6541 PEDS Exam 2024 Peds nur 6541
Actual Exam Update Latest 2024
Questions and Correct Answers Rated A+
Appropriate advice for a mother of a 2-week-old child here for a "well
child" visit includes which of the following? -ANSWER-Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically
less than the 5th percentile for height, weight and head circumference.
He was born at 30 weeks' gestation and weighed 1000g. He was a
planned pregnancy, and his mother's prenatal course was uneventful
until an automobile accident initiated the labor. He was ventilated for 3
days in the intensive care unit but otherwise did well without ongoing
problems. He was discharged at 8 weeks of life. Which of the following
is the most likely explanation for his small size? -ANSWER-Normal ex-
preemie infant growth
A Mantoux test in a child with no risk factors is considered positive
with a reaction of -ANSWER-at least 15 mm induration
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? -ANSWER-Conservation
I can roll over, grasp a rattle, and reach for things and have begun
feeding myself finger foods, but I can't wave bye-bye yet. How old am
I? -ANSWER-6 months
,A 4-month-old child has poor weight gain. Her current weight is less
than the 5th percentile, height about the 10th percentile, and head
circumference at the 50th percentile. The planned pregnancy resulted
in a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and
bottle; the quantity seems sufficient. The child has had no illness. The
examination is unremarkable except for the child's small size.
Screening laboratory shows the hemoglobin and hematocrit are 11
mg/dL and 33% respectively, with a platelet count of 198,000/mm3.
Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver
function tests are normal. Urinalysis reveals a pH of 8 with occasional
epithelial cells but no white blood cells, bacteria, protein, ketones, or
reducing substances. Which of the follow -ANSWER-Oral
supplementation with bicarbonate
Which of the following vaccines is routinely recommended at 4 months
of age? -ANSWER-Diphtheria, tetanus, acellular pertussis (DTaP)
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 -
ANSWER-2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month
visit he received the diphtheria, tetanus, and acellular pertussis
(DTaP) third dose; hepatitis B second dose; measles, mumps, and
rubella (MMR) first dose; injected poliovirus (IPV) second dose;
pneumococcal conjugate (PCV13) fourth dose; and Haemophilus
influenzae type B (Hib) fourth dose. Which of the following do you
order today? -ANSWER-DTaP, varicella, hepatitis A, and hepatitis B
, Which is the correct order for introduction of solid foods to an infant? -
ANSWER-Cereal, vegetables, fruits, and meats
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? -ANSWER-9
months
The first sign of the onset of female puberty is usually -ANSWER-
Breast buds
A mother of a 6-month-old asks you about normal sleep patterns for
an infant this age. The best response is: -ANSWER-10 hours at night
and 3-4 hours during the day
Medicaid provides health insurance coverage to -ANSWER-Certain
categories of people whose personal income falls below a certain
percentage of the federal poverty level.
You see a 5-month-old who is fussy, has interrupted sleep, and is
drooling. You note large lower lateral incisor bulges. You recommend:
-ANSWER-A and D
You see a young child who has tripled her birth weight and looks for
hidden objects. When given blocks, she places one in each hand. She
has a fine pincer grasp. On the floor, she walks around holding objects
and is trying to take independent steps. This child is most likely how
old? -ANSWER-12 months
Sally, age 4, presents to the office with her mother for a well-child visit.
To assess for age-appropriate fine motor skills, what activity would
you ask her to perform? -ANSWER-Cut on a line with scissors
