WGU D119 Pediatric Primary Care
Latest Test Questions And Correct
Answers 2025
5 causes of direct hyperbilirubinemia
r/o SEPSIS, galactosemia, hypothyroidism, choledochal cyst, cystic fibrosis
Inherited causes of indirect hyperbilirubinemia?
Gilbert syndrome - decrease in UGT1A1 (asymptomatic)
Crigler-Najjar syndrome - total loss of UGT1A1 (in type 1; type 2 is about 90% loss)
Inherited causes of direct bilirubinemia?
Dubin-Johnson - black liver
Rotor Syndrome
What is the concern for hyperbilirubinemia in the newborn?
Kernicterus - Indirect bili can cross BBB and deposit in basal ganglia and brainstem nuclei (>20 is
huge concern). Treatment: Phototherapy or exchange transfusion for very high levels.
What does phototherapy do for hyperbilirubinemia
Coverts unconjugated bilirubin to an isomer that is water soluble
1 week old baby with cyanosis when feeding but pinks up when crying?
Choanal Atresia - Restricted nasal passages (choana). Associated with CHARGE syndrome
(Coloboma, Heart defects, Atresia choanal, Growth retardation, Ear anomalies)
The Centers for Disease Control and Prevention (CDC) recommends
, that providers use what growth charts:
1 - Birth to 2 years of age
2 - 2 years and older
1 - World Health Organization (uses length - a supine measure)
2 - CDC Growth Charts (uses height - a standing measure)
Piaget's four stages of cognitive development
1. sensorimotor birth - 2 yrs
2. preoperational 2-7 years
3. concrete operational 7-12 years
4. formal operational 13- adult
Newborn 1st period of reactivity includes:
a. bradycardia
b. slowed respirations
c. transient rales, grunting, flaring, and retractions
d. increased body temperature
e. hypotonus and decreased alertness
Answer: C
The first period of reactivity includes sympathetic system
changes, such as tachycardia, rapid respirations, transient
rales, grunting, flaring and retractions, a falling body temperature, hypertonus, and alertness.
Parasympathetic system changes during the first period of reactivity include the initiation of
bowel sounds and the production of oral mucus.
Newborn 2nd period of reactivity includes:
a. stable heart rate
b. decreased responsiveness to exogenous and endogenous stimuli
c. meconium passage
d. decreased oral mucous production
C. Meconium passage
Latest Test Questions And Correct
Answers 2025
5 causes of direct hyperbilirubinemia
r/o SEPSIS, galactosemia, hypothyroidism, choledochal cyst, cystic fibrosis
Inherited causes of indirect hyperbilirubinemia?
Gilbert syndrome - decrease in UGT1A1 (asymptomatic)
Crigler-Najjar syndrome - total loss of UGT1A1 (in type 1; type 2 is about 90% loss)
Inherited causes of direct bilirubinemia?
Dubin-Johnson - black liver
Rotor Syndrome
What is the concern for hyperbilirubinemia in the newborn?
Kernicterus - Indirect bili can cross BBB and deposit in basal ganglia and brainstem nuclei (>20 is
huge concern). Treatment: Phototherapy or exchange transfusion for very high levels.
What does phototherapy do for hyperbilirubinemia
Coverts unconjugated bilirubin to an isomer that is water soluble
1 week old baby with cyanosis when feeding but pinks up when crying?
Choanal Atresia - Restricted nasal passages (choana). Associated with CHARGE syndrome
(Coloboma, Heart defects, Atresia choanal, Growth retardation, Ear anomalies)
The Centers for Disease Control and Prevention (CDC) recommends
, that providers use what growth charts:
1 - Birth to 2 years of age
2 - 2 years and older
1 - World Health Organization (uses length - a supine measure)
2 - CDC Growth Charts (uses height - a standing measure)
Piaget's four stages of cognitive development
1. sensorimotor birth - 2 yrs
2. preoperational 2-7 years
3. concrete operational 7-12 years
4. formal operational 13- adult
Newborn 1st period of reactivity includes:
a. bradycardia
b. slowed respirations
c. transient rales, grunting, flaring, and retractions
d. increased body temperature
e. hypotonus and decreased alertness
Answer: C
The first period of reactivity includes sympathetic system
changes, such as tachycardia, rapid respirations, transient
rales, grunting, flaring and retractions, a falling body temperature, hypertonus, and alertness.
Parasympathetic system changes during the first period of reactivity include the initiation of
bowel sounds and the production of oral mucus.
Newborn 2nd period of reactivity includes:
a. stable heart rate
b. decreased responsiveness to exogenous and endogenous stimuli
c. meconium passage
d. decreased oral mucous production
C. Meconium passage
