NURS 602 ACTUAL FINAL REVISION
QUESTIONS AND ANSWERS A+ GRADED.
The primary care pediatric nurse practitioner is examining a 15yearold
female who reports having her first period at age 13. She states that she
has
had five periods in the last year, with the last one 2 months prior. She
participates in basketball at school. Which action is correct?
Verified Answer -Perform biometric screening to determine lean body
mass.
The primary care pediatric nurse practitioner is performing a well child
assessment on a 13yearold female whose mother asks when her
daughter's periods may start. Which information will the nurse practitioner
use to help estimate the onset of periods?
Verified Answer -The patient's age at thelarche
he primary care pediatric nurse practitioner is evaluating recurrent
stomach pain in a schoolage child. The child's exam is normal. The nurse
practitioner learns that the child reports pain most evenings after school
and refuses to participate in sports but does not have nausea or vomiting.
The child's grandmother recently had gallbladder surgery. Which action is
correct?
Verified Answer -Encourage the child to keep a log of pain, stool patterns,
and
dietary intake
The parent of a 6yearold child expresses concern that the child may have
ADHD. Which screening tool will the primary care pediatric nurse
,practitioner use to evaluate this possibility?
Verified Answer -Conner's 3 Parent and Teacher Rating Scale
During a well child exam of a schoolage child, the primary care pediatric
nurse practitioner learns that the child has been having angry episodes at
school. The nurse practitioner observes the child to appear withdrawn and
sad. Which action is appropriate?
Verified Answer -Ask the child and the parent about stressors at home
The mother of a 6weekold
breastfeeding infant tells the primary care pediatric
nurse practitioner that her baby, who previously had bowel movements
with
each feeding, now has a bowel movement once every third day. What will
the nurse practitioner tell her?
Verified Answer -This may be normal for breastfed babies
The primary care pediatric nurse practitioner is performing a well baby
examination on a 2monthold infant who has gained 25 grams per day in
the last interval. The mother is nursing and tells the nurse practitioner that
her infant seems fussy and wants to nurse more often. What will the nurse
practitioner tell her?
Verified Answer -The infant may be going through an expected growth
spurt.
During an assessment of a 4weekold infant, the primary care pediatric
nurse
practitioner learns that a breastfed infant nurses every 2 hours during the
day but is able to sleep for a 4hour period during the night. The infant has
gained 20 grams per day in the interval since last seen in the clinic. What
,will the nurse practitioner recommend?
Verified Answer -Continuing to nurse the infant using the current pattern
The primary care pediatric nurse practitioner performs a well baby
examination on a 7dayold infant who is nursing well, according to the
mother. The nurse practitioner notes that the infant weighed 3250 grams at
birth and 2990 grams when discharged on the second day of life. The
infant weighs 3080 grams at this visit. Which action is correct?
Verified Answer -Schedule a weight check in 1 week
A mother brings her newborn daughter to the ER with concerns that she
is having vaginal bleeding. You know this is normal and called what?
Verified Answer -Pseudomenstruation
You are taking care of an infant who was admitted with dehydration. His
weight is 6kg. You have been watching his I & Os. What would you expect
the infants urinary output to be in order to maintain adequate
Verified Answer -13 ml/kg/hr
A 5 day old infant comes in for a newborn checkup. On assessment of the
newborn, you note that the skin is jaundice in color. The anterior fontanel
is
slightly sunken. Per mom, the infant has only had 2 diapers today. The
infant
is strictly breastfed and this is moms first child. She states baby is having
trouble latching on. A bilirubin level is sent and comes back at 18. You
identify this newborn to be dehydrated and is most likely to have breast
milk
, jaundice. Which nursing intervention(s) will be required for this baby?
Verified Answer -1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
A child that has rhythmic, repetitive, involuntary movements is
exhibiting:
Verified Answer -Dystonia.
The primary care pediatric nurse practitioner evaluates a schoolage
child whose body mass index (BMI) is greater than the 97th percentile. The
nurse practitioner is concerned about possible metabolic syndrome and
orders laboratory tests to evaluate this. Which diagnosis will the nurse
practitioner document for this visit?
Verified Answer -Obesity
The parent of a toddler is concerned that the child may have autism. The
primary care pediatric nurse practitioner completes a Modified Checklist for
Autism in Toddlers (MCHAT) tool, which indicates several areas of
concern. What will the nurse practitioner do?
Verified Answer -Refer the child to a behavioral specialist for further
evaluation.
The primary care pediatric nurse practitioner performs a developmental
assessment on a 3yearold child and notes normal cognitive, finemotor,
and
grossmotor abilities. The child responds appropriately to verbal commands
during the assessment but refuses to speak when asked questions. The
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