NRNP 6541 WEEK 3 KNOWLEDGE CHECK LATEST UPDATE

NRNP 6541 WEEK 3 KNOWLEDGE CHECK LATEST UPDATE 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? a. Congenital cytomegalovirus infection b. Down syndrome c. Glycogen storage disease type II d. Congenital e. Craniopharyngioma - CORRECT ANSWER- a. Congenital cytomegalovirus infection You receive a phone call from the mother of a 2-vear-old. She states her child has sleep refusal. You suggest that the child should be able to: a. set his own bedtime based on his internal clock. b. protest when he goes to bed, but the parents should not pick him up or give him any attention c. put himselt to sleep somewhere other than his own bed and the parents should move him to the bed once he is asleep. d. Make multiple requests. but the parents should only respond to every third request. - CORRECT ANSWER- a. set his own bedtime based on his internal clock. I like to use my pincer grasp that involves the ability to pick up a small object such as a raisin or piece of cereal with the thumb and forefinger, and that is mastered around what age? - CORRECT ANSWER- 9 months 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: a.2 years old (24months) b.2½ years old (30months) c.3 years old (36months) d.4 years old - CORRECT ANSWER- b. 2 1/2 years old The first sign of the onset of female puberty is usually: A. Sparsely distributed fine, pale public hair B. Breast buds C. Menarche D. Peak height growth velocity - CORRECT ANSWER- B. Breast buds A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is. a. 10 hours at night and 1-2 hours during the day b. 10 hours at night and 3-4 hours during the day c. 10 hours at night and 5-6 hours during the day d. 8 hours at night and 4-5 during the day - CORRECT ANSWER- b. 10 hours at night and 3-4 hours during the day Which of the following screenings should adolescents have done annually? a. Psychosocial screening, blood pressure, body mass index b. Blood pressure, hemoglobin, complete physical exam c. Complete physical exam, psychosocial screening,drug testing d. Psychosocial screening, cholesterol screening, blood pressure - CORRECT ANSWER- a. Psychosocial screening, blood pressure screening, body mass index Blood pressure should be measured at well-child visits starting at age: a. 2 yo b. 3 yo c. 4 yo d. 5 yo - CORRECT ANSWER- b. 3 yo Appropriate anticipatory guidance for the parents of an 8-year-old girl includes a. Preparation for an increase in nervous mannerisms and restless activity b. Preparation for pubertal changes c. Information that friends begin to serve as allies against adults d. Information that their daughter will take on idols and heroes - CORRECT ANSWER- a. Preparation for pubertal changes Which of the following vaccines is routinely recommended at 4 months of age? a.Diphtheria, tetanus, acellular pertussis (DaP) b. Oral polio vaccine (OPV) c. Measles, mumps, rubella (MMR) d. Varicella - CORRECT ANSWER- a. Diphtheria, tetanus, acellular pertussis (DTaP) You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellula pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR): one varicella vaccine: and two hepatitis B (Her B) vaccines. What do vou order todav? - CORRECT ANSWER- Tetanus and diphtheria toxoid with acellular pertussis (TaP), MMR, hepatitus B and IPV By what age should most children be able to sit well without support? a. 9 months b. 3 months c. 6 months d. 12 months - CORRECT ANSWER- a. 9 months A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? - CORRECT ANSWER- conservation