"When was your last menstrual period (LMP)?" Correct
Answer A healthy 14-year-old female has a dipstick urinalysis
that is positive for 56RBCs per hpf but otherwise normal. What
is the first question the primary care pediatric nursepractitioner
will ask this patient?
(Chadwicks sign) Correct Answer Cervix color and texture
change, becoming cyanotic
(Goodells sign). Correct Answer softening of the cervix
20 to 35 mcg dose of ethinyl estradiol and a nonandrogenic
progestin component is recommended. Correct Answer What is
the treatment recommendation for women w/ PCOS not intent
on conceiving?
3 weeks Correct Answer An initial or primary genital herpes
infection characteristically lasts
40 Correct Answer Of the more than 100 known serotypes of
human papillomavirus (HPV), approximately how many can
infect the genital tract?
50% Correct Answer Approximately how many Americans
will contract one or more sexually transmitted infections during
their lifetime?
A 10 year old child has had abdominal pain for 2 days, which
began in the periumbilical area and then localized to the right
,lower quadrant. The child vomited once today and then
experienced relief from pain followed by an increased fever.
What is the likely diagnosis Correct Answer Appendicitis with
perforation
A 12 month old infant exhibits poor weight gain after previously
normal growth patterns. There is no history of vomiting,
diarrhea, or irregular bowel movements, and the physical exam
is normal. What is the next step in evaluating these findings?
Correct Answer Feeding and stooling history and 3day diet
history
A 12 year old child has a recent history of increased thirst and
frequent urination. The child's weight has been in the 95th
percentile for several years. A dipstick UA is positive for
glucose, and random plasma glucose is 350 mg/dL. Which test
will the primary care pediatric nurse practitioner order to
determine the type of diabetes in this child Correct Answer
Pancreatic antibodies
A 13 year old child has exhibited symptoms of mild depression
for several weeks. The parent reports feeling relieved that the
symptoms have passed but concerned that the child now seems
to
have boundless energy and an inability to sit still. What will the
primary care pediatric nurse practitioner do? Correct Answer
Refer the child to a child psychiatrist for evaluation of bipolar
disorder
A 13 year old Native American female has a BMI at the 90th
percentile for age. The primary care pediatric nurse practitioner
,notes the presence of a hyperpigmented velvet like rash in skin
folds. The child denies polydipsia, polyphagia, and polyuria.
The nurse practitioner will Correct Answer order a fasting
blood sample for a metabolic screen for type 2 diabetes
A 14 year old female comes to the clinic with amenorrhea for 3
months. A pregnancy test is negative. The adolescent's body
weight is at 82% of expected for height and age. The mother
reports that her daughter often throws up and refuses to eat most
foods. Which condition does the primary care pediatric nurse
practitioner suspect? Correct Answer Anorexia nervosa
A 16 year old adolescent female whose BMI is at the 90th
percentile reports irregular periods. The primary care pediatric
nurse practitioner notes widespread acne on her face and back
and an abnormal distribution of facial hair. The nurse
practitioner will evaluate her further based on a suspicion of
which diagnosis? Correct Answer Polycystic ovary syndrome
A 2 month old infant cries up to 4 hours each day and, according
to the parents, is inconsolable during crying episodes with fists
and legs noted to be tense and stiff. The infant is breastfeeding
frequently but is often fussy during feedings. The physical exam
is normal and the infant is gaining weight normally. What will
the primary care pediatric nurse practitioner recommend
Correct Answer Eliminating certain foods from the mother's
diet
A 2 year old child has an acute diarrheal illness. The child is
afebrile and, with oral rehydration measures, has remained well
hydrated. The parent asks what can be done to help shorten the
, course of this illness. What will the primary care pediatric nurse
practitioner recommend? Correct Answer Lactobacillus
A 3 year old child has just completed a 7day course of
amoxicillin for a second febrile urinary tract infection and
currently has a negative urine culture. What is the next course of
action? Correct Answer Obtain a renal and bladder ultrasound.
A 30monthold girl who has been toilet trained for 6 months has
daytime enuresis and dysuria and a lowgrade fever. A dipstick
urinalysis is negative for leukocyte esterase and nitrites. What is
the next step? Correct Answer Send the urine to the lab for
culture.
A 6 month old infant has a retractile testis that was noted at the
2month well baby exam. What will the primary care pediatric
nurse practitioner do to manage this condition? Correct Answer
Refer the infant to a pediatric urologist or surgeon for possible
orchiopexy.
A 6 year old female has had a recent growth spurt and an exam
reveals breast and pubic hair development. Her bone age is
determined to be 8 years. What will the primary care pediatric
nurse practitioner do next? Correct Answer Refer the child to a
pediatric endocrinologist for management.
A 7 year old female has recently developed pubic and axillary
hair without breast development. Her bone age is consistent with
her chronological age, and a pediatric endocrinologist has
diagnosed idiopathic premature adrenarche. The primary care
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