TEST BANK
Pediatric Primary Care: Practice Guidelines for Nurses
Beth Richardson
4th Edition Table of Contents
Chapter 01 Obtaining an Initial History 1
Chapter 02 Obtaining an Interval History 5
Chapter 03 Performing a Physical Examination 9
Chapter 04 Making Newborn Rounds 12
Chapter 05 Guidelines for Breastfeeding 16
Chapter 06 Common Genetic Disorders 20
Chapter 07 Two-Week Visit 23
Chapter 08 One-Month Visit 26
Chapter 09 Two-Month Visit 29
Chapter 10 Four-Month Visit 32
Chapter 11 Six-Month Visit 35
Chapter 12 Nine-Month Visit 38
Chapter 13 Twelve-Month Visit 41
Chapter 14 Fifteen- to Eighteen-Month Visit 44
Chapter 15 Two-Year Visit 47
Chapter 16 Three-Year Visit (Preschool) 50
Chapter 17 Six-Year Visit (School Readiness) 53
Chapter 18 Seven- to Ten-Year Visit (School Age) 56
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent) 59
Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent) 62
Chapter 21 Dermatological Problems 65
Chapter 22 Eye Disorders 68
Chapter 23 Ear Disorders 71
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders 74
Chapter 25 Respiratory Disorders 77
Chapter 26 Cardiovascular Disorders 80
Chapter 27 Gastrointestinal Disorders 83
Chapter 28 Genitourinary Disorders 86
Chapter 29 Gynecologic Disorders 89
Chapter 30 Endocrine Disorders 92
Chapter 31 Musculoskeletal Disorders 95
Chapter 32 Neurologic Disorders 98
Chapter 33 Hematologic Disorders 101
Chapter 34 Pediatric Obesity 104
Chapter 35 Behavioral Disorders 107
Chapter 36 Mental Health Disorders 111 Pediatric Primary Care: Practice Guidelines for Nur ses, Fourth Edition Test Bank: Chapter 1 1. Which question does the practitioner ask when condu cting a complete pediatric health history during to collect initial information? A. “Did you plan your pregnancy?” B. “Did you breastfeed your child?” C. “What are the ages of your child’s siblings? D. “What is the reason for your child’s visit today?” [Answer: C] [Rationale: When collecting initial information dur ing the complete health history, the nurse collects information about the parents (including n ames, ages, and health status) along with information about siblings (age and health status). The other questions are more appropriate when the nurse collects information during the past history portion of the health history.] 2. The practitioner conducts a health history for an i nfant who is seen to rule out otitis media. Which question from the practitioner collects backg round information for this infant’s current issue? A. “Does your child breast or bottle feed?” B. “Is your child allergic to any medication?” C. “Did your other children have frequent ear infectio ns?” D. “When did you notice your child pulling at the left ear?” [Answer: D] [Rationale: When collecting background information during the complete health history, the practitioner inquires about the current problem or illness. One question the practitioner asks is ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
1 | P a g e when the symptoms began. During the past history po rtion of the complete health history, the practitioner asks about the child’s nutrition and a ny drug allergies. The practitioner inquires if other members of the child’s family have similar sy mptoms when collecting background information; however, asking about ear infections f or the parent’s other children will not assist the practitioner regarding the background informati on of the current issue.] 3. Which question does the practitioner ask a child’s mother when collecting prenatal information during an initial complete health histo ry? A. “Does your child have any allergies?” B. “What was your child’s birth weight?” C. “What type of delivery did you have with your child ?” D. “Did you smoke during your pregnancy with this chil d?” [Answer: D] [Rationale: When collecting prenatal data, the prac titioner asks if the mother if she smoked during the pregnancy. The child’s birth weight and type of delivery is collected during the natal history and care section of the health history. Dru g allergies are assessed during the past natal history portion of the health history.] 4. The practitioner is conducting a review of systems during the health history interview. Which question does the practitioner ask to determine a h istory of strabismus? A. “Is your child wearing glasses to correct nearsight edness?” B. “Is your child using eye drops for allergic conjunc tivitis?” C. “Does your child report blurred vision during scree n time?” D. “Does your child wear glasses to correct eye muscle weakness?” [Answer: D] ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
2 | P a g e [Rationale: Strabismus can be caused by problems wi th the eye muscles, the nerves that transmit information to the muscles, or the control center i n the brain that directs eye movement. It is often referred to as “cross-eyed.” The other questi ons do not specific address this issue.] 5. Which question does the practitioner ask to illicit information about the child’s cardiovascular system during the health history interview? A. “Does your child snore?” B. “Has your child ever passed out?” C. “Does your child have a history of asthma?” D. “Has your child ever experiences seizures?” [Answer: B] [Rationale: When collecting information about a chi ld’s cardiovascular system, the practitioner asks questions about syncope. Asking about a histor y of asthma or snoring assesses the child’s respiratory system. Asking about seizure activity c ollects data about the child’s neurological system.] 6. Aside from collecting pertinent health history for a child, what are two other reasons for the practitioner to conduct a complete health history d uring the initial visit to the practice? [Sample Answer: The complete health history taken a t the first visit is an opportunity for the practitioner to establish a relationship with the c hild and family, gain insight into family relationships, along with obtaining pertinent healt h information.] 7. What situation requires the practitioner to collect a prenatal history during the past history portion of the complete health history? [Sample Answer: The practitioner collects prenatal history for any child who is less than five years of age during the complete health history.] ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
