1.
Checking stool for occult blood is this level of prevention.
Correct Answer
B. Secondary
Explanation
Screening an at-risk population is secondary prevention. The goal of secondary prevention is to decrease the prevalence of illness.
2.
Development occurs in a sequential pattern and is viewed in terms of stages. Which of the following is correct regarding normal growth patterns?
Correct Answer
B. Proximodistal - Development occurs from the spine outward to the peripHery
Explanation
Proximodistal development refers to the pattern in which growth and development occur from the center of the body (spine) outward to the periphery. This means that the development starts with the core muscles and then extends to the limbs and extremities. For example, a baby first gains control over their head and neck muscles before being able to control their arms and legs. This pattern is observed in various aspects of development, such as motor skills and muscle control.
3.
The nurse practitioner knows that in order to collect growth data accurately, he or she must measure the head circumference.
Correct Answer
A. Between birth and 3 years
Explanation
Measuring head circumference is important for collecting growth data accurately because the head grows rapidly during the first few years of life. By measuring the head circumference between birth and 3 years, the nurse practitioner can track the growth and development of the child's brain and skull. This measurement is particularly crucial during the first year of life when the brain undergoes significant growth. Additionally, measuring head circumference can help identify any abnormalities or conditions that may affect the child's neurological development.
4.
The nurse practitioner is accurately collecting health data when he or she measures.
Correct Answer(s)
A. The length of an 18-month old patient lying down
B. The height of a 28-month old patient standing up
Explanation
The nurse practitioner accurately collects health data by measuring the length of an 18-month old patient lying down and the height of a 28-month old patient standing up. Measuring the length of an 18-month old patient lying down is important to track growth and development. Similarly, measuring the height of a 28-month old patient standing up provides valuable information about their growth and overall health.
5.
In order to appropriately assess for childhood obesity, the nurse practitioner knows to calculate the BMI of children starting at age two and older.
Correct Answer
A. True
Explanation
The nurse practitioner needs to calculate the BMI of children starting at age two and older in order to appropriately assess for childhood obesity. BMI (Body Mass Index) is a measure of body fat based on height and weight. It helps determine if a person is underweight, normal weight, overweight, or obese. By calculating the BMI of children, the nurse practitioner can identify if they are at risk for obesity and provide appropriate interventions and recommendations for a healthy lifestyle.
6.
The nurse practitioner is advising a new mother about the expected growth guidelines for her newborn. The nurse practitioner is correct in advising the mother that
Correct Answer
C. Infants should double their birth weight by 6 months, about 2lbs per month
Explanation
The nurse practitioner is correct in advising the mother that infants should double their birth weight by 6 months, gaining about 2lbs per month. This is a commonly accepted guideline for infant growth and is an important indicator of healthy development.
7.
From birth to age 6 months, length increases about 1 inch per month.
Correct Answer
A. True
Explanation
During the first six months after birth, it is generally observed that a baby's length increases by approximately 1 inch each month. This statement is supported by growth charts and developmental milestones. As babies grow rapidly during this period, it is common for them to experience significant increases in length. Therefore, the statement is true.
8.
The anterior fontanel usually is not palpable after
Correct Answer
A. 18 months of age
Explanation
The anterior fontanel is a soft spot on a baby's head where the skull bones have not yet fully fused. It is usually palpable, or able to be felt, until the baby is around 18 months of age. After this age, the fontanel starts to close and becomes less prominent. This is a normal part of a baby's development as their skull bones gradually come together.
9.
The nurse practitioner is providing care for a two-year-old boy. He is excited, as he is turning three next month. He was 7lbs at birth. The nurse practitioner is pleased to see that the patient is the following weight, which is within growth guidelines.
Correct Answer
A. 28lbs
Explanation
Birth weight quadruples by the end of the second year
10.
By 30 months of age, infants usually have
Correct Answer
C. 20 teeth
Explanation
By 30 months of age, infants usually have 20 teeth. This is because by this age, most infants have already developed their primary set of teeth, also known as baby teeth or milk teeth. The primary dentition consists of 20 teeth in total, including 10 upper teeth and 10 lower teeth. These teeth start to erupt around 6 months of age and continue to come in until around 30 months, when most children have a full set of primary teeth.
11.
During an annual wellness checkup for an 11-year old female, her mother expresses concern that the patient has been gaining 5 lbs per year. The nurse practitioner is correct in telling the mother.
Correct Answer
B. That weight gain averages 5lbs per year from age 3 to puberty, and that the patient is growing well
Explanation
The nurse practitioner is correct in telling the mother that the weight gain averages 5lbs per year from age 3 to puberty, and that the patient is growing well. This response addresses the mother's concern about the patient's weight gain and reassures her that it is within the normal range. It also acknowledges the importance of considering the patient's growth over time, specifically from age 3 to puberty, rather than just focusing on the current weight gain.
12.
Puberty is a stage of adolescence.
Correct Answer
A. True
Explanation
Puberty is indeed a stage of adolescence. It is the period of physical and sexual development that occurs during the teenage years. During puberty, individuals experience significant changes in their bodies, including the development of secondary sexual characteristics such as breast development in females and facial hair growth in males. These changes are driven by hormonal shifts and mark the transition from childhood to adulthood. Therefore, the statement "Puberty is a stage of adolescence" is true.
13.
True puberty is noticeable externally.
Correct Answer
B. False
Explanation
True puberty is the point at which reproduction is possible. Reproductive capabilities are internal phenomena.
14.
The nurse practitioner assesses an 8-year old female child during her wellness check-up. The nurse practitioner is not surprised when she documents the patient as
Correct Answer
A. Tanner Stage 1
Explanation
The nurse practitioner is not surprised when she documents the patient as Tanner Stage 1 because Tanner Stage 1 is the prepubertal stage where there are no physical changes indicating the onset of puberty. This stage is typical for an 8-year-old female child during a wellness check-up.
