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4,, Peds Exam 1 Weeks 2/3 CH 4, 5, 6, 7, 8, Peds test 1, Exam
1 Week 1 CH 10, 12, 13, 22, NR602 Pediatric Midterm Study
Set, Burns Ch. 7: Development Management of School-
Age Children, PNP Exam Questions, Exam 2 Pediatrics
21,22,24,25,26, Exam 3 Pedi... With Questions And 100%
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Terms in this set (1163)
1. During a well child exam, the primary care ANS: C
pediatric nurse practitioner learns that the parents Marital problems can result in child behavior difficulties and anxieties, and conflict can be picked up
of a young child fight frequently about finances. The by the child. The parents should try to learn to modify unhealthy behaviors, such as increased
parents state that they do not fight in front of the conflict during stressful situations. Even when children do not understand, they pick up on cues from
child and feel that the situation is temporary and the parents about anxiety and stress and can internalize these feelings. Avoiding arguments in front
related to the father's job layoff. What will the nurse of the child does not alleviate the underlying conflict and stress. The behavior of fighting during this
practitioner do? stressful situation may indicate a pattern of response to stress and will only recur with each
a. Reassure them that the child is too young to subsequent stressful period.
understand.
b. Recommend that they continue to not argue in
front of the child.
c. Suggest counseling to learn ways to handle
stress.
d. Tell them that the conflict will resolve when the
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situation changes. Peds Exam 1 Weeks 2/3 CH 4, 5, 6, 7, 8, Peds test 1, Exam 1 Week 1 CH 10, 12, 13, 22, NR602 Pediatric Midterm ...
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2. The primary care pediatric nurse practitioner ANS: D
conducts a well baby exam on an infant and notes The child who has mild delays in only one area may be managed initially by having the parent
mild gross motor delays but no delays in other provide appropriate exercises. If this is not effective, or if delays become more severe, referrals for
areas. Which initial course of action will the nurse evaluation or early intervention services are warranted. A mild delay does not necessarily signal a
practitioner recommend? serious disorder, so this action is not indicated.
a. Consult a developmental specialist for a more
complete evaluation.
b. Prepare the parents for a potentially serious
developmental disorder.
c. Refer the infant to an early intervention program
for physical therapy.
d. Teach the parents to provide exercises to
encourage motor development.
3. The primary care pediatric nurse practitioner sees ANS: A
a developmentally delayed toddler for an initial visit. Families with children who have developmental delays are eligible for early intervention services and
The family has just moved to the area and asks the should have IFSPs in place. This family may have one from their previous community, and it can be
nurse practitioner about community services and used as a starting point to determine needs. It is not necessary to consult with a physician to
resources for their child. What should the nurse coordinate community resources. Early intervention is provided from birth, according to federal law.
practitioner do initially? Until the specific referrals are known, the social worker is not consulted.
a. Ask the parents if they have an individualized
family service plan (IFSP).
b. Consult with a physician to ensure the child gets
appropriate care.
c. Inform the family that services are provided when
the child begins school.
d. Refer the family to a social worker for assistance
with referrals and services.
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4. The primary care pediatric nurse practitioner is ANS: C
examining a newborn infant recently discharged When discussing developmental delays with parents, it is important to be positive and to initially
from the neonatal intensive care unit after a focus on strengths. Explaining that developmental delays develop over time is true but does not
premature birth. The parent is upset and expresses reassure the parent or help the parent cope with feelings. Referrals are not indicated unless delays
worry about whether the infant will be normal. What are present and may take time.
will the nurse practitioner do in this situation?
a. Explain to the parent that developmental delays
often do not manifest at first.
b. Perform a developmental assessment and tell the
parent which delays are evident.
c. Point out the tasks that the infant can perform
while conducting the assessment.
d. Refer the infant to a developmental specialist for
a complete evaluation.
5. Which recommendation will a primary care ANS: B
pediatric nurse practitioner make when parents ask Discipline involves training or education that molds appropriate behavior and is used to teach the
about ways to discipline their 3-year-old child who child what is permitted and encouraged. Providing an appropriate outlet for drawing helps to teach
draws on the walls with crayons? the child where to use the crayons. Using washable markers allows the parents to clean the walls but
a. Give the child washable markers so the drawings does not teach the child appropriate behaviors. Timeout and taking away the crayons are forms of
can be removed easily. punishment, or a loss of privileges, that are administered as a form of retribution.
b. Provide a roll of paper for drawing and teach the
child to use this.
c. Put the child in "timeout" each time the child
draws on the walls.
d. Take the crayons away from the child to prevent
the behavior.
6. The primary care pediatric nurse practitioner ANS: C
enters an exam room and finds a 2-month-old infant A parent who seems disinterested in a child raises moderate concerns for parenting problems. It
in a car seat on the exam table. The infant's mother does not necessarily signal postpartum depression. It is not a mark for extreme concern. It is not
is playing a game on her smart phone. The nurse within the expected range of behaviors.
practitioner interprets this behavior as :
a. a sign that the mother has postpartum depression.
b. extremely concerning for potential parental
neglect.
c. of moderate concern for parenting problems.
d. within the normal range of behavior in early
parenthood.
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7. During a well child assessment of an 18-month-old ANS: C
child, the primary care pediatric nurse practitioner The child has exhibited early signs of misbehavior. At this stage, distraction and active engagement
observes the child becoming irritable and may be used to stop more problems from occurring. It is not necessary to use a timeout because the
uncooperative. The parent tells the child to stop child hasn't reached the point where cooperation is impossible. The PNP should model appropriate
fussing. What will the nurse practitioner do? interventions by offering the child a distraction and may ask the parent about discipline practices
a. Allow the parent to put the child in a "timeout." later in the visit. The child is not at a "meltdown" state.
b. Ask the parent about usual discipline practices.
c. Offer the child a book or a toy to look at.
d. Stop the exam since the child has reached a
"meltdown."
8. The primary care pediatric nurse practitioner ANS: D
performs a physical examination on a 9-month-old The American Academy of Pediatric Dentistry recommends a first dental examination at the time of
infant and notes two central incisors on the lower eruption of the first tooth and no later than 12 months old. Parents should be counseled to clean the
gums. The parent states that the infant nurses, takes infant's teeth but with water only. Weaning from breastfeeding is not indicated, although mothers
solid foods three times daily, and occasionally takes should not let the infant nurse while sleeping to prevent milk from bathing the teeth. Fluoride
water from a cup. What will the pediatric nurse supplements should not be discontinued.
practitioner counsel the parent to promote optimum
dental health?
a. To begin brushing the infant's teeth with
toothpaste
b. To consider weaning the infant from
breastfeeding
c. To discontinue giving fluoride supplements
d. To make an appointment for an initial dental
examination
9. The primary care pediatric nurse practitioner has a ANS: A
cohort of patients who have special health care Care coordination is one of the key elements for children with special health care needs. PNPs are
needs. Which is an important role of the nurse especially suited for this role and have the unique skills to function as care coordinators. Care for
practitioner when caring for these children? these children should involve shared decision making and individualized care and not "cookbook"
a. Care coordination and collaboration approaches. The PNP may advocate for children's health care needs for the IEP but does not monitor
b. Developing protocols for parents to follow these. The PNP should not just give parents lists of phone numbers but should assist them to make
c. Monitoring individual education plans (IEPs) appointments.
d. Providing lists of resources for families
