Peds D119 - WGU

Peds D119 - WGU Leave the first rating Students also studied Terms in this set (187) Western Governors UniversityD 118 Save d119 812 terms Nani_Cusson1 Preview Pediatrics D119 WGU 247 terms baldwinsue9Preview d120 479 terms hoskins587Preview PA 1 60 terms nur Which of the following children requires a language referral for further evaluation?

• year old who cannot put two words together

While evaluating a three-day-old infant, the FNP turns the infant on the side to examine the back and notes a sharp line of demarcation dividing the upper and lower parts of the body. The dependent half is bright red and the

superior half is pale. The etiology of this phenomenon is:

An immature autonomic regulatory system, generally referred to as the "Harlequin" sign The FNP is measuring a newborn's frontal occipital circumference. What does the correct technique involve?Placing the paper tape measure at the frontal-occipital prominence and just above the eyebrows The FNP notes an undescended testicle on a newborn.She understands that testicular function and ability to produce healthy sperm as an adult may be impaired if the

repair is not made by age:

• year

The FNP is examining a full-term infant who developed physiologic jaundice and is being treated with phototherapy. What is the mechanism of action of phototherapy in the treatment of this infant?The light is absorbed by bilirubin and promotes the conversion of a toxic bilirubin to and unconjugated product that can be excreted in the bile Which newborn screening tests are mandatory State requirements?Thyroid function tests & Phenylketonuria (PKU) The FNP is assessing an infant that was delivered by cesarean section. What is a complication frequently associated with cesarean delivery?Respiratory distress

The FNP is performing a newborn assessment on a full- term infant approximately 6 hours after birth. When evaluating the infant's head, the FNP identifies an edematous area that crosses the cranial suture lines, is soft, and varies with size. The cranial suture lines have minimal space between them. What is the interpretation of these findings?A caput succedaneum is present A typically developing 6-month-old would be expected

to:

Laugh and play a clapping game Which of the following is the leading cause of nonfatal injury in children?Falls Which of the following is the MOST appropriate intervention for 2-year-old patient who has not received the MMR vaccine?Administer two doses 4 weeks apart The parent of a newborn infant asks the Family nurse practitioner when to intervene to help the infant's future intellectual growth. What will the nurse practitioner tell the parent?language and literacy skills begin at birth The FNP performs a well-baby examination on a 7-day- old infant who is nursing well, according to the mother.The FNP 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?Schedule a weight check in 1 week During an assessment of a 4-week-old infant, the FNP learns that a breastfed infant nurses every 2 hours during the day but is able to sleep for a 4-hour period during the night. The infant has gained 20 grams per day in the interval since last seen in the clinic. What will the FNP recommend?Continuing to nurse the infant using the current pattern The FNP is performing a well-baby examination on a 2- month-old 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 FNP tell her?The infant may be going through an expected growth spurt The mother of a 6-week-old breastfeeding infant tells the FNP that her baby, who previously had bowel movements with each feeding, now has a bowel movement once every second day. What will the FNP tell her?This may be normal for breast feeding babies The parent of a 5-month-old is worried because the infant becomes fussy but doesn't always seem interested in nursing. What will the nurse practitioner tell this parent?The infant may be expressing a desire to play or to rest

The mother of a 6-month-old infant is distressed because the infant can say "dada" but not "mama" and asks the Family nurse practitioner why this is when she is the one who spends more time with the infant. How will the FNP respond?"At this age, your baby does not understand the meaning of sounds." The FNP is performing a well-child examination on an 8- month-old infant whose hearing is normal but who responds to verbal cues with only single-syllable vocalizations. What will the FNP recommend to the parents to improve speech and language skills in this infant?Read simple board books to the infant at bedtime.TheFNP is evaluating a 2-year-old with a documented speech delay. Screenings to assess motor skills and cognition are normal, and the child passed a recent hearing test. What will the pediatric FNP do next?Ask the child's parents whether they read to the child During a well-child assessment of an 18-month-old child, the Family nurse practitioner observes the child point to a picture of a dog and say, "Want puppy!" The FNP recognizes this as an example of what type of speech?Telegraphic The FNP 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 pediatric FNP tell the parents?Most bilingual children are able to shift from one language to another when appropriate The parent of a 24-month-old child asks the FNP when toilet training should begin. How will the pediatric FNP respond?"Tell me about your child's daily habits" The FNP performs a physical examination on a 9-month- old infant and notes two central incisors on the lower gums. The parent states that the infant nurses, take solid foods three times daily, and occasionally take water from a cup. What will the pediatric FNP counsel the parent to promote optimum dental health?To make an appointment for an initial dental examination During a well-child visit, a mother expressed concern that her three-year-old has recently started to stutter when excited. The FNP informs the mother that stuttering in a

preschool-age child:

Is a normal characteristic of language development The FNP examines a three-year-old patient who underwent a myringotomy 4 months ago. 65% of the child's speech remains unintelligible. The FNP's response

is to:

Interpret the patient's speech performance against expected standards and recommend a referral to an audiologist

The FNP 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" sounds. Which action is correct?Reassure the parent that this is normal The FNP is counseling the parents of a toddler about appropriate discipline. The parents report that the child is very active and curious, and they are worried about the potential for injury. What will the pediatric FNP recommend?Allow the child to explore and experiment while providing appropriate limits.The mother of a 3-year-old child takes the child to a play group once a week. She expresses concern that the child plays with toys but does not interact with the other toddlers. What will the Family nurse practitioner counsel the mother?Toddlers may be interested in other children but usually do not engage in interactive play.The parents of a 3-year-old child are concerned that the child has begun refusing usual foods and wants to eat mashed potatoes and chicken strips at every meal and snack. The child's rate of weight has slowed, but the child remains at the same percentile for weight on a growth chart. What will the Family nurse practitioner tell the parents to do?Place a variety of nutritious foods on the child's plate at each meal The FNP learns that the mother of a 3-year-old child has been treated for depression for over 5 years. Which aspect of this child's development will be of the most concern to the FNP?Social/Emotional Which is an accurate statement about vegetarian diets during childhood?Bioavailable vitamin B12 is present in both animal and plant-based foods The FNP knows that climate change will impact the main

Health outcome for children by its impact on:

Food production The Family nurse practitioner evaluates a school-age client whose body mass index (BMI) is greater than the 97th percentile. The FNP is concerned in order several laboratory tests to evaluate this. Which diagnosis will the FNP document for this visit?Obesity An established two-year-old patient presents to the clinic today for a well-child visit and it's noted that his body mass index is below the 3rd percentile. The FNP learns that the patient does not have regular mealtimes and is allowed to carry a bottle of juice around at all times.Which diagnosis will the FNP use for this problem?Parenting alteration