You advise an 18 year old female student who has been given a booster dose of MMR at the college health clinic:
A. She might have a low grade fever during the first 24 to 48 hours
B. She should not get pregnant within the next 4 weeks
C. Her arm will be very sore at the injection site for 24 to ...
you advise an 18 year old female student who has been given a booster dose of mmr at the college health clinic
the mother of a 4 wk old is concerned that
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Peds Exam 1
You advise an 18 year old female student who has been given a booster dose of MMR
at the college health clinic:
A. She might have a low grade fever during the first 24 to 48 hours
B. She should not get pregnant within the next 4 weeks
C. Her arm will be very sore at the injection site for 24 to 48 hours
D. Her arm will have some induration at the injection site in 24 to 48 hours - Answer B.
She should not get pregnant within the next 4 weeks
The mother of a 4 wk old is concerned that her infant's eyes are crossed for a few
seconds occasionally. The NP would:
A. Recommend a referral to a pediatric ophthalmologist
B. Advise the mother that this is a normal finding in infant up to 2 months of age
C. Recommend a multivitamin supplements be given to the infant daily
D. Educate her on how to patch the infant's eye every 4 hrs. - Answer B. Advise the
mother that this is a normal finding in infant up to 2 months of age
Which of the following statements is false regarding physiological jaundice in
newborns?
A. Physiological jaundice is the most common type of jaundice in infants
B. The level of unconjugated bilirubin is increased in the newborn's body
C. Phototherapy is usually indicated for these infants
D. It starts on the second to fourth day of life - Answer C. Phototherapy is usually
indicated for these infants
The majority of infants with physiological jaundice do not need phototherapy. This form
of jaundice is caused by the buildup of unconjugated bilirubin because the infant's
immature liver cannot metabolize and excrete it quickly enough
A 15 year old boy has just moved into the community and is staying in a foster home
temporarily. There is no record of his immunizations. His foster mother wants him to be
checked before he enters the local high school. Which of the following immunization
does this patient need?
A. Meningococcal vaccine
B. MMR vaccine
C. Tdap vaccine
D. All of the above - Answer D. All of the above
This patient also needs hepatitis B vaccine, HPV vaccine, varicella vaccine (no history
of chickenpox)
A new mother is breastfeeding her full-term 4 week old infant. She wants to know
whether she should give the infant vitamin supplements. The best advise is:
A. Because she is breastfeeding, the infant does not need any vitamin supplements
B. Breast milk give the infant all the vitamins he needs until 12 months of age
, C. Breastfed infants require vitamin D supplementation beginning in the first few days of
life
D. Infant formula can be used to supplement breastfeed as needed - Answer C.
Breastfed infants require vitamin D supplementation beginning in the first few days of
life
Recommends vitamin D 400 IU/day supplementation starting at the first few days of life
for all breastfed infants to decrease the risk of rickets
Which of the following foods would you advise a new mother to introduce to her 6-
month-old infant first?
A. Iron fortified rice cereal
B. Plain rice cereal
C. Iron fortified pureed chicken meat
D. Plain pureed carrots - Answer A. Iron fortified rice cereal
The NP examines a 4-week-old boy whose mother reports that he has cried at least 3
hours a day at the same time of day since birth. What is the main goal in the clinical
evaluation of this infant?
A. Rule out any physiological cause for the crying spells
B. Make sure the infant is well clothed
C. Evaluate the environment
D. Order laboratory and diagnostic testing - Answer A. Rule out any physiological cause
for the crying spells
The mother of a 16 y/o boy is concerned that her son is not developing normally. On
physical exam, the patient is noted to have small testes with no pubic or facial hair.
What is the most appropriate statement to the mother?
A. Her son is developing normally
B. Her son's physical development is delayed and should be evaluated by a pediatric
endocrinologist
C. Her son should be rechecked in 3 months, if he still does not have secondary sexual
characteristics, a thorough hormonal workup should be imitated
D. Her son's physiological development is slower than normal but is within the lower
limit of normal for his age group - Answer B. Her son's physical development is delayed
and should be evaluated by a pediatric endocrinologist
If there is no testicular development by 14 y/o, an endocrinology consult is warranted
At what age can a child ride a tricycle? - Answer 3
A new mother reports that her 6-mo-old infant has a cold and has a fever of 99.8. The
infant is not irritable and is feeding well without problems. The mother wants to know
whether it is okay for him to be immunized at this time. Which of the following
statements is true?
a. The infant should not be immunized until he is afebrile
b. An infant with a cold can be immunized at any time.
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