Question 1

Which of the following can cause diaper dermatitis? Select all that apply.

Accepted Answer

A)  Molds 
B)  Candida 
C)  Cleansing agents 
D)  Irritated skin 
E)  Poor nutrition
F) Coxsackievirus A16 
A)  Molds 
B)  Candida 
C)  Cleansing agents 
D)  Irritated skin 
E)  Poor nutrition
F) Coxsackievirus A16 B,C,D,E

Question 2

Pathological jaundice caused by a deficiency or inactivity of bilirubin glucuronyl transferase in the newborn occurs

Accepted Answer

A)  within the first 24 hours of life. 
B)  the second or third day of life. 
C)  the fourth or fifth day of life. 
D)  within the first 2 weeks of life. 
A)  within the first 24 hours of life. 
B)  the second or third day of life. 
C)  the fourth or fifth day of life. 
D)  within the first 2 weeks of life. A

Question 3

Your patient is found to have cryptorchidism.This means that he has

Accepted Answer

A)  an enlargement of the scrotum. 
B)  one testis that is not palpable. 
C)  a bulge in the inguinal area. 
D)  an epididymal enlargement. 
A)  an enlargement of the scrotum. 
B)  one testis that is not palpable. 
C)  a bulge in the inguinal area. 
D)  an epididymal enlargement. B

Question 4

The condition in which an infant has extra fingers or toes is called

Accepted Answer

A)  adactyly. 
B)  dactylion. 
C)  polydactyly. 
D)  syndactyly. 
A)  adactyly. 
B)  dactylion. 
C)  polydactyly. 
D)  syndactyly.

Question 5

You are conducting a health history for 6-year-old child from his mother.Which fact obtained from the mother is most likely to prompt you to examine the child closely for current related health problems?

Accepted Answer

A)  His older sister died of pneumonia. 
B)  His older brother has attention-deficit hyperactivity disorder. 
C)  His mother gained 35 pounds during her pregnancy with the child. 
D)  He attends an after-school program each day until she picks him up at around 5:30 p.m. 
A)  His older sister died of pneumonia. 
B)  His older brother has attention-deficit hyperactivity disorder. 
C)  His mother gained 35 pounds during her pregnancy with the child. 
D)  He attends an after-school program each day until she picks him up at around 5:30 p.m.

Question 6

During the first year of life,neurons become myelinated following a certain sequence ending with which part of the body?

Accepted Answer

A)  extremities 
B)  head 
C)  neck 
D)  trunk 
A)  extremities 
B)  head 
C)  neck 
D)  trunk

Question 7

Which of the following is a normal finding from palpating the liver in a young child?

Accepted Answer

A)  A firm liver edge is palpable 3 cm below the right costal margin. 
B)  A soft liver edge is palpable 1-2 cm below the right costal margin. 
C)  The surface of the liver is nodular with a firm, sharp border. 
D)  The surface of the liver is soft, smooth, and tender. 
A)  A firm liver edge is palpable 3 cm below the right costal margin. 
B)  A soft liver edge is palpable 1-2 cm below the right costal margin. 
C)  The surface of the liver is nodular with a firm, sharp border. 
D)  The surface of the liver is soft, smooth, and tender.

Question 8

Mongolian spots,which commonly occur over the lumbar and sacral areas of the spine,buttocks,upper back,or shoulders in newborns of African,Latino,or Asian descent,are characterized by

Accepted Answer

A)  a deep blue pigmentation. 
B)  erythematous maculopapular lesions. 
C)  inflammation of the epidermis and superficial dermis. 
D)  ruddy skin color. 
A)  a deep blue pigmentation. 
B)  erythematous maculopapular lesions. 
C)  inflammation of the epidermis and superficial dermis. 
D)  ruddy skin color.

Question 9

When you palpate a 5-year-old's neck,you identify small,movable,cool,nontender lymph nodes.Your findings would most likely indicate which of the following?

Accepted Answer

A)  benign "shotty" nodes with no clinical significance 
B)  malignant and require further assessment immediately 
C)  related to lymphadenitis 
D)  related to an acute upper respiratory infection 
A)  benign "shotty" nodes with no clinical significance 
B)  malignant and require further assessment immediately 
C)  related to lymphadenitis 
D)  related to an acute upper respiratory infection

Question 10

You would expect to locate the apical impulse on 2-year-old Joseph's chest at the

Accepted Answer

A)  fourth intercostal space just left of the midclavicular line. 
B)  fourth intercostal space just right of the midclavicular line. 
C)  fifth intercostal space just left of the midclavicular line. 
D)  fifth intercostal space just right of the midclavicular line. 
A)  fourth intercostal space just left of the midclavicular line. 
B)  fourth intercostal space just right of the midclavicular line. 
C)  fifth intercostal space just left of the midclavicular line. 
D)  fifth intercostal space just right of the midclavicular line.

Question 11

A six-month-old infant has femoral pulses that are weaker than the brachial pulses on palpation.This most likely indicates

Accepted Answer

A)  a physiological brachial-femoral lag that should resolve in 3-4 years. 
B)  aortic valve stenosis. 
C)  coarctation of the aorta. 
D)  a normal finding. 
A)  a physiological brachial-femoral lag that should resolve in 3-4 years. 
B)  aortic valve stenosis. 
C)  coarctation of the aorta. 
D)  a normal finding.

Question 12

Which of the following is most appropriate to use in screening the vision of a 2-year-old child?

