FNP Board Exam Questions - Part 5
(Peds) and Answers
Which of the following is appropriate advice to give a mother who is breastfeeding her
10-day old infant?
A) Your milk will come in today.
B) To minimize breast tenderness, the baby should not be kept on either breast for
more than 5 to 10 minutes.
C) A clicking sound made by the baby during feedings signifies a good latch and suck.
D) The baby's urine should be light and colorless. - ANS-D) The baby's urine should be
light and colorless.
Which of the following is appropriate advice to give a mother who is breastfeeding her
12-hour old newborn?
A) You will likely have enough milk to feed the baby within a few hours of birth.
B) The baby might need to be awakened to be fed.
C) Supplemental feeding is needed unless the baby has at least 4 wet diapers in the
first day of life.
D) The baby will likely have a seedy yellow bowel movement today. - ANS-B) The baby
might need to be awakened to be fed.
Compared with the use of infant formula, advantages for the baby with breastfeeding
include all of the following except
A) lower incidence of diarrheal illness
B) greater weight gain in the first few weeks of life
C) reduced risk of allergic disorders
D) lower occurrence of constipation - ANS-B) greater weight gain in the first few weeks
of life
At 3 weeks of age, the average-weight, formula-fed infant should be expected to take
A) 2 to 3 oz (60-90 ml), every 2 to 3 hours
B) 2 to 3 oz ( 60-90 ml), every 3 to 4 hours
C) 3 to 4 oz (90-118 ml), every 2 to 3 hours
D) 3 to 4 oz (90-118 ml), every 3 to 4 hours - ANS-A) 2 to 3 oz (60-90 ml), every 2 to 3
hours
,Nursing infants generally maximally receive about what percentage of the maternal
dose of a drug?
A) 1%
B) 3%
C) 5%
D) 10% - ANS-A) 1%
Most drugs pass into breast milk through
A) active transport
B) facilitated transport
C) simple diffusion
D) creation of a pH gradient - ANS-C) simple diffusion
To remove a drug from breast milk by "pumping and dumping," the nursing mother
should refrain from taking the medication for
A) two infant feeding cycles
B) approximately 8 hours
C) three to five half-lives of the drug
D) a period of time that is highly unpredictable - ANS-C) three to five half-lives of the
drug
When counseling a nursing woman about alcohol consumption while lactating, you tell
her that
A) drinking a glass of wine or beer will enhance the let-down reflex
B) very little alcohol is passed into the breast milk because of its high molecular weight
C) maternal alcohol use causes a reduction in the amount of breast milk ingested by the
infant
D) infant intoxication can be seen even if the mother has as few as 1-2 alcoholic drinks -
ANS-C) maternal alcohol use causes a reduction in the amount of breast milk ingested
by the infant
Even in small amounts, alcohol ingestion by a nursing mother can reduce milk
production, reduce the let-down reflex, and result in less rhythmic and frequent sucking
by the infant, leading to a smaller volume of milk ingested.
A 23-year-old female is breastfeeding her healthy newborn. She desires to start
hormonal contraception. Which of the following represents the best regimen for her?
A) combined oral contraception started at 2 weeks post partum
B) progesterone-only oral contraception started at 3 weeks
C) Depo-Provera injection given day 1 post partum
, D) use of all forms of hormonal contraception is discouraged during lactation - ANS-B)
progesterone-only oral contraception started at 3 weeks
Progestin-only pill, Depo-Provera, and Nexplanon progestin-only implant are
contraceptive options that can be given with breastfeeding as early as 3 weeks
postpartum. Earlier use (< 3 weeks postpartum) could diminish the quantity of breast
milk.
Guidelines recommend that a breastfeeding mother waits until breastfeeding is well
established for approximately 6 months before using combined oral contraceptives
(COC) because
A) in early breastfeeding, the amount of hormone in COC could cause significant harm
to the nursing infant
B) efficacy of COC could be compromised by breastfeeding
C) milk flow could be compromised by COC
D) COC use could affect the mother's sleep patterns - ANS-C) milk flow could be
compromised by COC
At what point after childbirth can a combined oral contraceptive be started in a woman
who is not breastfeeding and without other risk factors for venous thrombosis?
A) 1 day
B) 1 week
C) 3 weeks
D) 6 week - ANS-C) 3 weeks (21 days post partum)
Risk factors for VTE include age > 35 years, history of VTE, thrombophilia, immobility,
transfusion at delivery, BMI > 30, post partum hemorrhage, post c-section delivery, pre-
eclampsia, or smoking. COCs can increase thromboembolic risk in women with risk
factors for VTE.
Women with lower VTE risk who are not breastfeeding can start COCs as early as 21
days postpartum.
The anticipated average daily weight gain during the first 3 months of life is
approximately
A) 15 g or 0.53 oz
B) 20 g or 0.7 oz
C) 25 g or 0.88 oz
D) 30 g or 1 oz - ANS-D) 30 g or 1 oz
The average required caloric intake in an infant from age 0 to 3 months is usually
A) 40 to 60 kcal/kg/day
(Peds) and Answers
Which of the following is appropriate advice to give a mother who is breastfeeding her
10-day old infant?
