FNP Pediatric Exam Review with
Complete Solutions
what is failure to thrive defined as? - correct Answer-weight for age that falls below 3rd-
5th percentile for gestation-corrected age and gender
infants whose weight change decreases over 2 or more major percentile lines
what are causes of FTT? - correct Answer-inadequate dietary intake
diarrhea
malabsorption
poor maternal bonding
frequent infections
what is trisomy 21? - correct Answer-Down's syndrome
what syndrome is characterized by round, flat face, upward-slanting eyes, low-set ears,
enlarged tongue, shorter neck, short broad hands with transverse palmar crease
(simian crease).? - correct Answer-Down's syndrome
what syndrome is characterized by small head (microcephaly), shortened palpebral
fissures (narrow eyes, epicentral folds, flat nasal bridge, thin upper lip with no vertical
groove above the upper lip (smooth piltrum)? - correct Answer-fetal alcohol syndrome
what is cryptorchidism? - correct Answer-undescended testicle (empty scrotal sac)
the testes do not descend with massage of the inguinal area
when should surgical correction be considered with cryptorchidism? - correct Answer-if
they do not descend within the 1st year of life
when does an ophthalmic gonococcal infection of a newborn present after birth? what
can it lead to? - correct Answer-2-5 days after birth
- can lead to blindness
what is the prophylactic treatment of gonococcal ophthalmic neonatorum and
chlamydial ophthalmia neonatorum (Trachoma)? - correct Answer-otic erythromycin
ointment immediately after birth
, how much weight do newborns lose after they are born? - correct Answer-5-7% of their
birth weight
when should a newborn return back to original birth weight? - correct Answer-by 2
weeks of life
what is the trend for weight gain of a infant after birth? - correct Answer-birth weight
doubles by 6 months and triples by 12 months
how much should an infant's head circumference grow in the first 12 months? - correct
Answer-12 cm
which condition, caput succedaneum or cephalohematoma, crosses the midline? -
correct Answer-caput succedaneum
- cephalohematoma is unilateral
How long should a child avoid cow's milk? - correct Answer-for the first 12 months of life
- causes GI bleeding
- iron deficiency anemia
what supplement should the infant have during the first few days of life? - correct
Answer-vitamin D
- infants at high risk of rickets when exclusively breastfed
what are Epstein's pearls? - correct Answer-white papule found on gum line resembles
an erupting tooth
when do the first teeth erupt? - correct Answer-- lower central incisors at 6-10 months
- both the left and right teeth erupt bilaterally at the same time
- patient has complete set of teeth by 2.5 years of age
what are sx of teething? - correct Answer-drooling
chewing on objects
irritability
crying
fever
when do the first permanent teeth begin to grow in? - correct Answer-- age 6
if the NP finds a patient who has hypo/epispadias, what should they do? - correct
Answer-refer to pedi urologist
Complete Solutions
what is failure to thrive defined as? - correct Answer-weight for age that falls below 3rd-
5th percentile for gestation-corrected age and gender
infants whose weight change decreases over 2 or more major percentile lines
what are causes of FTT? - correct Answer-inadequate dietary intake
diarrhea
malabsorption
poor maternal bonding
frequent infections
what is trisomy 21? - correct Answer-Down's syndrome
what syndrome is characterized by round, flat face, upward-slanting eyes, low-set ears,
enlarged tongue, shorter neck, short broad hands with transverse palmar crease
(simian crease).? - correct Answer-Down's syndrome
what syndrome is characterized by small head (microcephaly), shortened palpebral
fissures (narrow eyes, epicentral folds, flat nasal bridge, thin upper lip with no vertical
groove above the upper lip (smooth piltrum)? - correct Answer-fetal alcohol syndrome
what is cryptorchidism? - correct Answer-undescended testicle (empty scrotal sac)
the testes do not descend with massage of the inguinal area
when should surgical correction be considered with cryptorchidism? - correct Answer-if
they do not descend within the 1st year of life
when does an ophthalmic gonococcal infection of a newborn present after birth? what
can it lead to? - correct Answer-2-5 days after birth
- can lead to blindness
what is the prophylactic treatment of gonococcal ophthalmic neonatorum and
chlamydial ophthalmia neonatorum (Trachoma)? - correct Answer-otic erythromycin
ointment immediately after birth
, how much weight do newborns lose after they are born? - correct Answer-5-7% of their
birth weight
when should a newborn return back to original birth weight? - correct Answer-by 2
weeks of life
what is the trend for weight gain of a infant after birth? - correct Answer-birth weight
doubles by 6 months and triples by 12 months
how much should an infant's head circumference grow in the first 12 months? - correct
Answer-12 cm
which condition, caput succedaneum or cephalohematoma, crosses the midline? -
correct Answer-caput succedaneum
- cephalohematoma is unilateral
How long should a child avoid cow's milk? - correct Answer-for the first 12 months of life
- causes GI bleeding
- iron deficiency anemia
what supplement should the infant have during the first few days of life? - correct
Answer-vitamin D
- infants at high risk of rickets when exclusively breastfed
what are Epstein's pearls? - correct Answer-white papule found on gum line resembles
an erupting tooth
when do the first teeth erupt? - correct Answer-- lower central incisors at 6-10 months
- both the left and right teeth erupt bilaterally at the same time
- patient has complete set of teeth by 2.5 years of age
what are sx of teething? - correct Answer-drooling
chewing on objects
irritability
crying
fever
when do the first permanent teeth begin to grow in? - correct Answer-- age 6
if the NP finds a patient who has hypo/epispadias, what should they do? - correct
Answer-refer to pedi urologist
