UOP NRP571 Week 4 Quiz Latest 2021 October

NRP571 Advanced Health Assessment IIand Clinical Procedures

Week 4 Quiz

Question 1 A young Hispanic mother brings in her 2-month-old son. She is upset because her neighbors have threatened to call the Child Protective Agency because they think his birthmark is a bruise. Her son was the product of an uneventful pregnancy and spontaneous vaginal delivery. On examination you see a large, smooth-bordered bluish mark on his buttock and lower back. Otherwise his examination is unremarkable.

What form of birthmark is this likely to be?

Café-au-lait spot

Salmon patch

Mongolian spot

Question 2In newborn infants, closure of the ductus arteriosus usually occurs:

After 7 days of life

12 – 48 hours after birth

During the toddler period

Between the second and third months

Question 3Developmental changes of puberty are caused mainly by the interaction of the pituitary gland, the gonads, and the:

Hypothalamus

Islet cells

Thymus

Thalamus

Question 4You are assessing an infant and notice that his nares flare, he has a soft grunt with each breath, and the skin between his ribs is pulled inward with inhalation. What is the significance of these findings?

These are indicative of a CNS process.

These are indicative of respiratory distress.

These are indicative of muscular dystrophy.

These are frequently accompanied by stridor.

Question 5You note that a child has a positive Gower Sign. This indicates generalized:

Bursitis

Arthropathy

Muscle weakness

Muscle hypertrophy

Question 6The ability for abstract thinking normally develops during:

Infancy

Early childhood

Adolescence

Adulthood

Question 7In infants and small children, a capillary refill time of 4 seconds:

Is normal

Indicates hpovolemia

Indicates hypervolemia

Indicates renal artery stenosis

Question 8A mother brings her 15-month-old daughter to your office for evaluation of a rash and fever. She says the rash started one day and the fever developed the next day. Her daughter has had all of her vaccinations up to 10 months. The mother sheepishly admits that she hasn't had time to bring her daughter in since her 10-month check-up. On examination you see a mildly sick-appearing toddler with a 102-degree temperature. Looking at her skin you see at least 100 of a variety of papules, vesicles, and ulcers in different stages of development.

What illness prevented by proper vaccination does this toddler have?

Varicella (chickenpox)

Measles

Smallpox

Question 9You are examining a 5-year-old before he begins school. You notice a systolic, grade II/VI vibratory murmur over the LLSB and apex with normal S2 splitting. He has normal pulses as well. Which of the following is most likely?

Tricuspid stenosis

Mitral stenosis

Still's murmur

Venous hum

Question 10One way that a health history for an infant differs from that of an adult is the inclusion of:

Nutritional history

Chief Complaint

Prenatal information

personal social information

Question 11When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:

Presence and form of body parts

Gender and race of the person drawn

Length of time needed to draw a stick man

Approximate age and posture of the person drawn

Question 12A quiet 3-year-old is brought in for a routine check-up when you notice a fresh bruise in the axilla and bilateral bruises over the upper back that appear slightly older. There are brown bruises over his shins as well. His mother said this happened when he fell off of a couch. What diagnosis should be considered?

Von Willebrand's disease

Normal childhood bruises from activity

Abuse

Seizure disorder

Question 13A 15-month-old is brought to you for a fever of 38.6 degrees Celsius and fussiness. The ear examination is as follows: external ear, normal appearance and no tenderness with manipulation; canal, normal diameter without evidence of inflammation; tympanic membrane, bulging, erythematous, and opaque. Insufflation is deferred due to pain. What is your diagnosis?

Otitis externa

Cholesteatoma

Ruptured tympanic membrane

Otitis media

Question 14You diagnose an infant in the clinic with Seborrheic Dermatitis. What physical exam findings are most consistent with this diagnosis?

Erythema of the scalp

Pustules on the scalp

Dry, flaking areas on the scalp

Ecchymosis on the scalp

Question 15You are assessing Tanner staging of the breast in a young woman. You notice projection of the areola and nipple to form a secondary mound above the level of the breast. Which Tanner stage would this be?

I

II

III

IV

Question 16When measuring the length of an infant, the measurement should extend from:

Forehead to feet

Crown to tip of toes in prone position

Head to toes in upright position

Crown to heel in supine position

Question 17When examining the skull of a 4-month old baby, you should normally find:

Closure of the anterior fontanel

Closure of the posterior fontanel

Closure of both the anterior and posterior fontanel

Overlap of the cranial bones

Question 18A 17 year old girl presents to the clinic for a sports physical for cheerleading. Physical examination findings reveal BMI of 15, bradycardia, multiple erosions of tooth enamel, and scabs and scars on her knuckles. You should ask her if she:

Is heat intolerant

If she binges and vomits

If she is constipated

Falls a lot

Question 19A toddler is able to jump in place and balance on one foot as well. She can also speak in full sentences and feed herself. What is the approximate developmental age of this child?

2 years

3 years

4 years

5 years

Question 20You are assessing an ill toddler in your office. He responds when spoken loudly to or physically stimulated but then appears to fall back to sleep. This level of consciousness is:

Alert

Lethargic

Comatose

Unconscious