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Flashcards in Health Promotion and Well Child Care Questions Deck (81)
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1

A 16 yo girl makes the following statements to you during her health visit. Which of the following pieces of information should not be kept confidential?
a) I have been sexually active with three of my boyfriends
b) I sometimes smoke marijuana
c) I want to get pregnant
d) Sometimes I feel like ending my life

d) Sometimes I feel like ending my life

2

In performing a physical examination on a nine month old infant, which of the following developmental fears would not be appropriate for you to consider?
a) Stranger anxiety
b) Pain
c) Separation from parents
d) Bodily harm

d) Bodily harm

3

When performing a physical examination on a toddler, which of the following body parts would you examine last:
a) Heart and lungs
b) abdomen and genitals
c) Ears and throat
d) Hips and extremities

c) Ears and throat

4

Role play with equipment during the course of a physical examination would be most beneficial with which of the following age groups:
a) Toddlers
b) Preschoolers
c) Young school-age children
d) Older school-age children

b) Preschoolers

5

Providing reassurance of "normalcy" during the course of an examination would be most important for:
a) Preschool children
b) Young school-age children
c) Older school-age children
d) Adolescents

d) Adolescents

6

Which of the following would not elevate the pulse of a child:
a) Fever
b) Anemia
c) Hypothyroidism
d) Exercise

c) Hypothyroidism

7

The PNP recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk?
a) Sleepiness, jaundice, decreased urine and stool
b) Diarrhea, nausea, and vomiting
c) Bulging fontanel and irritability
d) Sleeplessness and excitability

a) Sleepiness, jaundice, decreased urine and stool

8

Blood pressure should be measured at WCC beginning at age:
a) 2
b) 3
c) 4
d) 5

b) 3

9

A wide pulse pressure that results from a high systolic blood pressure is usually not due to which of the following:
a) Fever
b) Exercise
c) Excitement
d) A patent ductus arteriosus

d) A patent ductus arteriosus

10

Head and chest circumferences should be equal at:
a) 6 months
b) 1 year
c) 2 years
d) 3 years

b) 1 year

11

The anterior fontanel usually closes by:
a) 2 months
b) 6 months
c) 18 months
d) 24 months

c) 18 months

12

Diffuse edema of the soft tissue of the scalp which usually crosses suture lines in the newborn is:
a) Bossing
b) Caput seccedaneum
c) Cephalohematoma
d) Macrocephaly

b) Caput seccedaneum

13

An infant should no longer have head lag when pulled from the supine to sitting position at what age?
a) 2 months
b) 4 months
c) 6 months
d) 9 months

c) 6 months

14

"Boggy" nasal mucous membranes with serous drainage upon examination usually suggests:
a) Sinusitis
b) Polyps
c) URI
d) Allergic rhinitis

d) Allergic rhinitis

15

A white instead of red reflex upon eye examination of a 1 yo child would suggest:
a) An accommodative error
b) Retinoblastoma
c) Papilledema
d) Retinal detachment

b) Retinoblastoma

16

A cobblestone appearance of the palpebral conjunctiva usually indicates:
a) Bacterial infection
b) Chemical irritation
c) Viral infection
d) Severe allergy

d) Severe allergy

17

An eye that deviates in when covered but returns to midline when uncovered is an:
a) Esophoria
b) Exophoria
c) Esotropia
d) Exotropia

a) Esophoria

18

Pain produced by manipulation of the auricle or pressure on the tragus suggests:
a) Acute otitis media
b) Otitis externa
c) Otitis media with effusion
d) Mastoiditis

b) Otitis externa

19

A hypernasal voice and snoring in a child is suggestive of:
a) Polyps of the larynx
b) Nasopharyngeal tumor
c) Hypertrophied adenoids
d) Cleft palate

c) Hypertrophied adenoids

20

Physiological splitting of the second heart sound during inspiration in a child:
a) is normal
b) should be evaluated with an EKG
c) Suggests ASD
d) Should be referred to a cardiologist

a) is normal

21

Which of the following is not characteristic of innocent heart murmurs in children?
a) Systolic in timing
b) Varies in loudness with positioning
c) Usually transmitted to the neck
d) Usually loudest at lower left sternal border or at second or third intercostal space

c) Usually transmitted to the neck

22

A grade II musical or vibratory murmur heard best at the lower left sternal border that changes with positioning is suggestive of a:
a) Pulmonary ejection murmur
b) Ventricular septal defect
c) Venous hum
d) Vibratory or Still's murmur

d) Vibratory or Still's murmur

23

Wheezing in a child may not be found in which of the following conditions:
a) Asthma
b) Bronchiolitis
c) Pleural friction rub
d) Cystic fibrosis

c) Pleural friction rub

24

Gynecomastia in a male may not be a finding in which of the following:
a) Normal pubertal development
b) Steroid usage
c) Hyperthyroidism
d) Testicular tumor

c) Hyperthyroidism

25

Which of the following would usually not be considered a sign of a pituitary tumor in an adolescent female?
a) Dysfunctional uterine bleeding
b) Galactorrhea
c) Loss of peripheral vision
d) Increase in headaches

a) Dysfunctional uterine bleeding

26

Which of the following is not a specific examination test for a dislocated hip?
a) Barlow's test
b) Ortolani's test
c) Trendelenburg test
d) Gower's test

d) Gower's test

27

In addition to the knee, which of the following should be examined in a child complaining of knee pain?
a) Foot
b) Ankle
c) Hip
d) Spine

c) Hip

28

Which of the following infant reflexes should not disappear by 6 months of age?
a) Moro
b) rooting
c) tonic neck
d) plantar grasp

d) plantar grasp

29

Spasticity in an infant may be an early sign of:
a) Neurofibromatosis
b) Hydrocephalus
c) Cerebral palsy
d) Muscular dystrophy

c) Cerebral palsy

30

A shift to the left is present when which of the following are elevated?
a) Neutrophils
b) Bands or stabs
c) Lymphocytes
d) Eosinophils

b) Bands or stabs