Accepted Answer

A)  Allen test 
B)  Hirschberg test 
C)  Snellen's E chart 
D)  Snellen's chart 
A)  Allen test 
B)  Hirschberg test 
C)  Snellen's E chart 
D)  Snellen's chart

Question 13

Rapid growth in an adolescent is called a(n)____________________.

Accepted Answer

growth spurt
Explanation:Infancy and ado

Question 14

General guidelines for conducting a pediatric physical examination include which of the following?

Accepted Answer

A)  Allow younger children to sit on their caregiver's lap during as much of the examination as possible. 
B)  Always interview children of all ages in the presence of the caregiver. 
C)  Establish eye contact with toddlers and preschoolers early to lessen anxiety. 
D)  Perform procedures such as inspecting the ears while the child is sleeping, if possible, to avoid discomfort and crying. 
A)  Allow younger children to sit on their caregiver's lap during as much of the examination as possible. 
B)  Always interview children of all ages in the presence of the caregiver. 
C)  Establish eye contact with toddlers and preschoolers early to lessen anxiety. 
D)  Perform procedures such as inspecting the ears while the child is sleeping, if possible, to avoid discomfort and crying.

Question 15

Seborrheic dermatitis,also known as ____________________,is a result of increased epidermal tissue growth.

Accepted Answer

cradle cap
Explanation:Seborrheic dermat

Question 16

The nurse is teaching a new mother about prevention of sudden infant death syndrome (SIDS).Which of the following recommendations about sleeping should be included?

Accepted Answer

A)  Place the infant on the abdomen (prone) without the head of the bed elevated while sleeping. 
B)  Include soft materials in the infant's sleeping environment (e.g., pillows, quilts, stuffed animals). 
C)  Place the infant on the back (supine) while sleeping. 
D)  Allow the infant to sleep in the bed with the mother. 
A)  Place the infant on the abdomen (prone) without the head of the bed elevated while sleeping. 
B)  Include soft materials in the infant's sleeping environment (e.g., pillows, quilts, stuffed animals). 
C)  Place the infant on the back (supine) while sleeping. 
D)  Allow the infant to sleep in the bed with the mother.

Question 17

Flat,deep,irregular pink localized areas on the back of the neck,upper eyelids,upper lip,and lower occiput of light-skinned children are known as

Accepted Answer

A)  eczema. 
B)  erythema toxicum. 
C)  milia. 
D)  telangiectatic nevi. 
A)  eczema. 
B)  erythema toxicum. 
C)  milia. 
D)  telangiectatic nevi.

Question 18

To assess a male child for a hernia,you would palpate his inguinal area with

Accepted Answer

A)  your little finger. 
B)  your index finger. 
C)  two fingers. 
D)  three fingers. 
A)  your little finger. 
B)  your index finger. 
C)  two fingers. 
D)  three fingers.

Question 19

Which finding from your examination of a 2-year-old child's thorax and lungs is abnormal?

Accepted Answer

A)  barrel chest 
B)  bronchovesicular sounds heard throughout the peripheral lung fields 
C)  cough and wheezing 
D)  diaphragmatic excursion of two intercostal spaces 
A)  barrel chest 
B)  bronchovesicular sounds heard throughout the peripheral lung fields 
C)  cough and wheezing 
D)  diaphragmatic excursion of two intercostal spaces

Question 20

Apgar scores are taken at 1 minute after birth and again at

Accepted Answer

A)  3 minutes. 
B)  5 minutes. 
C)  10 minutes. 
D)  15 minutes. 
A)  3 minutes. 
B)  5 minutes. 
C)  10 minutes. 
D)  15 minutes.

Exam 25: The Pediatric Patient

Which of the following can cause diaper dermatitis? Select all that apply.

Pathological jaundice caused by a deficiency or inactivity of bilirubin glucuronyl transferase in the newborn occurs

Your patient is found to have cryptorchidism.This means that he has

The condition in which an infant has extra fingers or toes is called

You are conducting a health history for 6-year-old child from his mother.Which fact obtained from the mother is most likely to prompt you to examine the child closely for current related health problems?

During the first year of life,neurons become myelinated following a certain sequence ending with which part of the body?

Which of the following is a normal finding from palpating the liver in a young child?

Mongolian spots,which commonly occur over the lumbar and sacral areas of the spine,buttocks,upper back,or shoulders in newborns of African,Latino,or Asian descent,are characterized by

When you palpate a 5-year-old's neck,you identify small,movable,cool,nontender lymph nodes.Your findings would most likely indicate which of the following?

You would expect to locate the apical impulse on 2-year-old Joseph's chest at the

A six-month-old infant has femoral pulses that are weaker than the brachial pulses on palpation.This most likely indicates

Which of the following is most appropriate to use in screening the vision of a 2-year-old child?

Rapid growth in an adolescent is called a(n)____________________.

General guidelines for conducting a pediatric physical examination include which of the following?

Seborrheic dermatitis,also known as ____________________,is a result of increased epidermal tissue growth.

The nurse is teaching a new mother about prevention of sudden infant death syndrome (SIDS).Which of the following recommendations about sleeping should be included?

Flat,deep,irregular pink localized areas on the back of the neck,upper eyelids,upper lip,and lower occiput of light-skinned children are known as

To assess a male child for a hernia,you would palpate his inguinal area with

Which finding from your examination of a 2-year-old child's thorax and lungs is abnormal?

Apgar scores are taken at 1 minute after birth and again at

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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