Deck 9: The Pediatric Examination

Question 1

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

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

Answer 1

To prevent urinary tract infections

Question 2

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) All of the above

Answer 2

assess the child's individual growth pattern.

Question 3

All of the following are problems associated with childhood obesity except:

A) High blood pressure
B) Skin disorders
C) Type 2 diabetes
D) Asthma

Answer 3

Asthma

Question 4

Why is it important to develop a rapport with a pediatric patient?

A) The child is more likely to be cooperative during procedures.
B) To prevent inaccurate test results
C) To prevent the child from crying
D) To reduce the pain when administering injections

Question 5

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 6

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

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

Question 7

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 8

Which of the following indicates that the proper cuff size has been elected 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 80-100% of the child's arm.
D) The bladder is centered over the antecubital space.

Question 9

Topics included in anticipatory guidance include

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

Question 10

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

A) Age
B) Weight
C) Height
D) Gender

Question 11

Head circumference is measured in

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

Question 12

Which of the following is a guideline for preventing childhood obesity?

A) Encourage active play.
B) Do not use food as a reward.
C) Limit television,video,and computer time.
D) Limit the amount of junk food in the home.
E) All of the above

Question 13

The first pediatric well-child visit is usually scheduled at

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

Question 14

Which of the following procedures is performed by the medical assistant during a pediatric office visit?

A) Measurement of vital signs
B) Measurement of weight and height
C) Measurement of visual acuity
D) Assisting with the physical examination
E) All of the above

Question 15

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 16

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 17

What is the purpose of measuring head circumference?

A) To determine if normal brain development is taking place
B) To determine if the fontanelles are closing properly
C) To assess the nutritional state of the infant
D) To screen for microencephaly and macroencephaly

Question 18

All of the following is a characteristic of the sick-child visit except:

A) The child is exhibiting the symptoms of disease.
B) The provider evaluates the child's condition.
C) Treatment is prescribed.
D) The child is cured of his or his illness.

Question 19

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

Question 20

Assessment of blood pressure should start at age

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

Question 21

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 1{1/2} inches
D) 1 inch to 2 inches

Question 22

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 23

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 24

How is the vastus lateralis site located in an infant and young child?

A) Divide the lateral thigh into thirds and administer the injection into the middle third.
B) Divide the mid-anterior thigh into thirds and administer the injection into the middle third.
C) Divide the buttocks into quadrants and administer the injection into the upper outer quadrant.
D) Divide the upper arm into thirds and administer the injection into the middle third.

Question 25

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 26

Which of the following is a characteristic of the newborn screening test?

A) Is required in all states by law
B) Best to perform the test between 1 and 7 days after birth
C) The specimen is placed on a special filter paper
D) Positive results require further testing
E) All of the above

Question 27

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 28

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.

Question 29

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 30

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 31

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 32

What is the recommended site for administering a subcutaneous injection to an infant younger than 12 months of age?

A) Lower abdomen
B) Lateral part of the upper arm
C) Lower back
D) Anterior thigh

Question 33

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

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

Question 34

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

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

Question 35

If PKU is left untreated,it can lead to

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

Question 36

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 37

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 38

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 39

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 40

What immunizations are included in a DTaP injection?

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