NURS 6541D | NURS 6541N | NURS 6541C PRIMARY CARE ADOLESCENT & CHILD MIDTERM EXAM 4

NURS 6541D-NURS 6541N-NURS 6541C PRIMARY CARE ADOLESCENT & CHILD MIDTERM EXAM 4 Question 1 When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes ← OK Question 2 0 out of 1 points Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her mother yanks off her shirt after smacking her wrist and saying, "you must do as you're told quickly." Which action is indicated? Selected Answer: d. Observe Tammy for signs of child abuse. Question 3 Epiglottitis has decreased due to which immunization? Selected Answer: d. Hib Question 4 1 out of 1 points 1 out of 1 points While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? Selected Answer: d. Neurofibromatosis Question 5 1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: c. Counts to 4 and draws a person with three parts. Question 6 1 out of 1 points Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selected Answer: a. Sitting up and leaning forward Question 7 A typically developing 8-year-old girl will have which of the following genital development? Selected Answer: b. Small amount of long, downy pubic hair along the labia majora Question 8 An expected milestone of a 4-year-old is the ability to Selected Answer: b. Copy a cross Question 9 1 out of 1 points 1 out of 1 points Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? Selected Answer: d. Sleep in the supine position is recommended Question 10 A common feature of 2-year-old behavior is: Selected Answer: c. Nonparallel play Question 11 The first sign of the onset of female puberty is usually: Selected Answer: a. Breast buds Question 12 0 out of 1 points 1 out of 1 points 1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selected Answer: b. Haemophilus influenza Question 13 0 out of 1 points You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: Selected Answer: d. Protest when he goes to bed, but the parents should not pick him up or give him any attention. Question 14 1 out of 1 points Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Selected Answer: a. Glomerulonephritis Question 15 1 out of 1 points A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child’s small size? Selected Answer: d. Congenital cytomegalovirus infection Question 16 1 out of 1 points Which of the following strategies would not be appropriate to include as part of your treatment plan of an 8-year-old boy who is obese? Selected Answer: c. Referral to nutritionist for weight reduction plan. Question 17 1 out of 1 points Which of the following children has abnormal language development? Selected Answer: d. Speech is 50% understandable at 36 months of age Question 18 1 out of 1 points Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage Selected Answer: c. II Question 19 1 out of 1 points Which of the following substances is associated with pupillary constriction? Selected Answer: b. Heroin Question 20 1 out of 1 points Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? Selected Answer: d. Begin anticipatory guidance related to sexuality and normal pubertal development in the early school-age visits. Question 21 0 out of 1 points You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond Selected Answer: d. "You can see at 50 feet with your right eye what most people can see at 20 feet." Question 22 1 out of 1 points A 7-month-old male is found to have a spiral fracture of the femur that his father says he got by climbing onto a chair and then jumping off. Which of the following statements is true regarding this situation? Selected Answer: b. You can be held legally liable for failing to report child abuse. Question 23 1 out of 1 points Which of the following statements is true regarding lying and stealing by the school- age child? Selected Answer: c. They represent a common, transient problem. Question 24 1 out of 1 points A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is: Selected Answer: c. 10 hours at night and 3-4 hours during the day Question 25 0 out of 1 points Appropriate anticipatory guidance for the parents of an 8-year-old girl includes Selected Answer: c. Information on menstrual hygiene practices Question 26 1 out of 1 points The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be: Selected Answer: d. 19 to 20 pounds Question 27