PEDS MIDTERM 6541
Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following? - correct 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? - correct answer
Normal ex-preemie infant growth
A Mantoux test in a child with no risk factors is considered positive with a reaction
of - correct 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? - correct
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? - correct 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 - correct answer Oral
supplementation with bicarbonate
, PEDS MIDTERM 6541
Which of the following vaccines is routinely recommended at 4 months of age? -
correct 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 - correct 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? - correct answer DTaP, varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant? - correct
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? - correct answer 9 months
The first sign of the onset of female puberty is usually - correct 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: - correct answer 10 hours at night and 3-4 hours
during the day
Medicaid provides health insurance coverage to - correct 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: - correct 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? - correct answer 12 months
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