Kaplan Pediatrics Review Questions
(Case take a look at 1/6)
Indicate regions of the evaluation which concern the nurse: (Select all that follow)
a. Not taking walks as other kids are at this age
b. Is eating with palms
c. Uses a bottle for drinking
d. Enjoyed a bouncy walker till the age of 12 months
e. Watches tv six (6) hours an afternoon
f. Noise helps positioned the child to sleep
g. Can pull up
h. Will now not walk by myself
i. Outside person babysits
j. Other patient is hardly ever at domestic in the course of the day - ANS-a. Not on foot as other
kids are at this age
c. Uses a bottle for consuming
e. Watches tv six (6) hours an afternoon
f. Noise allows put the kid to sleep
h. Will now not stroll by myself
The nurse will discover the parent's subject that the kid isn't taking walks at age 19 months.
Weaning from the bottle is usually recommended among 12-15 months of age. Watching 6
hours of television an afternoon takes far from lively, physical play or any 1:1 parental interaction
with the kid. The baby no longer on foot alone by 18 months of age is a sign of developmental
delay or because of a physical hassle. Normal findings consist of consuming with the arms and
the usage of a bouncy walker until the age of 12 months. It is expected the child can pull up,
earlier than taking taking walks steps. It is ok for an outside person to babysit because the
determine is running remotely and the opposite determine works outside the home in the course
of the day.
(Case have a look at 1/6)
Select the evaluation findings that require observe-up by the nurse:
a. Client is followed by way of any other adolescent
b. Foul-smelling vaginal discharge
c. Experiencing some ache for the duration of urination
d. Denies any fever and denies any stomach ache, flank pain, urinary frequency, or urinary
urgency
e. Admits to being sexually active
f. Three unique companions
g. "My dad and mom are very strict. They might kill me in the event that they knew."
,h. Client does no longer use oral contraceptives
i. A condom has most effective been used a few instances in the course of sexual hobby
j. Last menstrual length changed into 18 days in the past - ANS-b. Foul-smelling vaginal
discharge
c. Experiencing some ache in the course of urination
e. Admits to being sexually lively
f. Three exceptional partners
g. "My mother and father are very strict. They would kill me if they knew."
h. Client does not use oral contraceptives
i. A condom has only been used some instances all through sexual activity
Foul-smelling vaginal discharge is a symptom that is concerning for vaginal contamination.
Painful urination can suggests a urinary tract infection (UTI), however without any different
symptoms of UTI, also can be a symptom of a sexually transmitted contamination (STI). The
customer is sexually energetic with diverse partners and isn't consistently using any form of birth
control. These behaviors boom the risk of STI and being pregnant. The nurse desires to
discover the client's dating with the mother and father, and the way the consumer feels they
might react to the patron being sexually lively. Absence of fever, belly ache, and urinary
frequency and urgency limits the worries for other infections, together with pelvic inflammatory
disease and UTI. The client suggests a normal menstrual length 18 days ago, which limits the
possibility of a complicated pregnancy.
(Case study 2/6)
For each of the subsequent evaluation findings, decide if the finding is expected for the ordinary
boom and development of a 19-month-antique or if the locating indicates a probable postpone:
a. Not strolling
b. Able to pull up
c. Eats with fingers
d. Drinks simplest from a bottle - ANS-a. Not strolling: postpone
b. Able to pull up: expected
c. Eats with hands: predicted
d. Drinks simplest from a bottle: put off
By the age of 18 months, a infant ought to be taking walks and mountain climbing stairs with
assistance. Weaning from a bottle to a cup commonly begins at age twelve months. Not on foot
alone and drinking best from a bottle indicates a developmental postpone for a
19-month-vintage toddler. Pulling up to standing and ingesting with the arms are developmental
milestones which can be performed at an earlier age. It would be expected that this infant ought
to perform the ones activities.
(Case have a look at 2/6)
The nurse is most concerned the client has developed a ____1____. The consumer is also at
excessive threat for ____2____. The nurse will ____3_____.
