PEDIATRIC PRIMARY CARE TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46 TEST BANK FOR, Exams of Health sciences

PEDIATRIC PRIMARY CARE TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46 TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46, WITH QUESTIONS AND VERIFIED ANSWERS. // PEDIATRIC PRIMARY CARE TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46 TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46, WITH QUESTIONS AND VERIFIED ANSWERS. // PEDIATRIC PRIMARY CARE TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46 TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46, WITH QUESTIONS AND VERIFIED ANSWERS. //

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PEDIATRIC PRIMARY CARE
TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46
TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1-46, WITH
QUESTIONS AND VERIFIED ANSWERS. //
Chapter 1. Genetics and Child Health
Questions
1.
What is true about haploid cells?
. 13348407644
C.
Each contains 23 paired chromosomes.
D.
Each one contains 23 chromosomes.
Correct
E.
Replication produces two identical cells.
F.
They replicate via the process of mitosis.
2.
What does the following genetic notation symbol mean 47,XX,6q?
. 13348407650
A.
Male with deletion of chromosome 6
B.
Female with deletion of chromosome 6
C.
Male with deletion on the long arm of chromosome 6
D.
Female with deletion on the long arm of chromosome 6
Correct
3.
A child has a recessive genetic disorder that is
homozygous for that mutation.
. 13348407646
What is most likely about this child’s parents?
A.
Neither parent has a copy of that gene mutation.
B.
Only the mother has a copy of that gene mutation.
C.
Only the father has a copy of that gene mutation.
D.
Each parent has one copy of that gene mutation
.
Correct
4.
Which type of mutation is responsible for many
singlegene genetic disorders?
. 13348407636
A.
Copy number variations
B.
Nucleotide repeat expansions
C.
Point mutations Correct
D.
Single nucleotide polymorphisms (SNP)
.
5.
Cystic fibrosis is a recessive disease requiring the
presence of a gene mutation
. 13348407638
on both alleles inherited from the parents. Which type of genetic disorder
isthis?
A.
Chromosome
B.
Mitochondrial
C.
Monogenetic Correct
D.
Multifactorial
6.
The primary care pediatric nurse practitioner is counseling a couple
aboutgenetic risks and learns that one parent has neurofibromatosis,
an autosomaldominant disorder, and the other
parent does not. What will the nurse practitioner include when
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TEST BANK FOR PEDIATRIC PRIMARY CARE. // CHAPTER 1- 46 , WITH

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Chapter 1. Genetics and Child Health Questions

  1. What is true about haploid cells? . 13348407644 C. Each contains 23 paired chromosomes. D. Each one contains 23 chromosomes. Correct E. Replication produces two identical cells. F. They replicate via the process of mitosis.
  2. What does the following genetic notation symbol mean 47,XX,6q? . 13348407650 A. Male with deletion of chromosome 6 B. Female with deletion of chromosome 6 C. Male with deletion on the long arm of chromosome 6 D. Female with deletion on the long arm of chromosome 6 Correct
  3. A child has a recessive genetic disorder that is homozygous for that mutation. . 13348407646 What is most likely about this child’s parents? A. Neither parent has a copy of that gene mutation. B. Only the mother has a copy of that gene mutation. C. Only the father has a copy of that gene mutation. D. Each parent has one copy of that gene mutation. Correct
  4. Which type of mutation is responsible for many singlegene genetic disorders? . 13348407636 A. Copy number variations B. Nucleotide repeat expansions C. Point mutations Correct D. Single nucleotide polymorphisms (SNP) .
  5. Cystic fibrosis is a recessive disease requiring the presence of a gene mutation . 13348407638 on both alleles inherited from the parents. Which type of genetic disorder isthis? A. Chromosome B. Mitochondrial C. Monogenetic Correct D. Multifactorial
  6. The primary care pediatric nurse practitioner is counseling a couple aboutgenetic risks and learns that one parent has neurofibromatosis, an autosomaldominant disorder, and the other parent does not. What will the nurse practitioner include when

discussingthis disorder and its transmission? C. Children must inherit a gene from both parents to develop the disease. D. Each child born to this couple will have a 50% risk of having the disease. Correct E. This type of disorder characteristically skips generations. F. Unaffected offspring may still pass on the disease to their offspring.

