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MN 580 (Pediatrics) Exam Bank Multiple Choice Questions and Answers A+ Graded 100% Verified.
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MN 580 (Pediatrics) Exam Bank MultipleChoice Questions and Answers A+
Graded 100% Verified.
A 16yearold 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?
F. Dyslipidemia
G. Hypothyroidism
H. Nonalcoholic steatohepatitis
I. Polycystic ovary syndrome
Correct Answer -I. Polycystic ovary syndrome
The primary care pediatric nurse practitioner is providing nutritional
counseling for a 9yearold female whose weight is at the 95th percentile
for her age. What is the goal for this patient?
1. A loss of 10 to 15 pounds in 6 months
2. An average weight loss of 2 pounds per month
3. Maintenance of her current weight
4. Weight loss of 5% of her current body weight
Correct Answer -3. Maintenance of her current weight
,The primary care pediatric nurse practitioner notes a musty odor when
examining a newborn at a 2week checkup. What will the nurse practitioner
suspect?
A. Galactosemia
B. Glucose6phosphatase deficiency
C. Phenylketonuria
D. Urea cycle disorder
Correct Answer -C. Phenylketonuria
An initial key part of management of a child suspected of having an
inborn error of metabolism is:
A. consulting a metabolic specialist.
B. obtaining a complete family history.
C. ordering metabolic screening tests.
D. referring the family to a dietician.
Correct Answer -A. consulting a metabolic specialist.
When performing a neurologic exam to assess for meningeal signs in an
infant, the primary care pediatric nurse practitioner will attempt to elicit the
Kernig sign by:
K. bending the infant at the waist to touch fingers to toes.
L. extending the leg at the knee with the infant supine.
M. flexing the infant's neck to touch chin to chest.
,N. turning the infant's head from side to side.
Correct Answer -L. extending the leg at the knee with the infant supine.
To evaluate brain tissue disorders in infants, which test is useful?
F. Computerized tomography
G. Head radiographs
H. Magnetic resonance imaging
I. Ultrasonography
Correct Answer -I. Ultrasonography
A female infant who was developing normally stops meeting
developmental milestones at age 12 months and then begins losing
previously acquired skills. What will the primary care pediatric nurse
practitioner expect to tell the parents about this child's prognosis?
G. Cognitive development will be normal but motor skills will be lost.
H. Physical and speech therapy will help the infant regain lost skills.
I. The child's intellectual development will not progress further.
J. This is a temporary condition with full recovery expected.
Correct Answer -I. The child's intellectual development will not progress
further.
A 14yearold child has a headache, unilateral weakness, and blurred
vision preceded by fever and nausea. The child's parent reports a similar
episode several months prior. The primary care pediatric nurse practitioner
will consult with a pediatric neurologist to order:
, B. a lumbar puncture.
C. an electroencephalogram (EEG).
D. neuroimaging with magnetic resonance imaging (MRI).
E. positron emission tomography (PET) scan.
Correct Answer -D. neuroimaging with magnetic resonance imaging (MRI).
During a well baby exam on a 9monthold infant, the parent reports that
the baby always uses the left hand to pick up objects and asks if the baby
will be left handed.
What will the primary care pediatric nurse practitioner do?
1. Explain that it is too soon to tell which hand the infant will prefer
later.
2. Perform a careful assessment of fine and gross motor skills.
3. Teach the parent to encourage the infant to use both hands.
4. Tell the parent that a hand preference usually develops between 6 and
12 months.
Correct Answer -2. Perform a careful assessment of fine and gross motor
skills.
The pediatric nurse practitioner provides primary care for a 5yearold
child who has cerebral palsy who exhibits athetosis and poor weight gain
in spite of receiving high calorie
formula to supplement intake. The child has had several episodes of
pneumonia in the past year. Which specialty consultation is a priority for
this child?
L. Feeding clinic to manage caloric intake
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