A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height,
and less than the 5th percentile for head circumference. She was born at term. She was noted to have
a small head at birth, to be developmentally delayed throughout her life, and to have required
cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the
following would most likely explain this child's small size?
a. Congenital cytomegalovirus
infection
b. Down syndrome
c. Glycogen storage disease type II
d. Congenital
e. Craniopharyngioma
a. Congenital cytomegalovirus
infection
QUESTION 2
You receive a phone call from the mother of a 2-vear-old. She states her child has sleep refusal. You
suggest that the child should be able to:
a. set his own bedtime based on his internal clock.
b. protest when he goes to bed, but the parents should not pick him up or give him any attention
c. put himselt to sleep somewhere other than his own bed and the parents should move him to the bed
once he is asleep.
d. Make multiple requests. but the parents should only respond to every third request.
a. set his own bedtime based on his internal clock.
NRNP 6541 week 3 knowledge check
, QUESTION 3
I like to use my pincer grasp that involves the ability to pick up a small object such as a raisin or piece
of cereal with the thumb and forefinger, and that is mastered around what age?
9 months
QUESTION 4
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot
balance on one foot for 1 second. I am:
a.2 years old (24months)
b.2½ years old (30months)
c.3 years old (36months)
d.4 years old
b. 2 1/2 years old
QUESTION 5
The first sign of the onset of female puberty is usually:
A. Sparsely distributed fine, pale public hair
B. Breast buds
C. Menarche
D. Peak height growth velocity
B. Breast buds
QUESTION 6
A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best
response is.
a. 10 hours at night and 1-2 hours during the day
b. 10 hours at night and 3-4 hours during the day
c. 10 hours at night and 5-6 hours during the day
NRNP 6541 week 3 knowledge check
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