The primary care pediatric nurse practitioner is obtaining a medical history about a child. To
integrate both nursing and medical aspects of primary care, which will be included in the
medical history? - ANSSpeech and language development, beliefs about health and
previous illness.
when meeting with a new family, the primary care pediatric nurse practitioner develops a
database that identifies family members and others living in the household, relationships with
others outside the household, and significant behavioral and emotional problems. Which tool
will the nurse practitioner use to record this information? - ANSGenogram
A child is in the clinic for evaluation of an asthma action plan. the primary care pediatric
nurse practitioner notes that the child's last visit was for pre-kindergarten physical and
observes that the child is extremely anxious. what will the nurse practitioner do initially? -
ANSreview the purpose of the visit and anticipated procedures
the primary care pediatric nurse practitioner cares for children from a native American family
and learns that they used many herbs to treat and prevent illness. Which approach will the
PNP use to promote optimum health in the children? - ANSask about the types of practices
and when they were applied.
the PNP works with families from a variety of cultures and socioeconomic classes. which is
an example of cultural humility in practice? - ANSreceptivity to learning about the
perspectives of other cultures
the PNP in a community health center meets a family who has recently immigrated to the
United States who speak only Karon. They arrive in the clinic with a church sponsor who
translates for them. the PNP notices that the sponsor answers for the family without giving
them time to speak. The PNP will implement what intervention to help with communication -
ANSuse the telephone interpreter service to communicate with the family
The PNP prescribes a twice daily inhaled corticosteroid for a 12 year old child. At a well child
visit the child reports not using the medication on a regular basis. which response by the
pediatric nurse practitioner demonstrates an understanding of client - ANSasking the child to
describe usual daily routines and schedules
a primary care PNP working in a community health center wishes to develop a program to
assist impoverished children and families to have access to healthy foods. Which strategy
will the PNP employ to ensure the success of such a program? - ANSasking community
members to assist in researching and implementing a program
the primary PNP is examining a child whose parents recently emigrated from a war torn
country in the middle east. Which is a priority assessment when performing the patient
history? - ANSasking about physical, psyological, and emotional trauma
, a single mother of an infant worries that living in a household with only one parent will cause
her child to be maladjusted. to help address the mothers concerns the PNP will suggest -
ANSdeveloping daily routines for the child
during a well child exam the PNP learns that the parents of a young child fight frequently
about money. the parents state that they do not fight in front of the child and feel that the
situation is temporary and related to the fathers job layoff. what will the nurse practitioner
do? - ANSsuggest counseling to learn ways to handle stress
the PNP is examining a newborn infant recently discharged from the neonatal intensive care
unit after premature birth. the parent is upset and expresses worry about whether the infant
will be normal. what will the nurse practitioner do in this situation? - ANSpoint out the tasks
that the infant can perform while conducting the assessment
which interventions are recommendations suggested as preventative services for neonates.
- ANSbreastfeeding
screening
neonates for sickle hemoglobinopathies
newborns screened for PKU before being 24 hours old should be rescreened by 2 weeks old
screening for hip dysplasia
when providing post delivery information regarding her infant the nurse will confirm to the
mother that which fetal cardiac structures have no function after her child is born? -
ANSforamen ovale
ductus arteriosus
the nurse will contribute which neonate characteristics noted in the first period of reactivity to
sympathetic system changes ? - ANStransient rales
tachycardia
alertness
which assessment factors are included in a 5 minute apgar scoring? - ANSheart rate
respiratory rate
skin color
muscle tone
which assessment findings suggest that the neonate is demonstrating stabilization of
physiological functions? - ANStemperature 97.7
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