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Flashcards in Ped's Deck (5)
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Q

You are examining a newborn who is overheated. Of the following pediatric skin lesions, which one are you most likely to see in this neonate?

 milium
 seborrheic dermatitis
 nevus flammeus
 erythema toxicum
A

milium

Milium or milia (pl) (also known as “prickly heat”) involves multiple yellow or white 1-2 mm papules located mainly on the forehead, cheeks, and nose. It is most common in neonates and with overheating. Resolution is spontaneous.

1
Q

The nurse practitioner sees a 30-month-old child during a well-child examination in a primary care practice. The nurse practitioners needs to understand that a 30-month-old child will be able to do which of the following fine motor skills first?

 copy a square
 copy a circle
 copy a triangle
 copy a diamond
A

Explanation:
The Correct answer is:
Copy a circle

A child will be able to copy a circle at about 30 months. By age 4 he should be able to copy a square, by age 5 a triangle, and by age 6 a diamond.

2
Q

The FNP is doing a routine physical for a 17-year-old female. When discussing the girl’s social and school life she tells the FNP that she doesn’t feel that she is smart enough or outgoing enough to have many friends, so she stays mainly to herself. The FNP understands that, according to Erikson’s developmental stages, this patient may have an unresolved developmental task of:

 early childhood
 school-age childhood
 adolescence
 infancy
A

Correct answer:
school-age childhood

The central task of the school age child is “industry versus inferiority.” Unresolved conflict of this stage has manifested itself in this patient by withdrawal from peers and a sense of being mediocre.

3
Q

You have a young school-age patient with juvenile arthritis. Into which functional classification does this child fall if he performs adequately with some limitations?

check all answers that apply

 Class I
 Class II
 Class III
 Class IV
A

Hide Explanation

Correct Answer:
Class II
Explanation:
Correct answer:
Class II

There are four functional classifications for juvenile rheumatoid arthritis: Class I – performs all activities; Class II – performs adequately with some limitations; Class III – limited activity, self-care only; Class IV – wheelchair-bound or bedridden.

4
Q

Which of the following developmental milestones is typically seen in an infant of 4 – 6 months?

check all answers that apply

	 pulls to stand
	 crawls
	 has head control
	 rolls over
	 cruises

Hide Explanation

A

Correct answer:
has head control
rolls over

At about 4 – 6 months an infant can roll over and has head control. He may also sit alone. Pulling to stand and cruising happen at about 9 months. Most babies crawl between 7 and 10 months