,1. A) sexually transmitted infection (STI), b) urinary tract contamination (UTI), c) latex allergic
reaction
2. A) melancholy, b) an unintentional pregnancy, c) school and getting to know problems
3. A) notify the client's parents, b) reward the purchaser for seeking help, c) ask the purchaser
approximately any issues in faculty - ANS-1. A) sexually transmitted contamination (STI)
2. B) an accidental pregnancy
3. B) reward the purchaser for seeking help
Adolescents who have interaction in volatile behaviors, such as unprotected intercourse, are at
excessive threat for STI and unintentional pregnancy. It may be very important for the nurse to
inspire the purchaser to seek remedy and steerage for sexual activity. The client's signs and
symptoms are greater suggestive of vaginal infection than UTI or latex hypersensitivity.
Depression and faculty difficulties are viable issues for a teenage patron, but, there isn't always
sufficient information provided to determine the client is at danger for both of those problems.
The customer's conduct places the consumer at maximum threat for unintended pregnancy. The
nurse inside the health department does no longer need to inform the parents of a 16-yr-vintage
adolescent looking for medical help. The patron is looking for help for a clinical difficulty. The
precedence isn't capacity problems the client might also or might not be having in college.
(Case examine three/6)
Which three findings are maximum concerning to the nurse?
A. Child now not strolling
b. Both parents operating
c. Child eats with fingers
d. Watches television most of day
e. Drinks only from a bottle
f. Has domestic babysitter
g. Used bouncy walker until age twelve months - ANS-a. Child not walking
d. Watches television most of day
e. Drinks most effective from a bottle
The nurses makes a speciality of the maximum concerning findings for the kid for the
developmental age. Not strolling by 18 months indicates a developmental delay. Other worries
for the nurse encompass the kid looking greater tv instead of undertaking interactive play,
analyzing, or self exploration. Weaning from a bottle is usually recommended to begin through
one year of age. The child should be ingesting from a schooling cup at this age. Both parents
running is not a subject in view that a babysitter is being used. Eating with fingers is expected at
this age. Using a bouncy walker till age three hundred and sixty five days isn't always a problem
because this interest helps the child up upright and use the legs.
(Case observe 3/6)
Which is the priority action for the nurse to take?
, A. Obtain a list of the consumer's sexual partners
b. Discuss suitable hygiene at some stage in toileting
c. Review importance of condom use with sexual pastime
d. Assist in obtaining vaginal swabs for chlamydia and gonorrhea - ANS-d. Assist in obtaining
vaginal swabs for chlamydia and gonorrhea
The priority for this adolescent consumer could be to decide if there's infection and, in that case,
the sort of infection gift so suitable treatment may be initiated. At this point, there may be no
need for the patron to give a list of sexual partners. If the patron is fine for STI, the customer will
want to tell all sexual partners of potential contamination and need for treatment. Appropriate
hygiene while toileting can lower the incidence of UTI, however is not a priority for the nurse to
discuss presently. A discussion approximately condom use may also be critical, however can
arise after determination of contamination is made.
(Case observe four/6)
Complete the following sentence with the aid of selecting from the list of options:
Based on Erikson concept, the child is at risk for ____1____ due to ____2____ and ____3____.
1. A) Shame and doubt b) A sense of distrust c) Guilt
2. A) Being on top of things b) A loss of independence c) Over-self belief
3. A) Inability to be separated from the mother and father b) Lack of enthusiasm when gambling
with other kids c) Limited opportunities to make choices - ANS-1. A) Shame and doubt
2. B) A lack of independence
3. C) Limited possibilities to make picks
Without a hit strolling, the kid will lack the independence of acquiring achievement throughout
the autonomy vs. Shame/doubt level of Erikson theory. Without having the ability to stroll, the
child will continue to be depending on the caregivers and have a loss of manipulate and
confidence. An critical task throughout this stage is for a kid to make alternatives of meals, toys,
and garments, so the discern should offer many opportunities for the kid to accomplish that. In
Erikson principle, consider vs. Mistrust is the mental level for an toddler age birth-18 months and
initiative vs. Guilt is the degree for a kid age 3-6 years. Being in control and over-self belief are
not the deciding factors in achieving mastery over these milestones. An incapability to be
separated from the parents in toddlerhood typically signals that the little one has not executed a
feel of trust. Toddlers interact in parallel play, not interactive play with other kids.
