NR501 501peds.docx

NR501 501peds.docx An NP examines a screaming 2-year-old. A common finding is: pink tympanic membranes. pink tympanic membranes. Correct A 6-month-old male has a palpable cystic mass in his scrotum. His mother ...

NR501 501peds.docx An NP examines a screaming 2-year-old. A common finding is: pink tympanic membranes. pink tympanic membranes. Correct A 6-month-old male has a palpable cystic mass in his scrotum. His mother states that sometimes the size of his scrotum varies. What should the nurse practitioner do next? Referral to urology if this has not resolved in 6 more months Referral to urology if this has not resolved in 6 more months Correct A congenital heart abnormality often discovered during the newborn period is coarctation of the aorta. How is this assessed? By comparing upper and lower extremity blood pressures By comparing upper and lower extremity blood pressures Correct According to the Tanner stages of development (Sexual Maturity Rating), breast development in Stage 4 in females includes the: projection of areola and nipple to form a secondary mound above the level of the breast. projection of areola and nipple to form a secondary mound above the level of the breast. Correct The most common cause of pneumonia in an otherwise healthy 3-year-old child is: a viral infection. S. pneumonia. Incorrec t What is the earliest age that an average child would be able to copy a triangle, know his colors, and count on his fingers? 5 years 5 years Correct A nurse practitioner is assessing the head of a 3- day-old infant. What would be a normal observation in a healthy 3-day-old infant who is crying? There are palpable pulsations over the anterior fontanel. There are palpable pulsations over the anterior fontanel. Correct A pregnant mother in her first trimester has a 5-year- old who has Fifth Disease. What implication does this have for the mother? There is a risk of fetal death if she becomes infected. There is a risk of fetal death if she becomes infected. Correct What Tanner stage corresponds to an average 8- year-old male? Stage 1 Stage 1 Correct A young female has breast buds bilaterally. This represents Tanner Stage: II II Correct A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes a seizure in the child. The child is brought to the clinic; neurologically he appears normal. His body temperature is 99.9° F after receiving ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner manage this? Treat the otitis media and give education about fever management Treat the otitis media and give education about fever management Correct Which of the following is an appropriate initial intervention for gastroesophageal reflux disease (GERD) in an 8- week-old? Small, frequent thickened feedings Small, frequent thickened feedings Correct The pneumococcal immunization in infants has: shifted the pathogenesis to fewer cases of S. pneumoniae. shifted the pathogenesis to fewer cases of S. pneumoniae. Correct A mother presents with her 1-month-old infant. She Provide education, parental reassurance, and Provide education, parental reassurance, and Correct reports that he cries inconsolably every evening after his first evening feeding. She asks for help. What should be done? encouragement. encouragement. Pharmacologic treatment for children who have hypertension should be initiated for: diabetics with hypertension. diabetics with hypertension. Correct A 2-month-old infant has an asymmetric Moro reflex. Which statement is true? The infant could have a birth injury. The infant could have a birth injury. Correct An infant is diagnosed with diaper dermatitis. Satellite lesions are visible. This should be treated with a: topical antifungal agent. topical antifungal agent. Correct A 5-year-old female’s playmate has been diagnosed with pinworms. The mother brings her child in for an exam. The 5 year- old denies rectal itching. How should the NP proceed? Perform the “scotch tape” test and look at the collection under the microscope. Perform the “scotch tape” test and look at the collection under the microscope. Correct A positive Trendelenburg’s test could be used to identify a child with: slipped capital femoral epiphysis. slipped capital femoral epiphysis. Correct The initial step in the management of encopresis is: client and family education. client and family education. Correct A mother reports that her child is not allergic to chickens but is allergic to ducks and duck feathers. The child is 4 years old today. None are contraindicated None are contraindicated Correct