  1. A family medical history conducted during a well baby exam for a newborngirl reveals that hemophilia A, an Xlinked recessive disorder, is present in males in three previous generations in the mother’s family, whose father had the disease. What willthe primary care pediatric nurse practitioner tell the parents about the risk of this disease intheir children? E. All of their sons will be affected by the disease. F. Any sons they have will not be affected by the disease. G. Daughters have a 50% chance of being carriers of the disease. Correct H. Their daughter has a 25% chance of having the disease.
  2. What is an important responsibility of the primary care pediatric nurse practitioner. to help determine genetic risk factors in families? E. Assessing physical characteristics of genetic disorders F. Knowing which genetic screening tests to perform G. Making appropriate referrals to pediatric geneticists D. Obtaining a threegeneration pedigree for each family Correct
  3. Which diagnostic study may be ordered when the provider wishes todetect the . presence of additional genetic material on a chromosome? A. Chromosomal microarray B. FISH Correct D. Karyotype E. Molecular testing
  4. Which type of testing will the primary care pediatric nurse practitioner recommend. for a couple concerned about the potential for having children with cysticfibrosis? A. Biochemical testing B. Carrier testing Correct C. FISH testing D. Karyotype testing
  1. A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of this term would be:
  2. The place where the child is receiving care.
  3. Group therapy.
  4. Personal interactions between patients and staff.
  5. All of the above are correct. ANS: 4
  6. A 16 - year-old male has received a pink-slip from the police for inpatientpsychiatric treatment. The teen has been expressing thoughts of hanging himself because Life sucks. Thenursing staff should consider placing the child:
  7. With peers.
  8. In an area where he can be watched one-on-one.
  9. With a roommate that is expressing the same concerns.
  10. In an area close to an external door. ANS: 2
  11. Learning disabilities in children have scientifically been linked to:
  12. Poor nutrition.
  13. The environment in which the child lives.
  14. Genetics.
  15. Watching more than four hours of television a day. ANS: 3
  16. A mental health nurse has assessed a child and determined that the childexhibits behavioral challenges. When the school nurse explains this to a teacher, the best description wouldbe:
  17. The child may exhibit physical outbursts.
  18. The child may exhibit violence toward others.
  19. The child may be defiant or have tantrums.
  20. The child will need special interventions for learning. ANS: 3
  21. A child that has not exhibited enuresis in four years has exhibited thisbehavior pattern for the last week. The reason a child may revert back to this behavior pattern is because of:
  22. Hallucinations.
  23. Behavioral challenges.
  24. Delusions.
  25. Stress. ANS: 4
  26. An 18 - year-old male has called the crisis line for help. The crisis nurserecognizes the intervention needs may consist of all of the following except:
  27. Discussing the individuals everyday activities.
  28. Recognizing that the patient may be in a catharsis state.
  29. Expressing empathy toward the caller.
  30. Avoiding entropy. ANS: 1
  31. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place in a seclusion room

at the hospital because he has been hurting others. The nurse checks on thepatient and realizes she must take him out of the seclusion room when:

  1. He is crying to be released.
  2. He states, I will be a good boy now.
  3. He starts headbutting the window.
  4. He complains that his parents will file a lawsuit. ANS: 3
  5. A child has been exhibiting the MacDonald Triad. These behaviors include:
  6. Enuresis, pushing others, and pyromania.
  7. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
  8. Playing with other children, laughing, and conversing with adults.
  9. Playing with a campfire, watching television, and seeking adult attention.ANS: 2
  10. A teenager diagnosed with borderline personality disorder should havedischarge planning instructions of:
  11. A consistent caregiver.
  12. Monitoring of media, such as the Internet, television, and video games.
  13. Obtaining support from family and friends.
  14. Seeking medical attention when the teenager feels good. ANS: 3
  15. A mental health nurse is teaching the mother of a child with executivefunctioning issues ways to help her child. Interventions the mother should use include:
  16. Placing visual aids on the bathroom mirror so that the child will follow themorning routine.
  17. Give the child a choice in foods to eat.
  18. Allowing the child to ask for help when needed.
  19. Reminding the child to be nice to others. ANS: 1
  20. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with Elliewill need to:
  21. Provide education on decreasing stimuli in the home environment thattriggers the anger.
  22. Realize Ellie may have attachment issues related to her previous historyand will need to encourage the family to be active in her care.
  23. Support the family in the decision-making process of continuing to let Ellielive in the home.
  24. Discuss inpatient therapy to decrease Ellies manipulative behavior patterns. ANS: 2
  25. An infant displays depression by:
  26. Smiling at strangers.
  27. Bonding to someone other than the immediate family.
  28. Crying more than an average infant.
  29. Looks away when an adult attempts to play with the infant.
  1. What has been the result of passage of the Toxic Substances Control Act.(TSCA) of 1976? G. A mandate for corporations to disclose known toxic chemicals H. A requirement that all manufactured chemicals undergo toxicity testing I. Authorization of the EPA to require testing and reporting of some chemicals Correct J. Development of a mechanism to report reactions to toxic chemicals
  2. Many European nations use the “precautionary principle” to help regulate potentially toxic chemicals. What does this mean? G. Chemicals must be proven to be safe before being introducedinto the environment. Correct H. Corporations may be exempt from testing if their costs in doing soare too high. I. Regulators must demonstrate risk to the public before banning a chemical. J. Without a strong risk, corporations need not release data about theirproducts.
  3. During a clinic visit, a child’s rapid capillary screening test for lead revealsa level of 11 mcg/dL. What will the primary care pediatric nurse practitioner donext? I. Institute lead abatement measures in the child’s home. J. Monitor lead levels monthly until decreased. K. Order a venous sample to test for lead levels. Correct L. Test the child’s siblings and parents for lead.
  4. A child has a lead level of 25 mcg/dL. Once lead abatement measures areinstituted, what is an important intervention to help prevent permanent damage H. Chelation therapy I. Dietary changes C. Followup testing Correct . D. Testing family members
  5. A child whose parent works in a factory pr esents with swelling of the extremities, pain and weakness in the pelvis, and an erythematous maculopapular rash. Which industrial toxin will the primary care pediatric nurse practitioner suspect inthis child? A. Lead B. Mercury C. Organophosphates Correct D. Phthalates
  6. When counseling a mother who smokes about preventing exposure to smokingrelated risks to her nursing newborn, what will the primary care pediatric nursepractitioner tell her? F. If she quits now, her child will not have

