Deck 9: The Pediatric Examination

Question 1

Assessment of blood pressure should start at age _____ years.

A)2
B)3
C)5
D)8

Answer 1

3

Question 2

The length of the needle used to administer an intramuscular injection to a child depends on

A)the age of the child.
B)the amount of medication being administered.
C)the size of the child.
D)whether the child is walking.

Answer 2

the size of the child.

Question 3

Which of the following is not included in a well-child visit?

A)Administration of immunizations
B)Physical examination
C)Collection of a throat specimen
D)Evaluation of growth and development

Answer 3

Collection of a throat specimen

Question 4

Measuring pediatric blood pressure helps to identify children at risk for developing

A)hypertension.
B)type 2 diabetes.
C)juvenile rheumatoid arthritis.
D)heart disease.
E)all of the above.

Question 5

Which of the following injection sites should be used to administer IM injections to infants and young children?

A)Dorsogluteal
B)Vastus lateralis
C)Deltoid
D)Ventrogluteal

Question 6

All of the following are problems associated with childhood obesity except

A)high blood pressure.
B)skin disorders.
C)type 2 diabetes.
D)asthma.

Question 7

Which of the following indicates the proper cuff size has been selected for a pediatric patient?

A)The cuff fits snugly on the child's arm.
B)The cuff is positioned at least 1 inch above the bend in the elbow.
C)The bladder of the cuff encircles 80% to 100% of the child's arm.
D)The bladder is centered over the antecubital space.

Question 8

All of the following are reasons for obtaining a urine specimen from a pediatric patient except to

A)diagnose a pathologic condition.
B)screen for the presence of disease.
C)evaluate the effectiveness of therapy.
D)prevent urinary tract infections.

Question 9

Which of the following is an important reason for weighing a child?

A)To determine the proper dosage of medication for the child
B)To compare the child's weight with weights of other children of the same age
C)To determine if the child is deficient in vitamins and minerals
D)To assess the rate of brain growth
E)All of the above

Question 10

How is length measured?

A)The child lies in a supine position.
B)The child stands with his or her back to the measuring device.
C)The child sits in a chair with both feet flat on the floor.
D)The child lies in a prone position.

Question 11

All of the following are used in determining if a child has hypertension except

A)age.
B)weight.
C)height.
D)gender.

Question 12

Head circumference is measured in

A)millimeters.
B)grams.
C)centimeters or inches.
D)microns.

Question 13

A blood pressure cuff that is too large for a child may result in

A)a blood pressure reading that is falsely high.
B)not being able to hear the first clear tapping sound.
C)too much pressure being applied to the brachial artery.
D)a blood pressure reading that is falsely low.

Question 14

The most important use of growth charts is to

A)assess the child's individual growth pattern.
B)compare the child's growth with that of other children of the same age.
C)identify children with prehypertension.
D)identify children with type 2 diabetes.
E)complete all of the above.

Question 15

What is the name for the physician who specializes in the diagnosis and treatment of disease in children?

A)Pediatrician
B)Podiatrist
C)Obstetrician
D)Neonatologist

Question 16

The child's genitalia should be cleansed before applying a pediatric urine collector to

A)prevent contaminants from entering the urine specimen.
B)protect the child from infection.
C)prevent false-negative test results.
D)prevent irritation of the patient's skin from the adhesive.

Question 17

Topics included in anticipatory guidance include

A)safety.
B)nutrition.
C)development.
D)sleep.
E)all of the above.

Question 18

The first pediatric well-child visit is usually scheduled at

A)3 to 5 days.
B)1 month.
C)2 months.
D)4 months.

Question 19

The deltoid site should not be used as an IM injection site until the child

A)is at least 18 months old.
B)has been walking for at least a year.
C)is at least 10 years old.
D)can sit quietly while the injection is administered.

Question 20

What is the needle length range for a pediatric IM injection?

A)3/8 inch to 5/8 inch
B)5/8 inch to 1 inch
C)1/2 inch to 11/2 inches
D)1 inch to 2 inches

Question 21

Which of the following is required by the NCVIA before an immunization is administered?

A)The parent must be provided with information on the benefits and risks of the immunization.
B)The parent must sign a consent form.
C)The child must be promised a sticker after the injection.
D)The expiration date of the vaccine must be checked three times.

Question 22

What term is used for a suspension of attenuated or killed microorganisms that stimulate antibody production in an individual?

A)Toxoid
B)Antiserum
C)Antitoxin
D)Vaccine

Question 23

What immunizations are included in an MMR injection?

A)Meningitis, mumps, rubella
B)Measles, mumps, rubella
C)Measles, mumps, chickenpox
D)Measles, hepatitis, rubella

Question 24

Which of the following sites can be used to obtain a blood specimen for a newborn screening test?

A)Plantar surface of the heel
B)Earlobe
C)Lateral surface of the finger
D)Big toe

Question 25

The newborn screening test typically screens for the presence of all of the following diseases except

A)congenital hypothyroidism.
B)phenylketonuria.
C)cystic fibrosis.
D)sickle cell anemia.

Question 26

The resistance of the body to pathogenic microorganisms or their toxins is known as

A)immunization.
B)inflammation.
C)immunity.
D)contagious.

Question 27

What immunizations are included in a DTaP injection?

A)Diphtheria, polio, tetanus
B)Dysentery, pertussis, mumps
C)Diphtheria, pertussis, tetanus
D)Diphtheria, rubella, rubeola

Question 28

Which of the following represents an error in technique when collecting a specimen for a newborn screening test?

A)Wiping away the first drop of blood
B)Completely filling each of the circles on the test card with blood
C)Allowing the test card to dry for 15 minutes before placing it in its mailing envelope
D)Mailing the test card to an outside laboratory within 48 hours

Question 29

What is the term for the process of becoming immune through the use of a vaccine or toxoid?

A)Passive artificial immunization
B)Active artificial immunization
C)Inflammation
D)Passive natural immunization

Question 30

After administration of an immunization,the NCVIA requires that all of the following be documented in the medical record except the

A)manufacturer and lot number of the vaccine.
B)signature of the child's parent or guardian.
C)date the VIS was given to the parent.
D)name and address of the medical office.

Question 31

All of the following information is included in a VIS except

A)benefits and risks of the immunization.
B)publication date of the VIS.
C)reporting an adverse reaction.
D)lot number of the vaccine.

Question 32

Which of the following immunizations can be administered to a newborn?

A)Hepatitis B
B)DTaP
C)Polio
D)MMR

Question 33

If PKU is left untreated,it can lead to

A)malnutrition.
B)mental retardation.
C)aplastic anemia.
D)spinal curvature.