Chapter 26 Flashcards

1
Q

Which of the following best describes one of the major concerns when working with pediatrics patients?

a. Establishing rapport before an examination	
b. Performing a comprehensive exam	
c. Allowing parents to be present during examination	
d. Gaining trust by the end of the examination
A

a. Establishing rapport before an examination

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2
Q

Which of the following is NOT a measurement placed on the infant growth chart?

a. Weight	
b. Height	
c. Head circumference	
d. Limb length
A

d. Limb length

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3
Q

At which of the following time intervals should booster vaccinations be scheduled?

a. 24 months and school entry	
b. 20 months and every 10 years	
c. School entry and every 10 years	
d. School entry and every 5 years
A

c. School entry and every 10 years

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4
Q

At which stage of developmental growth do children begin to interact with others?

a. Preschoolers	
b. Infants	
c. Adolescents	
d. School age
A

a. Preschoolers

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5
Q

Which of the following is the name of the vaccine given for influenza type B?

a. IPV	
b. Varicella	
c. HiB	
d. HBV	
e. DPT
A

c. HiB

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6
Q

Which of the following is the name of the vaccine given for chickenpox?

a. IPV	
b. Varicella	
c. HBV	
d. HiB	
e. DPT
A

b. Varicella

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7
Q

Which of the following best describes a cause of failure to thrive?

a. Emotional deprivation	
b. Adequate diet	
c. Acute diseases	
d. High protein diet
A

a. Emotional deprivation

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8
Q

Which of the following is the main purpose of using growth charts?

a. To have established standards available	
b. To keep a chronological record of vital signs	
c. To diagnose disease	
d. To check child’s growth and screen for growth abnormalities
A

d. To check child’s growth and screen for growth abnormalities

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9
Q

At what age (in months) during routine visits, is the measurement of head circumference usually discontinued?

a. 36 months	
b. 24 months	
c. 6 months	
d. 12 months
A

a. 36 months

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10
Q

Which of the following is the normal range in inches for newborn head circumference?

a. 14.5 to 16.5 inches	
b. 10.5 to 12.5 inches	
c. 12.5 to 14.5 inches	
d. 11.5 to 13.5 inches
A

c. 12.5 to 14.5 inches

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11
Q

Which of the following is NOT an appropriate procedure when weighing the infant?

a. Position infant on its back.	
b. Wash hands.	
c. Leave infant’s diaper on.	
d. Place a utility towel on the scale
A

c. Leave infant’s diaper on.

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12
Q

When are rectal temperatures contraindicated?

a. Diarrhea	
b. Abdominal surgery	
c. Colon condition	
d. Nausea and vomiting
A

a. Diarrhea

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13
Q

Which of the following pulse sites is preferred when taking a pulse on small children?

a. Brachial	
b. Apical	
c. Temporal	
d. Radial
A

b. Apical

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14
Q

Which of the following is the heart rate range of children 1 to 3 years old?

a. 60–100 bpm	
b. 120–150 bpm	
c. 98-140 bpm	
d. 70–110 bpm
A

c. 98-140 bpm

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15
Q

How many seconds are counted when assessing an older child’s respirations?

a. 15 seconds	
b. 60 seconds	
c. 120 seconds	
d. 30 seconds
A

b. 60 seconds

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16
Q

How do newborns respond to light when measuring their visual acuity?

a. Newborns respond only when bright colors are used.	
b. Newborns do not respond to light.	
c. Newborns follow an object visually.	
d. Newborns shut their eyes tight.
A

d. Newborns shut their eyes tight.

17
Q

Which of the following is generally treated by getting plenty of rest, increasing fluids, and eating a well-balanced diet?

a. Otitis media	
b. Chickenpox	
c. Asthma	
d. Common colds	
e. Tonsillitis
A

d. Common colds

18
Q

Which of the following is a serious chronic respiratory disease of children?

a. Otitis media	
b. Tonsillitis	
c. Frequent colds	
d. Asthma	
e. Chickenpox
A

d. Asthma

19
Q

Which of the following is the most appropriate action of the medical assistant when a patient is suspected of being a victim of child abuse?

a. Notify the local child protective agency.	
b. Ask the parents about it.	
c. Leave it out of documentation.	
d. Alert the parents’ clergy of your suspicions.
A

a. Notify the local child protective agency.

20
Q

Which of the following is your best initial approach to Clyde?

a. Ask Mrs. Lee to sit Clyde on the examining table and hold him there.	
b. Approach him at his level of understanding.	
c. Ask Mrs. Lee to undress Clyde down to his underwear.	
d. Say, “ Hi Clyde, I am May, and I take care of little children all day. It is nice to meet you.”
A

b. Approach him at his level of understanding.

21
Q

Which of the following illnesses have the common symptom of inflammation of the middle ear?

a. Otitis interna	
b. Otitis externa	
c. Eustachian tube blockage	
d. Otitis media
A

d. Otitis media

22
Q

Which of the following is a term for a procedure to place special tubes in the ears if the symptoms become chronic?

a. Myringotomy	
b. Myringostomy	
c. Tympanotomy	
d. Tympanostomy
A

d. Tympanostomy

23
Q

What vaccine is given for the prevention of Kawasaki disease?

a. HIB	
b. IPV	
c. ROTA	
d. HAV
A

c. ROTA

24
Q

What is the appropriate protocol for administering multiple vaccines??

a. inject 3–4 inches apart on the same limb	
b. inject 2-3 inches apart on the same limb	
c. inject 1–2 inches apart on the same limb	
d. separate limbs should be used for each vaccine
A

d. separate limbs should be used for each vaccine

25
Q

What is the appropriate needle gauge used when administering pediatric immunizations?

a. 21–22 gauge	
b. 18–20 gauge	
c. 22–25 gauge	
d. 20–21 gauge
A

c. 22–25 gauge

26
Q

When administering an IM injection in the gluteal muscle, it should be administered lateral and superior to a line between the posterior superior iliac spine and what other area?

a. Tailbone	
b. Femur	
c. Lumbar spine	
d. Greater trochanter
A

d. Greater trochanter

27
Q

IM injections are inserted at what angle?

a. 45 degree	
b. 75 degree	
c. 90 degree	
d. 10 degree
A

c. 90 degree

28
Q

Asthma triggers typically include:

a. pollen	
b. medications	
c. stress	
d. all of the above
A

d. all of the above

29
Q

The oral route for checking a child’s temperature should be used on children of what age?

a. 2–5 years	
b. > 5 years	
c. > 10 years	
d. Birth to 2 years
A

b. > 5 years

30
Q

What disease is a highly contagious respiratory infection caused by bacterium?

a. RSV	
b. Croup	
c. Pertussis	
d. Pneumonia
A

c. Pertussis