you have
two matching genes.

Heterozygous: You inherit a different version of a gene from each parent. - ANSWER-
Homozygous: VS.. Heterozygous

-Autosomal dominant traits pass from one parent onto their child.
-Autosomal recessive traits pass from both parents onto their child. Autosomal refers to
the 22 numbered chromosomes as opposed to the sex chromosomes (X and Y). -
ANSWER-Autosomal dominant vs. Autosomal recessive

, d - ANSWER-What is an important responsibility of the primary care pediatric nurse
practitioner to help
determine genetic risk factors in families?
a. Assessing physical characteristics of genetic disorders
b. Knowing which genetic screening tests to perform
c. Making appropriate referrals to pediatric geneticists
d. Obtaining a three-generation pedigree for each family

c

The genogram is an approach to developing a family database to provide a graphic
representation of family structure, roles, and problems of recurring significance in a
family. The CRAFFT tool is used to assess substance abuse in adolescents. The
ecomap is used to identify relationships in the family and community that are supportive
or harmful. The pedigree is used to identify potential genetic disorders - ANSWER-
When meeting with a new family, the primary care pediatric nurse practitioner develops
a
database that identifies family members and others living in the household, relationships
with
others outside the household, and significant behavioral and emotional problems. Which
tool
will the nurse practitioner use to record this information?
a. CRAFFT
b. Ecomap
c. Genogram
d. Pedigree

a - ANSWER-The primary care pediatric nurse practitioner (PNP) prescribes a twice
daily inhaled
corticosteroid for a 12-year-old child. At a well child visit, the child reports not using the
medication on a regular basis. Which response by the pediatric nurse practitioner
demonstrates an understanding of client-centered care?
a. Asking the child to describe usual daily routines and schedules
b. Referring the family to a social worker to help with medication compliance
c. Reviewing the asthma action plan with the parent and the child
d. Teaching the child how the medication will help to control asthma symptoms

a - ANSWER-The primary care pediatric nurse practitioner cares for children from a
Native American
family and learns that they used many herbs to treat and prevent illness. Which
approach will
the pediatric nurse practitioner use to promote optimum health in the children?
a. Ask about the types of practices used and when they are applied.
b. Provide a list of harmful herbs and ask the family to avoid those.
c. Suggest that the family avoid using these remedies in their children.

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