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8/30/24, 9:00 PMBurns Pediatric Final Exam Study Guide
Jeremiah
Terms in this set (554)
1. The primary care pediatric nurse ANS: C
practitioner understands that a major child There is growing evidence that climate change is having a dramatic effect on food
health outcome associated crops that leads to food
with worldwide climate change is : distribution issues and food insecurity among families.
a. cost of living.
b. education.
c. nutrition.
d. pollution.
2. The primary care pediatric nurse ANS: C
practitioner understands that, to achieve the Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the
greatest world-wide leading cause of
reduction in child mortality from pneumonia pneumonia, and together these are the leading infectious causes of childhood
and diarrhea, which intervention is most morbidity and mortality
effective? globally. Both are vaccine-preventable diseases. Antibiotics to treat pneumonia,
a. Antibiotics optimal nutrition, and
b. Optimal nutrition clean water all help to reduce morbidity and mortality, but vaccination prevents the
c. Vaccinations diseases from
d. Water purification occurring.
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3. When providing well child care for an ANS: C
infant in the first year of life, the primary care In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is
pediatric nurse a greater
practitioner is adhering to the most recent emphasis on behavioral and developmental issues and a recommendation that well
American Academy of Pediatrics child care be based on
Recommendations for child and family development rather than the periodicity of immunization schedules.
Preventive Pediatric Health Care guidelines This will require a
by : revision of the current recommendations in Bright Futures.
a. focusing less on development and more
on illness prevention and nutrition.
b. following guidelines established by the
Bright Futures publication.
c. scheduling well-baby visits to coincide
with key developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12
months when immunizations are due.
4. Which is true about the health status of ANS: B
children in the United States? Obesity rates are a major concern for child health in the U.S. but recently have
a. Globalism has relatively little impact on stabilized in the rate of
child health measures in the U.S. increase and have declined among 2- to 5-year-olds between 2004 and 2013.
b. Obesity rates among 2- to 5-year-olds Globalism has an increasing
have shown a recent significant decrease. effect on child health in the U.S. The rate of household poverty in the U.S. is higher than
c. The rate of household poverty is lower in other
than in other economically developed economically developed nations. Young children who attend preschool or day care
nations. have lower food
d. Young children who attend preschool or insecurity.
day care have higher food insecurity.
5. Which region globally has the highest ANS: C
infant mortality rate? Although Sub-Saharan Africa and Southern Asia together account for 81% of the infant
a. Indonesia mortality rate
b. Southern Asia globally, Sub-Saharan Africa has the highest infant mortality rate in the world.
c. Sub-Saharan Africa
d. Syria
1. The parent of a toddler is concerned that ANS: C
the child may have autism. The primary care The M-CHAT is a screening tool and is useful for detecting behaviors that may indicate
pediatric nurse autism. This
practitioner completes a Modified Checklist instrument has been found to have acceptable sensitivity, specificity, and significant
for Autism in Toddlers (M-CHAT) tool, which positive predictive
indicates value. If these behaviors are detected, the PNP should refer the child to a specialist for
several areas of concern. What will the nurse further assessment,
practitioner do? using more diagnostic tools. The CARS may be used but requires specialty training and
a. Administer a Childhood Autism Rating proper
Scale (CARS) in the clinic. credentials. Until the diagnosis is determined, strategies for intervention are not
b. Consult a specialist to determine discussed. The M-CHAT
appropriate early intervention strategies. is a screening tool and is not diagnostic.
c. Refer the child to a behavioral specialist
for further evaluation.
d. Tell the parent that this result indicates that
the child has autism.
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2. The mother of a newborn tells the primary ANS: A
care pediatric nurse practitioner that she is The three-generation pedigree is used to map out risks for genetic diseases in families,
worried that her as well as
child will develop allergies and asthma. conditions with modifiable risk factors. The review of systems is used to evaluate the
Which tool will the nurse practitioner use to history of the
evaluate this child's body systems. The genogram is an approach to developing a family database to
risk? provide a graphic
a. Three-generation pedigree representation of family structure, roles, and problems of recurring significance in a
b. Review of systems family. The ecomap
c. Genogram is used to identify relationships in the family and community that are supportive or
d. Ecomap harmful.
3. The primary care pediatric nurse ANS: A
practitioner is performing a well child check- This child should be at a 19-month adjusted age for prematurity so, according to the
up on a 20-month-old parent screen, is 4
child. The child was 4 weeks premature and, months behind. The PNP should perform a more in-depth screen to evaluate this delay.
according to a parent-completed Waiting to see if
developmental the child will "catch up" or assuring the parent that this will happen will cause the delays
questionnaire, has achieved milestones for a to become more
15-month-old infant. Which action is correct? severe. A referral to a specialty clinic should not be made solely on the basis of the
a. Perform an in-depth developmental parent-completed
assessment screen at this visit to evaluate this questionnaire but only after further evaluation of possible delays.
child.
b. Reassure the parent that the child will
catch up to normal development by age 2
years.
c. Re-evaluate this child's development and
milestone achievements at the 2-year visit.
d. Refer the child to a specialty clinic for
evaluation and treatment of developmental
delay.
ANS: A
4. When formulating developmental The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
diagnoses for pediatric patients, the primary Developmental Disorders of
care pediatric nurse Infancy and Early Childhood and is useful for developmental problem diagnosis. The
practitioner may use which resource? ICD-10-CM is the
a. DC: 0-3R International Classification of Diseases-Tenth Revision, Clinical Modification and is
b. ICD-10-CM useful for
c. ICSD-3 identifying physiologic diseases. The ICSD-3 is the International Classification of Sleep
d. NANDA International Disorders - 3rd
edition. NANDA International is used to label problems in the functional health domain.
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5. The primary care pediatric nurse ANS: A
practitioner is evaluating health literacy in The "newest vital sign," or health literacy, can be determined quickly by asking the
the mother of a new parent how many
preschool-age child. How will the nurse children's books are in the home. Greater than 10 books in the home is an independent
practitioner assess this? positive predictor
a. Ask the child how many books he has at of adequate parent health literacy. The other questions may determine a specific level
home. of literacy in
b. Ask the mother about her highest grade in general but are not as efficient.
school.
c. Ask the mother to determine the correct
dose of a drug from a label.
d. Ask the mother to read a health
information handout aloud.
6. The primary care pediatric nurse ANS: D
practitioner learns that the mother of a 3- Maternal depression in the first year of life has been associated with poorer language
year-old child has been development at 3
treated for depression for over 5 years. years of age.
Which aspect of this child's development will
be of the most
concern to the nurse practitioner?
a. Fine motor
b. Gross motor
c. Social/emotional
d. Speech and language
7. The primary care pediatric nurse ANS: C
practitioner sees a 3-year-old child who Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is recognized for
chronically withholds stools, reimbursement
in spite of the parents' attempts to stop the purposes. "Altered elimination pattern" and "Parenting alteration" are NANDA
behavior, requiring frequent treatments with International diagnoses
laxative and are not recognized for reimbursement. "Elimination disorder" is a developmental
medications. Which diagnosis will the nurse diagnosis.
practitioner use to facilitate third-party
reimbursement?
a. Altered elimination pattern
b. Elimination disorder
c. Encopresis
d. Parenting alteration
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