The mother of a 16yearold male was recently divorced after several
years of an abusive relationship and tells the primary care pediatric
nurse practitioner that the adolescent has begun skipping school and
hanging out with friends at the local shopping mall. When she
confronts her child, he responds by saying that he hates her. What
will the nurse practitioner tell this mother?
a. Adolescence is marked by an inability to comprehend complex
situations
.b. Adolescence is typically marked by tempestuous and transient
episodes.
c. Adolescents normally have extreme, disruptive conflicts with
parents.
d. Adolescents often need counseling to help them cope with life
events - ANSWER -d
The primary care pediatric nurse practitioner performs a well baby
examination on a 7-day-old infant who is nursing well, according to
the mother. The nurse practitioner notes that the infant weighed 3250
grams at birth and 2990 grams when discharged on the second day of
life. The infant weighs 3080 grams at this visit. Which action is
correct?
,a. Follow up at the 2-month checkup.
b. Refer to a lactation consultant.
c. Schedule a weight check in 1 week.
d. Suggest supplementing with formula. - ANSWER -C
This infant lost about 8% of its birth weight, which is normal and,
since discharge home, has gained at least 15 grams per day, which is
also normal. The PNP should schedule a weight check in a week to
make sure the infant regains its birth weight, since most should
regain this in 10 to 14 days and since this loss of birth weight is at the
high end of normal. It is not necessary to refer to a lactation
consultant or supplement with formula, since the infant is gaining
weight adequately.
The parent of a newborn infant asks the primary care pediatric nurse
practitioner when to intervene to help the infant's future intellectual
growth. What will the nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning. - ANSWER -
c. Language and literacy skills begin at birth.
,General learning and acquisition of skills for later reading and writing
begin at birth, not in kindergarten or first grade, and these skills grow
with everyday loving interactions between infants and caregivers.
Cognitive learning changes during toddler years but begins at birth.
Intellectual growth is not tied to speech alone.
The parent of a 10 yearold boy tells the primary care pediatric nurse
practitioner that the child doesn't appear to have any interest in girls
and spends most of his time with a couple of other boys. The parent
is worried about the child's sexual identity. The nurse practitioner will
tell the parent:
A. children at this age who prefer interactions with same gender
peers usually have a homosexual orientation.
B. children experiment with sexuality at this age as a means of
deciding later sexual orientation.
C.this attachment to other same gender children is how the child
learns to interact with others.
D. to encourage mixed gender interactions in order to promote
development of sexual values - ANSWER -C.this attachment to other
same gender children is how the child learns to interact with others.
The parent of a 2weekold infant reports that the infant was
diagnosed with transient tachypnea of the newborn shortly after
birth. The primary carepediatric nurse
practitioner understands that, in this condition,
, A. antibiotic therapy is generally necessary to prevent
severeinfection.
B. home oxygen therapy is needed until the infant grows out of
thecondition.
C. recovery is usually complete with minimal intervention and
treatments.
D. treatment with exogenous surfactant and mechanical ventilation
isneeded - ANSWER -C. recovery is usually complete with minimal
intervention and treatments
An infant has congenital adrenal hyperplasia. At a routine well baby
checkup, the primary care pediatric nurse practitioner notes
vomiting, poor feeding, lethargy, and dehydration. Which action is
correct? A Administer an intramuscular stress dose of
hydrocortisone succinate.
B Administer intravenous fluids in the clinic and reassess
hydration status.
C Prescribe an oral hydrocortisone in a replacement dose of 8 to
10mg/M2.
D Refer the infant to the emergency department for fluids,
dextrose, and steroids. - ANSWER -D Refer the infant to the
emergency department for fluids, dextrose, and steroids.
The parent of a 4-day-old infant tells the primary care pediatric nurse
practitioner that the infant was diagnosed with hydronephrosis while
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