longterm effects from exposure. G. Prenatal smoke exposure does not cause respiratory effects after theinfant is born. H. Smoking outdoors or near an open window prevents exposure to tobaccosmoke. I. Thirdhandsmoke exposure risks may last for years even if the mother quits now. Correct

  1. A child who has been playing in a public park is brought to the clinic with wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart rate and diaphoresis. What will the primary care pediatric nurse practitionersuspect as a cause for these symptoms? B. Arsenic consumption C. Lead poisoning C. Organophosphate exposure Correct D. Phthalate ingestion
  2. A parent asks about ways to limit exposure to risks associated withplastics. Besides avoiding using plastic containers when possible, what else will theprimary care pediatric nurse practitioner recommend? A. Avoid heating foods and liquids in plastic containers. Correct B. Clean plastic containers well using the dishwasher. C. Use only plastics stamped with “#7” on the bottom. D. Used canned food products whenever possible.
  3. A parent desires to buy only organic produce to avoid exposing a child to pesticides but complains that these foods are expensive. The primary care pediatric nurse practitioner provides a list of foods that are relatively safe whether they areorganic or not. Which foods are on this list? A. Apples, celery, and peaches B. Potatoes, cherry tomatoes, and peaches C. Strawberries, grapes, and cucumbers D. Sweet corn, cantaloupe, and kiwi Correct Chapter 5. Child and Family Health Assessment Questions
  4. The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate both nursing and medical aspects of primary care, which will be included in the medical history? K. Complementary medications, alternative health practices, and chiefcomplaint L. Developmental delays, nutritional status, and linear growth patterns M. Medication currently taking, allergy information, and family medicalhistory N. Speech and language development, beliefs about health, and previous illnesses Correct
  5. When formulating developmental diagnoses for pediatric

the nursepractitioner that the child talks at home and that most other adults can understand what the child says. Thenurse practitioner will D. ask the parent to consider a possible speech delay and report anyconcerns. E. continue to evaluate the child’s speech at subsequent visits.Correct F. refer the child for a speech and hearing evaluation. G. tell the parent to spend more time in interactive conversations withthe child.

  1. The parent of a toddler is concerned that the child may have autism. The primary care pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers (MCHAT) tool, which indicates several areas of concern. What will the nursepractitioner do? E. Administer a Childhood Autism Rating Scale (CARS) in the clinic. F. Consult a specialist to determine appropriate early intervention strategies. G. Refer the child to a behavioral specialist for further evaluation. Correct H. Tell the parent that this result indicates that the child has autism.
  2. The primary care pediatric nurse practitioner learns that the mother of a3yearold child has been treated for depression for over 5 years. Which aspect of thischild’s development will be of the most concern to the nurse practitioner? D. Fine motor E. Gross motor F. Social/emotional D. Speech and language Correct .
  3. When meeting with a new family, the primary care pediatric nurse practitioner develops a database that identifies family members and others living in thehousehold, relationships with others outside the household, and significant behavioraland emotional problems. Which tool will the nurse practitioner use to record this information? C. CRAFFT D. Ecomap C. Genogram Correct D. Pedigree
  4. A child is in the clinic for evaluation of an asthma action plan. Theprimary care pediatric nurse practitioner notes that the child’s last visit was for a prekindergarten physical and observes that the child is extremely anxious. What will thenurse practitioner do initially?

