You are seeing a 4-week old infant whose mother states that the child's right eye is wet all the time and sometime there is thick mucus on the lashes. There has been no fever and the baby is feeding well. Eye exam reveals a normal red reflex bilaterally with no evidence of purulent drainage, conjun...
You are seeing a 4-week old infant whose mother states that the child's
right eye is wet all the time and sometime there is thick mucus on the
lashes. There has been no fever and the baby is feeding well. Eye exam
reveals a normal red reflex bilaterally with no evidence of purulent
drainage, conjunctival erythema, or cloudiness over the cornea. You
suspect:
a) adenovirus conjunctivits
b) nasolacrimal stenosis
c) chlamydial conjunctivitis
d) congenital cataract - Precise Answer ✔✔b) nasolacrimal duct stenosis
A 9-month-old infant who was born at 32-weeks reaches for a block
with only the left hand. The right arm remains still at the side of her
body. The PNP would:
a) record these findings as normal for a premature infant
b) refer the infant for further evaluation
c) refer the child for a muscle biopsy
d) record that the child will likely be left-handed - Precise Answer
✔✔b) refer the infant for further evaluation
,During a 2-month-old well child visit you note that the red reflex in one
eye seems paler than in the other. What is the most appropriate follow-
up step for this observation?
a) assess and document a normal corneal light reflex in that eye
b) preform the cover/uncover test
c) re-evaluate the red re-screening test in 2 weeks
d) refer the infant to a pediatric ophthalmologist immediately - Precise
Answer ✔✔d) refer the infant to a pediatric ophthalmologist
immediately
Primary dentition erupts between:
a) 6-11 years
b) 6-30 months
c) 1-5 years
d) 12-24 months - Precise Answer ✔✔b) 6-30 months
The parent of a 4-year-old points to a picture and says "That's your
sister!". The child responds by saying "No! It's my baby!". This is an
example of which type of thinking in preschool-age children?
a) animism
b) artificialism
c) egocentrism
d) realism - Precise Answer ✔✔d) realism
, The primary care PNP performs a developmental assessment on a 32-
month-old child. The child's parent reports that about 70% of the child's
speech is intelligible. The pediatric nurse practitioner observes that the
child has difficulty pronouncing "t" "d" "k" and "g". Which action is
correct?
a) evaluate the child's cognitive abilities
b) obtain a hearing evaluation
c) reassure the parent that this is normal
d) refer the child to a speech therapist - Precise Answer ✔✔c) reassure
the parent that this is normal
The primary care PNP is offering anticipatory guidance to the parents of
a 12-month-old child. The parents are bilingual in Spanish and English
and have many Spanish-speaking relatives nearby. They are resisting
exposing the child to Spanish out of concern that the child will not learn
English well. What will the PNP tell the parents?
a) children who learn two languages simultaneously often confuse them
in conversation
b) children with multi-language proficiency do not understand that
others cannot do this
c) learning two languages at an early age prevents children from
development a dominant language
d) most bilingual children are able to shift from one language to another
when appropriate - Precise Answer ✔✔d) most bilingual children are
able to shift from one language to another when appropriate
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