15.
The nurse practitioner is assessing a male patient for his wellness checkup. The nurse practitioner notices that the patient's pubic hair distribution extends across his pubis but not his medial thighs. It would be correct to document that the patient is
Correct Answer
D. Tanner Stage 4
Explanation
The nurse practitioner would document that the patient is in Tanner Stage 4. Tanner Stage 4 is characterized by the development of pubic hair that extends across the pubis and is darker and coarser. In addition, there is also hair growth on the medial thighs. This stage is typically seen in males during puberty when there is further development of secondary sexual characteristics such as the growth of facial hair and deepening of the voice.
16.
On wellness examination, the nurse practitioner is correct in documenting this Tanner Stage after examining breast buds in the female patient
Correct Answer
B. Tanner Stage 2
Explanation
The nurse practitioner correctly documents Tanner Stage 2 after examining breast buds in the female patient. Tanner Stage 2 is characterized by breast buds, which are small, firm, and tender lumps under the nipple. This stage marks the beginning of breast development in girls, and it typically occurs around the age of 8-13. The breast buds are the first visible sign of puberty in girls, and they indicate that the patient is progressing through the Tanner stages of sexual development.
17.
The nurse practitioner is concerned with the following patient.
Correct Answer
D. 8-month old only babbling
Explanation
The nurse practitioner is concerned with the 8-month-old only babbling because at this age, babies should be starting to understand simple words like "no" and should be able to respond to their name. Babbling is a normal part of language development in infants, but by 8 months, they should be progressing to more advanced forms of communication. The fact that the baby is not understanding "no" suggests a delay in language development, which may warrant further evaluation and intervention.
18.
The nurse practitioner is concerned with the following patient.
Correct Answer
C. Speaks in no more than 3 word sentences in 30 month old
Explanation
The correct answer is "Speaks in no more than 3 word sentences in 30 month old". This is because the other statements indicate normal speech development for a 24-month-old, 36-month-old, and 18-month-old respectively. However, by 30 months, a child should be able to speak in longer sentences with more words. Therefore, if a child is still speaking in no more than 3-word sentences at 30 months, it may be a cause for concern and something the nurse practitioner should address.
19.
This reflex begins when the corner of the baby's mouth is stroked or touched. The baby will turn his/her head and open his/her mouth to follow and turn in the direction of the stroking. This helps the baby find the breast or bottle to begin feeding.
Correct Answer
C. Root Reflex
Explanation
The given correct answer is "Root Reflex". This reflex is triggered when the corner of the baby's mouth is stroked or touched. The baby will turn their head and open their mouth in the direction of the stroking. This reflex helps the baby locate the breast or bottle for feeding. The Root Reflex is an important instinctive response for newborns to ensure they can begin feeding effectively.
20.
This often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his/her head, extends out the arms and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him/her and begin this reflex. This reflex lasts about five to six months.
Correct Answer
D. Moro Reflex
Explanation
The correct answer is Moro Reflex. The given explanation describes the Moro Reflex, also known as the startle reflex, which is a normal response in infants when they are startled by a loud sound or sudden movement. The reflex involves the baby throwing back their head, extending their arms and legs, crying, and then pulling their limbs back in. This reflex typically lasts for about five to six months.
21.
When the sole of the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan out. This is a normal reflex up to about 2 years of age.
Correct Answer
B. Babinski Reflex
Explanation
The Babinski reflex is a normal reflex in infants up to about 2 years of age. When the sole of the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan out. This reflex is a sign of proper neurological development in infants. After the age of 2, the Babinski reflex should disappear and be replaced by a different response.
22.
This reflex is also called the walking or dance reflex because a baby appears to dance when held upright with his/her feet touching a solid surface.
Correct Answer
A. Step Reflex
Explanation
The correct answer is Step Reflex. The Step Reflex is a natural reflex that occurs in babies when they are held upright with their feet touching a solid surface. When this reflex is triggered, the baby will appear to take steps or dance as if they are walking. This reflex is an instinctive response that helps prepare babies for walking later on.
23.
Bobby, a 3-month-old, presents for his wellness examination. A red light reflex is not present on examination in bilateral eyes. The nurse practitioner is correct in the following response
Correct Answer
B. Referral to Opthalmology
Explanation
Referral to Ophthalmology is the correct response because the absence of the red light reflex in both eyes of a 3-month-old baby is not a normal finding. It could indicate a potential problem with the eyes or visual system. Referring the baby to an ophthalmologist will allow for a more thorough evaluation and appropriate management of any underlying condition that may be affecting the red light reflex.
24.
The nurse practitioner is not concerned about the 9 month old who
Correct Answer
A. Is able to sit alone
Explanation
The nurse practitioner is not concerned about the 9-month-old who is able to sit alone because sitting independently is a milestone that typically occurs around this age. It indicates that the baby has developed sufficient strength and coordination in their muscles. However, the other mentioned behaviors, such as not babbling, not feeding themselves, and not reaching for toys, may be developmental delays that require further evaluation and intervention.
25.
The following red flags are symptoms of neuromuscular dysfunction in a child at 4 months of age.
Correct Answer(s)
A. Scissoring of Legs
B. Head Drag
D. Persistent clenching of hands
Explanation
The given red flags are symptoms of neuromuscular dysfunction in a child at 4 months of age. Scissoring of legs refers to the legs crossing or crossing over each other, which could indicate muscle tone abnormalities. Head drag suggests weak neck muscles and lack of head control, which may be a sign of neuromuscular issues. Persistent clenching of hands can be a sign of abnormal muscle tone or motor control. These symptoms collectively indicate possible neuromuscular dysfunction in the child.