A. Ask the child’s parent why the child is so anxious. B. Perform a physical assessment to rule out shortness of breath. C. Reassure the child that there is nothing to be afraid of. D. Review the purpose of this visit and any anticipated procedures. Correct

  1. The primary care pediatric nurse practitioner is evaluating health literacyin the mother of a new preschoolage child. How will the nurse practitioner assess C. Ask the child how many books he has at home. Correct D. Ask the mother about her highest grade in school. E. Ask the mother to determine the correct dose of a drug from a label. F. Ask the mother to read a health information handout aloud.
  2. The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried that her child will develop allergies and asthma. Which tool will the nurse practitioner use to evaluate this risk? A. Threegeneration pedigree Correct A. Review of systems B. Genogram C. Ecomap 1 3. The primary care pediatric nurse practitioner is performing a well childassessment on an adolescent and is concerned about possible alcohol and tobacco use. Which assessment tool will the nurse practitioner use? A. CRAFFT Correct A. HEEADSSS B. PHQ C. RAAPS
  3. The primary care pediatric nurse practitioner evaluates a schoolagechild whose body mass index (BMI) is greater than the 97th percentile. The nurse practitioner is concerned about possible metabolic syndrome and orders laboratory tests to evaluate this. Which diagnosis will the nurse practitionerdocument for this visit? A. Metabolic syndrome B. Nutritional alteration: more than required C. Obesity Correct A. Rule out type 2 diabetes mellitus Chapter 6. Cultural Considerations for Pediatric Primary Care Questions
  4. The primary care pediatric nurse practitioner provides well child care for a community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural O. collectivism.

tospeak. The pediatric nurse practitioner will H. ask the sponsor to allow the family to respond. I. develop the plan of care and ask the sponsor to make sure it is followed. J. request that the sponsor translate written instructions for the family. K. use the telephone interpreter service to communicate with thefamily. Correct

  1. The primary care pediatric nurse practitioner prescribes a twice dailyinhaled corticosteroid for a 12yearold child. At a well child visit, the child reports not using the medication on a regular basis. Which response by the pediatric nursepractitioner demonstrates an understanding of clientcenteredcare? A. Asking the child to describe usual daily routines and schedulesCorrect I. Referring the family to a social worker to help with medication compliance J. Reviewing the asthma action plan with the parent and the child K. Teaching the child how the medication will help to control asthma Symptoms
  2. A primary care pediatric nurse practitioner working in a community healthcenter wishes to develop a program to assist impoverished children and families to have access to healthy foods. Which strategy will the pediatric nurse practitioner employto ensure the success of such a program? G. Asking community members to assist in researching and implementing a program Correct H. Designing a community garden approach that involves children and theirparents I. Gaining support from the corporate community to provide needed resources J. Providing evidencebased information about the importance of a healthydiet
  3. The parents of a special needs child tell the primary care pediatric nurse practitioner that they are planning a 3month visit to their home country in Africa. The pediatric nurse practitioner assists the family to obtain a sufficient supply of medications and formula and to make sure that the child’s equipment canbe transported and used during the trip and at the destination. This is an example of E. global application. Correct F. global awareness. G. system application. H. system awareness.
  4. The primary care pediatric nurse practitioner is examining a child whoseparents recently emigrated from a wartorn country in the Middle East. Which is a priority assessment when performing the patient history? A. Asking about physical, psychological, and emotional traumaCorrect

E. Determining the parents’ English language competency and literacy level F. Learning about cultural preferences and complementary medicinepractices G. Reviewing the child’s previous health and illness records Chapter 7. Children with Special Health Care Needs