3 | P a g e 8. What information does the practitioner collect rega rding feeding during the natal past history for a child? [Sample Answer: The practitioner asks whether the c hild was breast or bottle-fed. If bottle-fed, the practitioner asks the type of formula that was used. Frequency of feeding, along with pattern of weight gain, are also asked when collecting this data.] 9. When collecting data about a child’s social history , which information does the practitioner collect regarding the parents’ employment? [Sample Answer: The employment site and hours worke d is information that the practitioner collects regarding the parents’ employment during t he social history section of the health history.] 10. What information does the practitioner collect abou t development for the child who is 18 months of age during the complete health history in terview? [Sample Answer: In addition to information regardin g behavior, for the child who is less than 2 years of age the practitioner collects data regardi ng when the child first smiled, rolled over, sat without assistance, crawled, walked without assista nce, said two word, fed self, and said 10 words.] ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
4 | P a g e Pediatric Primary Care: Practice Guidelines for Nur ses, Fourth Edition Test Bank: Chapter 2 1. Which is reviewed when conducting an interval histo ry for a patient who is 13 years of age? A. SHADESS screen B. SCARED for anxiety C. Pediatric symptom checklist D. Ages and Stages Questionnaires [Answer: A: SHADESS screen] [Rationale: For pediatric patients older than 12 ye ars of age, the SHADESS screen is appropriate to review when conducting an interval history. The SCARED for anxiety and pediatric symptom checklist is appropriate for a pediatric patient be tween the ages of 7 and 12 years. The Ages and Stages Questionnaires are reviewed when conducting an interval history for a pediatric patient who is 6 years of age or younger.] 2. When conducting an interval social history, which i nformation is collected from the pediatric patient and family? A. Use of media B. Family structure C. Frequency of meals D. Prescription medications [Answer: A: Use of media] [Rationale: During the interval social history, inf ormation related to the use of media and the Internet is collected. The family structure is coll ected during the interval family history. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
5 | P a g e Frequency of meals is collected during the interval nutrition history. Use of prescription medications is assessed during the interval medicat ion history.] 3. Which age does the practitioner ask a pediatric pat ient about drug and alcohol use? A. 8 B. 9 C. 10 D. 11 [Answer: D: 11] [Rationale: Children older than 10 years of age sho uld be asked if they or their friends tried alcohol or drugs. The practitioner can use the brie f alcohol/drug-screening tool at each episodic visit.] 4. Which question does the practitioner ask when condu cting an interval history to collect data regarding the chest and lungs for a pediatric patie nt? A. “Has your child ever fainted?” B. “Does your child have any rashes?” C. “Has your child ever had a nosebleed?” D. “Does your child have difficulty swallowing?” [Answer: A: “Has your child ever fainted?”] [Rationale: When collecting data for the chest and lungs during an interval history, the pediatric patient is assessed for syncope; therefore, it is a ppropriate to ask if the child has ever fainted. Th e practitioner asks questions about rashes when colle cting data for the musculoskeletal system during an interval history. Questions regarding nos ebleeds and swallowing are appropriate when collecting data for the head and neck.] ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
6 | P a g e 5. Which question does the practitioner ask when colle cting data regarding the abdomen during the interval history for a female pediatric patient ? A. “Has your child started menstruating?” B. “Does your child have any darkened skin?” C. “Does your child experience any stiffness?” D. “Has your child ever experienced difficulty swallow ing?” [Answer: A: “Has your child started menstruating?”] [Rationale: When collecting interval history data f or the abdomen, it is appropriate for the practitioner to ask if the female pediatric patient has started menstruating. Data related to the skin and stiffness is appropriate when collecting interv al history data for the musculoskeletal system. Difficulty swallowing is assessed when collecting i nterval history data for the head and neck.] 6. What is the purpose for conducting an interval hist ory? [Sample Answer: Although comprehensive history is u sed to establish initial health promotion plans, analysis of data collected during interval h istory is often to: Continue established health promotion plan; Identify new healthcare problems an d establish new health promotion; Plan health promotion strategies based on new data obtai ned in the interval history; Identify treatment plan to resolve presenting problems; Change health promotion plan to meet immediate and future needs of child and family (e.g., child has new diag nosis of chronic illness).] 7. What actions are completed prior to beginning data collection for an interval history? [Sample Answer: Prior to beginning data collection for interval history, review comprehensive history and any prior interval histories available on medical record.] 8. What is the major focus when conducting an interval history with a pediatric patient? ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
7 | P a g e [Sample Answer: The major focus for interval histor y for each pediatric patient should include questions concerning eating, sleeping, bladder and bowel patterns, and any unusual behaviors or changes in behaviors. Additional questions are then age related.] 9. The practitioner is conducting an interval history for a pediatric patient whose parent states, “My child has a chronic cough. What questio n should the practitioner ask to collect more information? [Sample Answer: To collect more information about a chronic cough the practitioner will ask, “What can you tell me about your child’s chronic co ugh?”] 10. What action does the practitioner implement after c ompleting the interval history for a pediatric patient? [Sample Answer: After completing interval history a nd physical examination, compare findings in comprehensive history to data obtained in interv al history. If no significant changes found in interval history, advise parent, infant/child to co ntinue to follow established health promotion plan. If significant changes are found in interval history, revise the health promotion plan.] ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Pediatric Primary Care: Practice Guidelines for Nurses, 7th Edition (Richardson, 2019)
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