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Studying for boards, need help with these questions please. 1.The primary care pediatric nurse practitioner performs a developmental assessment on a
Studying for boards, need help with these questions please.
1.The primary care pediatric nurse practitioner performs a developmental assessment on a 3 year old child and notes normal cognitive, fine motor, and gross motor abilities. The child responds appropriately to verbal command during the assessment but refuses to speak when asked questions. The parents tells the nurse practitioner that the child talks at home and that most other adults can understand what the child says. The nurse practitioner will"
a. Ask the patient to consider a possible speech delay and report any concerns
b. Continue to evaluate the child's speech at subsequent visits
c. Refer the child for a speech and hearing evaluation
d. Tell the parent to spend more time in interactive conversation with the child
2.During a well child assessment of an 18 moths old child, the primary care pediatric nurse practitioner observes the child becoming irritable and uncooperative. The parent tells the child to stop fussing. What will the nurse practitioner do?
a. Allow the parent o put the child in timeout
b. Ask the parent about usual discipline practices
c. Offer the child a book or a toy to look at
d. Stop the exam since the child has reached a meltdown
3.The primary care pediatric nurse practitioner performs a physical examination on a 9 months old infant and notes two central incisors on the lower gums. The parent states that the infant nurses, takes solid foods three times daily and occasionally takes water from a cup. What will the nurse practitioner counsel the parent to promote optimum dental health?
a. To begin brushing the infants teeth with toothpaste
b. To consider weaning the infant from breastfeeding
c. To discontinue giving fluoride supplements
d. To make an appointment for an initial dental examination
4.The primary care pediatric nurse practitioner examines an infant whose weight is below the 3rd percentile and whose mother does not comply with the feeding regimen. When attempting to enlist the help of the infants grandmother, the grandmother says, "My daughter was like this when she was a baby and she turned out all right." Which approach will the nurse take to improve the outcome for this infant?
a. Ask the grandmother about her daughters heath during childhood
b. Explain that the condition is potentially serious if not treated
c. Give the grandmother and mother information about normal growth
d. Refer the family to a social worker to investigate possible neglect
5.A toddler exhibits exotropia of the right eye during a cover uncover screen. The primary care nurse will refer to a pediatric ophthalmologist to initiate which treatment?
a. Botulism toxin injection
b. Corrective lenses
c. Occluding the affected eye for 6 hours per day
d. Patching of the unaffected eye for 2 hours each day
6.A 14 year old child has 2 week history of severe itching and tearing of both eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids along with stringy, mucoid discharge. What will the nurse prescribed?
a. Saline solution or artificial tears
b. Topical mast cell stabilizer
c. Topical NSAID drops
d. Topical vasoconstrictor drops
7.The primary care nurse observes a tender, swollen red furuncle on the upper lid margin of a child's eye. What treatment will the nurse prescribe?
a. Culture of the lesion to determine causative organism
b. Referral to ophthalmologist for incision and drainage
c. Topical steroid medication
d. Warm, moist compresses 3 to 4 times daily