A 6-year-old female has had a recent growth spurt and an exam
reveals breast and pubic hair development. Her bone age is
determined to be 8 years. What will the primary care pediatric
nurse practitioner do next?
a. Order LH and FSH levels and a long-acting GnRH agonist.
b. Order thyroid function tests to exclude primary
hypothyroidism.
c. Reassure the parent that this is most likely idiopathic.
d. Refer the child to a pediatric endocrinologist for management.
Correct Answer d. Refer the child to a pediatric endocrinologist
for management.
A 7-year-old female has recently developed pubic and axillary
hair without breast development. Her bone age is consistent with
her chronological age, and a pediatric endocrinologist has
diagnosed idiopathic premature adrenarche. The primary care
pediatric nurse practitioner will monitor this child for which
condition?
a. Adrenal tumor
b. Congenital adrenal hyperplasia
c. Polycystic ovary syndrome
d. Type 1 diabetes mellitus Correct Answer c. Polycystic ovary
syndrome
A school-age child has begun refusing all cooked vegetables.
What will the primary care pediatric nurse practitioner
recommend to the parent?
a. Allow the child to make food choices since this is usually a
phase
,b. Ensure that the child has three nutritious meals and two
nutritious snacks each day
c. Prepare vegetables separately for the child to encourage
adequate intake
d. Teach the child how important it is to eat healthy fruits and
vegetables Correct Answer b. Ensure that the child has three
nutritious meals and two nutritious snacks each day
During a well child assessment of a 13-year-old male, the
primary care pediatric nurse practitioner notes small testicles
and pubic and axillary hair. To further evaluate these findings,
the nurse practitioner will ask the patient about what topic?
a. alcohol and tobacco use
b. changes in voice
c. increase in height and weight
d. participation in sports Correct Answer d. participation in
sports
During a well child assessment of an 18-month-old child, the
primary care pediatric nurse practitioner observes the child point
to a picture of a dog and say, "Want puppy!" The nurse
practitioner recognizes this as an example of what type of
speech?
a. Holophrastic
b. Receptive
c. Semantic
d. Telegraphic Correct Answer d. Telegraphic
During a well child exam of a school-age child, the primary care
pediatric nurse practitioner
, learns that the child has been having angry episodes at school.
The nurse practitioner observes the child to appear withdrawn
and sad. Which action is appropriate?
a. Ask the child and the parent about stressors at home
b. Make a referral to a child behavioral specialist
c. Provide information about anger management
d. Suggest consideration of a different classroom Correct
Answer a. Ask the child and the parent about stressors at home
During a well child exam on a 6-year-old child, the primary care
pediatric nurse practitioner assesses the child for school
readiness. Which finding may be a factor in limiting school
readiness for this child?
a. Adherence to daily family routines and regular activities
b. Having two older siblings who attend the same school
c. Parental concerns about bullying in the school
d. The child's ability to recognize four different colors Correct
Answer c. Parental concerns about bullying in the school
During a well child examination of a 6-year-old girl, the primary
care pediatric nurse practitioner notes that the child becomes
embarrassed and resists taking off her underwear for the exam.
What should the nurse practitioner infer from this observation?
a. The child has been sexually molested.
b. The child is feeling violated by the examiner.
c. The parent is exhibiting regressive behavior.
d. This is a normal reaction in a child of this age. Correct
Answer d. This is a normal reaction in a child of this age.
During a well child examination, a 15-year-old female tells the
primary care pediatric nurse practitioner that some of her friends
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