A) Your milk will come in today.
B) To minimize breast tenderness, the baby should not be kept on either breast for
more than 5 to 10 minutes.
C) A clicking sound made by the baby during feedings signifies a good latch and suck.
D) The baby's urine should be light and colorless. - ANS-D) The baby's urine should be
light and colorless.
Which of the following is appropriate advice to give a mother who is breastfeeding her
12-hour old newborn?
A) You will likely have enough milk to feed the baby within a few hours of birth.
B) The baby might need to be awakened to be fed.
C) Supplemental feeding is needed unless the baby has at least 4 wet diapers in the
first day of life.
D) The baby will likely have a seedy yellow bowel movement today. - ANS-B) The baby
might need to be awakened to be fed.
Compared with the use of infant formula, advantages for the baby with breastfeeding
include all of the following except
A) lower incidence of diarrheal illness
B) greater weight gain in the first few weeks of life
C) reduced risk of allergic disorders
D) lower occurrence of constipation - ANS-B) greater weight gain in the first few weeks
of life
At 3 weeks of age, the average-weight, formula-fed infant should be expected to take
A) 2 to 3 oz (60-90 ml), every 2 to 3 hours
B) 2 to 3 oz ( 60-90 ml), every 3 to 4 hours
C) 3 to 4 oz (90-118 ml), every 2 to 3 hours
D) 3 to 4 oz (90-118 ml), every 3 to 4 hours - ANS-A) 2 to 3 oz (60-90 ml), every 2 to 3
hours
,Nursing infants generally maximally receive about what percentage of the maternal
dose of a drug?
A) 1%
B) 3%
C) 5%
D) 10% - ANS-A) 1%
Most drugs pass into breast milk through
A) active transport
B) facilitated transport
C) simple diffusion
D) creation of a pH gradient - ANS-C) simple diffusion
To remove a drug from breast milk by "pumping and dumping," the nursing mother
should refrain from taking the medication for
A) two infant feeding cycles
B) approximately 8 hours
C) three to five half-lives of the drug
D) a period of time that is highly unpredictable - ANS-C) three to five half-lives of the
drug
When counseling a nursing woman about alcohol consumption while lactating, you tell
her that
A) drinking a glass of wine or beer will enhance the let-down reflex
B) very little alcohol is passed into the breast milk because of its high molecular weight
C) maternal alcohol use causes a reduction in the amount of breast milk ingested by the
infant
D) infant intoxication can be seen even if the mother has as few as 1-2 alcoholic drinks -
ANS-C) maternal alcohol use causes a reduction in the amount of breast milk ingested
by the infant
Even in small amounts, alcohol ingestion by a nursing mother can reduce milk
production, reduce the let-down reflex, and result in less rhythmic and frequent sucking
by the infant, leading to a smaller volume of milk ingested.
A 23-year-old female is breastfeeding her healthy newborn. She desires to start
hormonal contraception. Which of the following represents the best regimen for her?
A) combined oral contraception started at 2 weeks post partum
B) progesterone-only oral contraception started at 3 weeks
C) Depo-Provera injection given day 1 post partum
, D) use of all forms of hormonal contraception is discouraged during lactation - ANS-B)
progesterone-only oral contraception started at 3 weeks
Progestin-only pill, Depo-Provera, and Nexplanon progestin-only implant are
contraceptive options that can be given with breastfeeding as early as 3 weeks
postpartum. Earlier use (< 3 weeks postpartum) could diminish the quantity of breast
milk.
Guidelines recommend that a breastfeeding mother waits until breastfeeding is well
established for approximately 6 months before using combined oral contraceptives
(COC) because
A) in early breastfeeding, the amount of hormone in COC could cause significant harm
to the nursing infant
B) efficacy of COC could be compromised by breastfeeding
C) milk flow could be compromised by COC
D) COC use could affect the mother's sleep patterns - ANS-C) milk flow could be
compromised by COC
At what point after childbirth can a combined oral contraceptive be started in a woman
who is not breastfeeding and without other risk factors for venous thrombosis?
A) 1 day
B) 1 week
C) 3 weeks
D) 6 week - ANS-C) 3 weeks (21 days post partum)
Risk factors for VTE include age > 35 years, history of VTE, thrombophilia, immobility,
transfusion at delivery, BMI > 30, post partum hemorrhage, post c-section delivery, pre-
eclampsia, or smoking. COCs can increase thromboembolic risk in women with risk
factors for VTE.
Women with lower VTE risk who are not breastfeeding can start COCs as early as 21
days postpartum.
The anticipated average daily weight gain during the first 3 months of life is
approximately
A) 15 g or 0.53 oz
B) 20 g or 0.7 oz
C) 25 g or 0.88 oz
D) 30 g or 1 oz - ANS-D) 30 g or 1 oz
The average required caloric intake in an infant from age 0 to 3 months is usually
A) 40 to 60 kcal/kg/day
