Pediatric Review Questions You are conducting a

Pediatric Review Questions You are conducting a Well Child Check on a 5-month- old boy, as per the Bright futures guidelines. At this point, which of the following would LEAST qualify as a concerning finding? Undescended testes Galactorrhea Head lag when pulled to sitting position Failure to hold head up when lying on stomach A mother brings her 3-month-old male to your office with complaints of sudden difficulty feeding the child, as well as an inability to console his screaming. Although the child shows a response to her efforts, his crying and agitation have not decreased. The mother also notes that she noticed a bump on his head, which she assumed was from him hitting his head during one of his screaming fits. Which action would be the best initial course of action? Lumbar puncture Administration of ceftriaxone Immediate admission to hospital Blood count and culture A mother brings her 7-month-old infant daughter to your office because, over the past week, she’s felt the daughter’s lymph nodes in the neck “getting harder.” Upon physical examination, you notice that the lymph nodes feel small, round, and slightly hardened. Which of the following is the most likely cause? Pyelonephritis Lymphoma Respiratory infection Leukemia According to the psychosocial development model, at which age would an infant be LEAST likely to cry when handed to her new babysitter? Four months Six months Eight months Ten months Which of the following standardized tests may be performed by parents with no formal training? Denver Developmental Screening Test II Ages and Stages Questionnaire Bayley Scales of Infant Development Newborn Behavioral Assessment Scale A 9-month-old infant presents to the clinic fussy, with decreased appetite and a fever of 102.3 F Upon examining the patient, you find it difficult to find a localized site of infection. Which of the following would be most likely? a. Otitis media b. Group B strep infection c. Occult hematuria d. Urinary tract infection Which of the following finding would most strongly indicate that a febrile infant is moderately ill? The infant has a temperature of 101.8 F but smiles often The infant is fussy but calms quickly when offered support The infant appears listless and does not feed well The infant has a temperature of 103 F but appears alert and active During the examination of a 3-month-old patient you place the infant in the supine position with the hips flex at 90 degrees and abducted. You then grab patient’s legs by the thigh and gently adduct the leg while applying downward, lateral pressure. What is the name of the supplementary exam that is commonly performed in conjunction with the exam you are performing on your patient? Klisic Barlow Ortolani Galeazzi What is the name of the condition in which the foreskin is not retractable over the tip of the penis? Epispadias Chordee Hypospadias Phimosis 10 You are consulting a mother who is worried about her 8-month-old male infant. She states that he has a fever, and she wants to give him ibuprophen. You recommend giving him 90mg of ibuprophen every 6 hours. Bases on the above treatment guidelines, what is the most likely weight of this infant? a. 7.5 kg b. 8.18 kg c. 9 kg d. 10 kg SCIENCE HEALTH SCIENCE NURSING NUR 773

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