PNCB CPNP-PC Final Certification Pediatric Primary Care Exam Questions and Answers 2023/2024
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PNCB
PNCB CPNP-PC Final Certification Pediatric Primary Care Exam Questions and Answers 2023/2024
The parents of a 2 year old are concerned that their child is having temper tantrums in public settings. Which is the BEST response?
The temper tantrum is an indication that the child is tired and nee...
PNCB CPNP-PC Final Certification Pediatric
Primary Care Exam Questions and Answers
2023/2024
The parents of a 2 year old are concerned that their child is
having temper tantrums in public settings. Which is the BEST
response?
The temper tantrum is an indication that the child is tired and
needs to go home.
Make sure to ensure safety while ignoring the child's display of
behavior.
You can pick the child up and take him to a quiet place for a time
out.
In a public place, it is okay to give into the child's desires to
maintain peace. - correct answer Make sure to ensure safety
while ignoring the child's display of behavior.
Temper tantrums are common in children between the ages of 12
months and four years of age and may occur as often as once a
week in this age group. A temper tantrum is often the sign that a
child is frustrated and trying to achieve autonomy, yet is still
immature in the reactions to the outcome of the situation.
,Appropriate responses and interventions by the parents can
assist the child in attaining developmental mastery. Some
suggestions include trying to prevent a tantrum by offering the
child achievable choices, maintaining an environment that
provides positive reinforcement for desired behavior, and
fighting only those battles which need to be won. If a child does
exhibit a tantrum, provide a safe environment and do not over-
react to the behavior. Stay nearby the child during the temper
tantrum and provide positive reinforcement when the behavior
improves. A two year old is too young to understand the
ramifications of a time out, so removing the child from the scene
may not be helpful. The child may need to be restrained if in
danger from the environment, so holding the child may be
appropriate. Giving in to the child reinforces the behavior,
despite where the tantrum occurs.
Five weeks after joining the cross-country team, a 15 year old
complains of pain in the front of his left shin that intensifies 15
minutes into each practice run. Plain radiographs of the left leg
are normal. Which subsequent test would be MOST appropriate
for diagnosis?
Bone scan
MRI of left leg
Repeat plain films in 1 week
Repeat plain films in 2 weeks - correct answer MRI of left leg
,Tibial stress fractures are common in runners. An adolescent
who complains of pain in the front of the shin which intensifies
15 minutes into running has symptoms consistent with an
anterior tibial stress fracture. It is important to diagnosis this
quickly and to make the appropriate orthopedic referral. A bone
scan would be positive in this type of stress fracture, but it
remains positive for the subsequent 1-2 years. Therefore, it is not
useful for assessing healing or ability to return to play. MRI has
replaced bone scans as the most sensitive tool for diagnosing
stress fractures in long bones. Repeating plain films in 2 weeks
can demonstrate periosteal reaction if a stress fracture is
present. There is no reason to wait 1-2 weeks for a diagnosis and
delay treatment.
The caregivers of an 18 month old are both overweight. When
counseling them about prevention of overweight in their child,
suggestions should include
Measurement of the BMI every 6 months.
Rewards of candy for playing actively.
Thirty minutes of structured play each day.
Stringent parental food controls. - correct answer - thirty
minutes of structured play each day.
Adopting an active lifestyle is as important as a healthy diet in
prevention of childhood obesity. Toddlers should be encouraged
, to engage in at least 30 minutes of structured play and at least
60 minutes per day of unstructured play, preferably outside
where play tends to be more physically active. The measurement
of the BMI is preferred for children over two years of age.
Parents and caregivers should avoid using candy or high fat food
as rewards for good behavior. They should instead use stickers,
verbal praise, or a fun activity. Stringent controls restricting
access to high fat snacks or junk food promotes a child's
attention to and intake of restricted foods when they become
available, even if the child is not hungry.
Which of the following should be included in the plan of care for
preterm infants?
Use of a car seat without a shield harness
Supplemental vitamin D at 4 months for breast fed infants
Immunizations beginning at 2 months corrected age
Evaluation of vision at 3 months - correct answer use of a car
seat without a shield harness
Preterm infants eligible to ride in car safety seats should not use
the shield harness because it may be too large for a smaller
infant. Breastfed infants should be supplemented with vitamin D
until they are taking at least 1 liter per day of vitamin D fortified
formula or whole milk. Immunizations are administered at the
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