  1. A child born with Dandy Walker malformation is receiving palliative care inthe pediatric unit. A nurse should:
  2. Provide the parents, patient, and family members with supportive careduring this time.
  3. Ask the parents to be part of the plan of care as much as possible.
  4. Attempt to provide a primary nurse for this particular patient on each shift.
  5. All of the above are correct. ANS: 4
  6. A head circumference is being measured at a 4 month olds well-baby checkup. It is noted that the head circumference has not grown since theprevious assessment. The nurse should:
  7. Ask the mother about the childs nutrition.
  8. Notify the doctor.
  9. Re-measure the head circumference, check developmental milestones,assess the nutritional status, and discuss the findings with the doctor.
  10. Document the normal findings. ANS: 3
  11. A child with a diagnosis of schizencephaly is assigned to a new nurse onthe pediatric floor. The new nurse has not worked with a child with this diagnosis before. A career nurse discusses the plan of care needed for the child with the new nurse. It will be important to:
  12. Assess the side of the body that has paralysis for any lesions or sores.
  13. Let the patient do as much as possible for activities of daily.
  14. Discourage the patient to move the paralyzed side of the body.
  15. Provide full care for the patient. ANS: 1
  16. A nurse is assessing a 6-month-old boys suture lines. The nurse notes thatthe baby has craniosynostosis. The nurse should be concerned because:
  17. The suture line closure will not allow the brain to grow.
  18. This can lead to hydrocephalus.
  19. The child will have immediate developmental delays because of the lack ofspace for the brain to grow.
  20. The child will not require surgery. ANS: 1
  21. A child that had a shunt placed four years ago for hydrocephalus is in the emergency room complaining of a rapid onset of vomiting and increased lethargy. The nurseknows that the child will need:
  22. Nothing, as this is a normal complication and not an emergency.
  23. To be placed on IV fluids to help maintain an electrolyte balance.
  1. Prevent a possible choking incident by checking the students mouth forfood.
  2. Lay the child down on the floor and make sure the area is safe.
  3. Call the EMTs for help.
  4. Notify the parents that their daughter is having a seizure.ANS: 1 .
  5. An 18 month old is having a seizure when the nurse is assessing him. Thenurse notes that the child is fluttering his eyes and smacking his lips. The nurse should document thisseizure as:
  6. An absence seizure.
  7. A tonic-clonic seizure.
  8. A myoclonic seizure.
  9. A febrile seizure. ANS: 1
  10. A 9 month old is admitted to the pediatric unit for seizures of unknownorigin. The child has an EEG performed for several hours. The EEG notes several seizures occurring atdifferent intervals. The nurse knows this child:
  11. Will develop at the same rate as his peers.
  12. May have severe mental and physical challenges due to the frequentseizure activity.
  13. May exhibit a slight cognitive delay as he grows.
  14. Will grow out of having seizures. ANS: 2
  15. A child has been status epileptics for the last 20 minutes. The child hasDepakote, Valporic Acid, and Diazepam gel ordered. The nurse should prepare which medication for administration at this time?
  16. Depakote
  17. Valporic acid
  18. Diazepam
  19. None of the medications. The child will stop on his own.ANS: 3
  20. Care for a child during status epilepticus should include all of thefollowing except:
  21. Turn the patient to the right side.
  22. Loosen tight clothes.
  23. Move toys out of the area to prevent injury.
  24. Stay with the patient until the seizure has stopped.ANS: 1
  25. The nurse is identifying the difference between primary headaches tosecondary headaches. Secondary headaches can occur:
  26. Because of stress.
  27. In relation to low blood pressure.
  28. Because of concussions.
  1. Because of migraines. ANS: 3
  2. Cyclic vomiting may:
  3. Last for days.
  4. Require SSRIs to stop hurting.
  5. Not be associated with a headache.
  6. Requires pain medication and Zofran. ANS: 3
  7. A child that has rhythmic, repetitive, involuntary movements isexhibiting:
  8. Tremors.
  9. Dystonia.
  10. Contractures.
  11. Tics. ANS: 2
  12. Identify a therapeutic management technique for a child with a ticdisorder.
  13. Behavioral modification to suppress the tics
  14. Administer anti-psychotic medications to reduce the tics
  15. Education and support for the child and the family
  16. Genetic counseling for the family ANS: 3
  17. Identify a true statement about Tourettes Syndrome (TS) is that:
  18. Manifestations rarely change once developed.
  19. Children with TS do not have obsessive compulsive disorders.
  20. The tics of TS can lead to mental deterioration.
  21. The tics are involuntary, and the person cannot control the behavior.ANS: 4
  22. The assessment a nurse performed on a 12 - year-old boy demonstrated apositive Kernigs sign and a Brudzinskis sign. Identify the priority for the nurses next action.
  23. Document the findings and note as normal.
  24. Further assess the neurological function of the child and call the doctorwith a report.
  25. Explain to the patient that the assessment was abnormal and there is no acause for concern.
  26. Prepare the child for a lumbar puncture.ANS: 2
  27. Results from cerebrospinal fluid that was tested for meningitis have beenreceived by the nurse. The results indicate bacterial meningitis. The nurse knows this because theresults show:
  28. A low protein count and a low glucose count.
  29. A low red blood cell count.
  30. An elevated protein count and a low glucose level.
  31. A normal protein count and a high glucose count.ANS: 3 Chapter 8. Developmental Management of InfantsQuestions

