NRNP 6541 PEDS Midterm Exam - Questions with Verified Answers

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NRNP 6541 PEDS Midterm Exam - Questions with Verified Answers Parents bring their 16-year-old daughter for a "well-child" checkup. She looks normal on examination. As part of your routine care you pl... an a urinalysis. The father pulls you aside and asks you to secretly run a UDS on his daughter. Which of the following is the most appropriate course of action? Explore the reasons for the request with the parents and the adolescent and perform a UDS with the adolescent's permission if the history warrants. A teenage female who is overweight has moderate acne on the face and chest and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome? free testosterone Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Glomerulonephritis A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? "Sometimes I feel like ending my life." Which of the following screenings should adolescents have done annually? Psychosocial screening, blood pressure, body mass index Which of the following substances is associated with pupillary constriction? Heroin The appropriate lab tests in the assessment of cervical adenitis include all of the following except Blood culture What method can be safely used to remove cerumen in a 15-month-old child's ear? Irrigation using warm water from a soft bulb syringe Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of ADHD A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as Bruxism The father of a 3-year-old is concerned because the child stutters. What should your approach be? Explain that this can be normal until 4 years of age. A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is 10 hours at night and 3-4 hours during the day 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 II Which of the following eye findings would be considered an ophthalmic emergency? Unilateral vesicular lesions on the upper eyelid in a 3-week old. Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Sitting up and leaning forward A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stabilization, the most important part of the management is Assessing the family supports available to the child Which of the following statements about bullying is true? It occurs most commonly during unstructured times (lunch, recess, etc.) For adolescent girls, peak height velocity should occur by Tanner Stage (SMR) 3 You see a 30-month-old who speaks in mixed Spanish and English. The child's vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child's development will not be normal because she mixes up the two languages. You respond "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." A 4-month-old presents with both eyes turning inward. What is this called? Esotropia An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider? Ocular mobility Which of the following strategies would not be appropriate to include as part of your treatment plan for an 8-year-old boy who is obese? Referral to nutritionist for weight reduction plan. 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? Congenital cytomegalovirus infection Which of the following represents normal sequencing of development in a toddler? Feeds self, can undress self with help, washes hands, imitates housework A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28- year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? Complications of prematurity A child's head circumference is routinely measured on each well visit until what age? 2 years I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am 2-1/2 years old (30 months) An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? Viral pharyngitis Sam has otitis media. He also presents with conjunctivitis. This is due to which organism? Haemophilus influenza Blood pressure should be measured at well-child visits starting at age 3 years Sandy, age [Show More]

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