(Case take a look at 4/6)
In making plans care for the adolescent purchaser, the nurse is aware of which 3 additional
tests could be included all through the visit? (Select three)
a. Pregnancy take a look at
b. Complete blood matter (CBC)
(Case take a look at 1/6)
Indicate regions of the evaluation which concern the nurse: (Select all that follow)
a. Not taking walks as other kids are at this age
b. Is eating with palms
c. Uses a bottle for drinking
d. Enjoyed a bouncy walker till the age of 12 months
e. Watches tv six (6) hours an afternoon
f. Noise helps positioned the child to sleep
g. Can pull up
h. Will now not walk by myself
i. Outside person babysits
j. Other patient is hardly ever at domestic in the course of the day - ANS-a. Not on foot as other
kids are at this age
c. Uses a bottle for consuming
e. Watches tv six (6) hours an afternoon
f. Noise allows put the kid to sleep
h. Will now not stroll by myself
The nurse will discover the parent's subject that the kid isn't taking walks at age 19 months.
Weaning from the bottle is usually recommended among 12-15 months of age. Watching 6
hours of television an afternoon takes far from lively, physical play or any 1:1 parental interaction
with the kid. The baby no longer on foot alone by 18 months of age is a sign of developmental
delay or because of a physical hassle. Normal findings consist of consuming with the arms and
the usage of a bouncy walker until the age of 12 months. It is expected the child can pull up,
earlier than taking taking walks steps. It is ok for an outside person to babysit because the
determine is running remotely and the opposite determine works outside the home in the course
of the day.
(Case have a look at 1/6)
Select the evaluation findings that require observe-up by the nurse:
a. Client is followed by way of any other adolescent
b. Foul-smelling vaginal discharge
c. Experiencing some ache for the duration of urination
d. Denies any fever and denies any stomach ache, flank pain, urinary frequency, or urinary
urgency
e. Admits to being sexually active
f. Three unique companions
g. "My dad and mom are very strict. They might kill me in the event that they knew."
,h. Client does no longer use oral contraceptives
i. A condom has most effective been used a few instances in the course of sexual hobby
j. Last menstrual length changed into 18 days in the past - ANS-b. Foul-smelling vaginal
discharge
c. Experiencing some ache in the course of urination
e. Admits to being sexually lively
f. Three exceptional partners
g. "My mother and father are very strict. They would kill me if they knew."
h. Client does not use oral contraceptives
i. A condom has only been used some instances all through sexual activity
Foul-smelling vaginal discharge is a symptom that is concerning for vaginal contamination.
Painful urination can suggests a urinary tract infection (UTI), however without any different
symptoms of UTI, also can be a symptom of a sexually transmitted contamination (STI). The
customer is sexually energetic with diverse partners and isn't consistently using any form of birth
control. These behaviors boom the risk of STI and being pregnant. The nurse desires to
discover the client's dating with the mother and father, and the way the consumer feels they
might react to the patron being sexually lively. Absence of fever, belly ache, and urinary
frequency and urgency limits the worries for other infections, together with pelvic inflammatory
disease and UTI. The client suggests a normal menstrual length 18 days ago, which limits the
possibility of a complicated pregnancy.
(Case study 2/6)
For each of the subsequent evaluation findings, decide if the finding is expected for the ordinary
boom and development of a 19-month-antique or if the locating indicates a probable postpone:
a. Not strolling
b. Able to pull up
c. Eats with fingers
d. Drinks simplest from a bottle - ANS-a. Not strolling: postpone
b. Able to pull up: expected
c. Eats with hands: predicted
d. Drinks simplest from a bottle: put off
By the age of 18 months, a infant ought to be taking walks and mountain climbing stairs with
assistance. Weaning from a bottle to a cup commonly begins at age twelve months. Not on foot
alone and drinking best from a bottle indicates a developmental postpone for a
19-month-vintage toddler. Pulling up to standing and ingesting with the arms are developmental
milestones which can be performed at an earlier age. It would be expected that this infant ought
to perform the ones activities.
(Case have a look at 2/6)
The nurse is most concerned the client has developed a ____1____. The consumer is also at
excessive threat for ____2____. The nurse will ____3_____.
