NU665A Primary Care of Child II EXAM 2
2024.2025 COMPLETE QUESTION AND
ANSWER (ACCURATE FALL-SPRING TERM)
A 12-year-old male is brought into your clinic for his annual well-child visit. As part
of the well-child visit, your conversation includes the topic of transition of care.
The child is open to the discussion but his mother states that she understood he
could continue in this practice until 21 years of age. How would you address this
as the PNP?
The transition of care from pediatrics to adult providers is a process that may take
years and it is recommended to start discussing this in early adolescence.
A 2-year-old female has lymphedema of the hands and feet, with low posterior
hairline, cubitus valgus, and a history of intrauterine growth restriction. The child
has been diagnosed with Turner's Syndrome. Which of the following defects is the
most common among children with these signs?
Coarctation of aorta
A 5-year-old female presents for a school physical with a complaint of
hyperactivity, a mild developmental delay, aversion of gaze, hand mannerisms,
and a long, thin face with dysmorphic ear. What is the most likely diagnosis?
Fragile X Syndrome
,A newborn presents with a large VSD, rocker-bottom feet, overlapping second
and third fingers, and hypotonic fourth and fifth fingers. This newborn likely has
which of the following diagnosis?
Edwards Syndrome
As the primary care provider for a child with special healthcare needs, what is
your most important role in the management of care?
Coordinating services as needed to ensure continuity of care
Your next patient is a 5-year-old child who is being seen after surgery for
fundoplication and gastrostomy tube placement. The child has a long history of
health issues and developmental delays. When you enter the room, the mother is
withdrawn and sobbing. When you inquire, the child's mother states that all her
friends who had babies at the same time are excited to send their children to
kindergarten and she is "mad and sad" that her child will not experience the same
thing as others. What will you do?
Allow the mother to express her feelings of anger and sorrow.
, Your next patient is a 2-year-old child presenting for her first visit in your practice.
She presents with her adopted parents and her past medical history indicates she
was diagnosed with fetal alcohol syndrome. The adopted parents ask if there are
any lasting complications that may occur. What would you share as the PNP?
Although the child has been receiving specialized care, she may still have
complications that may carry on into her adult life.
A 5-year-old female presents for a school physical with a complaint of
restlessness, sleep disturbance, and irritability. It is noted that the child witnessed
her father being fatally injured in an automobile accident last year. Her mother
asks if this could be the cause of her child's issues. How would you respond as the
PNP?
The child witnessed a traumatic event and is suffering from post-traumatic stress
disorder (PTSD).
A father brings his 13-year-old son in for his annual exam and sports physical.
When discussing age-related risk factors, the father requests more information
about the dangers of vaping. What would the PNP share?
About 20% of all 8th graders have tried some form of vaping.
The mother of a 14-year-old son brings him to the clinic today with a history of
mild depressive symptoms for two to three weeks and with a new onset of
excitement, fidgetiness, and a family history of bipolar disorder. What will the
PNP do?
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