nurse practitioner that her baby, who previously had bowel movements witheach feeding, now has a bowel movement once every third day. What will the nurse practitioner tellher? P. Her baby is probably constipated. Q. It may be related to her dietary intake. R. She should consume more water. S. This may be normal for breastfed babies. Correct

  1. The mother of a 3monthold child tells the primary care pediatric nurse practitioner that it is “so much fun” now that her infant coos and smiles andwants to play. What is important for the nurse practitioner to teach this mother? A. Appropriate ways to stimulate and entertain the infant B. How to read the infant’s cues for overstimulation Correct O. The importance of scheduling “play dates” with other infants P. To provide musical toys to engage the infant

  2. The parent of a 5monthold is worried because the infant becomes fussy but doesn’t always seem interested in nursing. What will the nurse practitionertell this parent? L. The infant may be expressing a desire to play or to rest. Correct M. The parent should give ibuprofen for teething pain before nursing. N. This is an indication that the infant is ready for solid foods. O. This may indicate gastrointestinal discomfort such as constipation.

  3. The mother of a 6monthold infant is distressed because the infant canSay “dada” but not “mama” and asks the primary care pediatric nursepractitioner why this is when she is the one who spends more time with the infant. How will the nurse practitioner respond? R. “At this age, your baby does not understand the meaning of sounds.” Correct S. “Babies at this age cannot make the ‘ma’ sound.” T. “Most sounds made by babies at this age are accidental.” U. “This may mean that your baby doesn’t hear well.”

  4. The primary care pediatric nurse practitioner is performing a well child examination on a 9monthold infant whose hearing is normal but who responds to verbal cues withonly single syllable vocalizations. What will the nurse practitioner recommend to the parents to improve speech and language skills in this infant? H. Provide educational videos that focus on language. I. Read simple board books to the infant at bedtime. Correct I. Sing to the child and play lullabies in the baby’s room. J. Turn the television to Sesame Street during the day.

  5. The primary care pediatric nurse practitioner is examining a 12montholdInfant who was 6 weeks premature and observes that

the infant uses a raking motion to pick up small objects. The PEDS questionnaire completed by the parent did not show significant developmental delays. What will the nurse practitioner do first? G. Perform an indepth developmental assessment. Correct H. Reassure the parent that this is normal for a premature infant. I. Refer the infant to a developmental specialist. J. Suggest activities to improve fine motor skills. Chapter 9. Developmental Management of EarlyChildhood Questions

  1. The primary care pediatric nurse practitioner is evaluating a 2yearoldwith a documented speech delay. Screenings to assess motor skills and cognitionare normal, and the child passed a recent hearing test. What will the pediatricnurse practitioner do next? W. Ask the child’s parents whether they read to the child. Correct X. Give parents educational materials to encourage speech.CC. Refer the child to an early intervention program. DD. Suggest that they purchase ageappropriatemusic videos.
  2. The primary care pediatric nurse practitioner performs a developmental assessment on a 32monthold child. The child’s parent reports that about 70% of the child’s speech is intelligible. The pediatric nurse practitioner observesthat the child has difficulty pronouncing “t,” “d,” “k,” and “g” sounds. Whichaction is correct? V. Evaluate the child’s cognitive abilities.AA. Obtain a hearing evaluation. BB. Reassure the parent that this is normal. Correct CC. Refer the child to a speech therapist.
  3. During a well child assessment of an 18monthold child, the primary care pediatric nurse practitioner observes the child point to a picture of a dog andsay, “Want puppy!” The nurse practitioner recognizes this as an example of Z. holophrastic speech. AA. receptive speech. BB. semantic speech. CC. telegraphic speech. Correct
  4. The primary care pediatric nurse practitioner is offering anticipatoryguidance to the parents of a 12monthold child. The parents are bilingual in Spanishand English and have many Spanishspeaking relatives nearby. They are resisting exposingthe child to Spanish out of concern that the child will not learn English well. What will thepediatric