,1. A) sexually transmitted infection (STI), b) urinary tract contamination (UTI), c) latex allergic
reaction
2. A) melancholy, b) an unintentional pregnancy, c) school and getting to know problems
3. A) notify the client's parents, b) reward the purchaser for seeking help, c) ask the purchaser
approximately any issues in faculty - ANS-1. A) sexually transmitted contamination (STI)
2. B) an accidental pregnancy
3. B) reward the purchaser for seeking help
Adolescents who have interaction in volatile behaviors, such as unprotected intercourse, are at
excessive threat for STI and unintentional pregnancy. It may be very important for the nurse to
inspire the purchaser to seek remedy and steerage for sexual activity. The client's signs and
symptoms are greater suggestive of vaginal infection than UTI or latex hypersensitivity.
Depression and faculty difficulties are viable issues for a teenage patron, but, there isn't always
sufficient information provided to determine the client is at danger for both of those problems.
The customer's conduct places the consumer at maximum threat for unintended pregnancy. The
nurse inside the health department does no longer need to inform the parents of a 16-yr-vintage
adolescent looking for medical help. The patron is looking for help for a clinical difficulty. The
precedence isn't capacity problems the client might also or might not be having in college.
(Case examine three/6)
Which three findings are maximum concerning to the nurse?
A. Child now not strolling
b. Both parents operating
c. Child eats with fingers
d. Watches television most of day
e. Drinks only from a bottle
f. Has domestic babysitter
g. Used bouncy walker until age twelve months - ANS-a. Child not walking
d. Watches television most of day
e. Drinks most effective from a bottle
The nurses makes a speciality of the maximum concerning findings for the kid for the
developmental age. Not strolling by 18 months indicates a developmental delay. Other worries
for the nurse encompass the kid looking greater tv instead of undertaking interactive play,
analyzing, or self exploration. Weaning from a bottle is usually recommended to begin through
one year of age. The child should be ingesting from a schooling cup at this age. Both parents
running is not a subject in view that a babysitter is being used. Eating with fingers is expected at
this age. Using a bouncy walker till age three hundred and sixty five days isn't always a problem
because this interest helps the child up upright and use the legs.
(Case observe 3/6)
Which is the priority action for the nurse to take?
, A. Obtain a list of the consumer's sexual partners
b. Discuss suitable hygiene at some stage in toileting
c. Review importance of condom use with sexual pastime
d. Assist in obtaining vaginal swabs for chlamydia and gonorrhea - ANS-d. Assist in obtaining
vaginal swabs for chlamydia and gonorrhea
The priority for this adolescent consumer could be to decide if there's infection and, in that case,
the sort of infection gift so suitable treatment may be initiated. At this point, there may be no
need for the patron to give a list of sexual partners. If the patron is fine for STI, the customer will
want to tell all sexual partners of potential contamination and need for treatment. Appropriate
hygiene while toileting can lower the incidence of UTI, however is not a priority for the nurse to
discuss presently. A discussion approximately condom use may also be critical, however can
arise after determination of contamination is made.
(Case observe four/6)
Complete the following sentence with the aid of selecting from the list of options:
Based on Erikson concept, the child is at risk for ____1____ due to ____2____ and ____3____.
1. A) Shame and doubt b) A sense of distrust c) Guilt
2. A) Being on top of things b) A loss of independence c) Over-self belief
3. A) Inability to be separated from the mother and father b) Lack of enthusiasm when gambling
with other kids c) Limited opportunities to make choices - ANS-1. A) Shame and doubt
2. B) A lack of independence
3. C) Limited possibilities to make picks
Without a hit strolling, the kid will lack the independence of acquiring achievement throughout
the autonomy vs. Shame/doubt level of Erikson theory. Without having the ability to stroll, the
child will continue to be depending on the caregivers and have a loss of manipulate and
confidence. An critical task throughout this stage is for a kid to make alternatives of meals, toys,
and garments, so the discern should offer many opportunities for the kid to accomplish that. In
Erikson principle, consider vs. Mistrust is the mental level for an toddler age birth-18 months and
initiative vs. Guilt is the degree for a kid age 3-6 years. Being in control and over-self belief are
not the deciding factors in achieving mastery over these milestones. An incapability to be
separated from the parents in toddlerhood typically signals that the little one has not executed a
feel of trust. Toddlers interact in parallel play, not interactive play with other kids.
(Case take a look at 4/6)
In making plans care for the adolescent purchaser, the nurse is aware of which 3 additional
tests could be included all through the visit? (Select three)
a. Pregnancy take a look at
b. Complete blood matter (CBC)
