Exam 1: Quizzes/Test Bank Flashcards
Which of the following procedures is least likely to improve vaccination rates over several years?
Providing posters in the waiting room about vaccinations in general
Which of the following is false?
Regarding vaccines
Missed vaccination opportunities are a minor contributor to low vaccination rates in many practices.
Which administration route is incorrect?
For immunizations
Hep B, IM, in the outer quadrants of the buttock of a child
Which of the follow is incorrect?
Hep B is an attenuated live viral vaccine
Which is not a valid contraindication?
For MMR, allergy to eggs
Which of the following DTaP immunization records, although late at times, is otherwise entirely within the recommended guidelines?
3, 4, 6, and 15 months
Which of the following is false?
The Vaccine Injury Compensation Program provides compensation for permanent and non-permanent injuries temporaily associated with any recommended vaccination.
Which of the following is a contraindication to further doses of DTaP vaccine?
Anaphylaxis after DTaP
Which statement about the routine schedule is false?
The first dose of MMR is ideally given from 15-19 months of age
A single mother of an infant worries that living in a household with only one parent will cause her child to be maladjusted. To help address the mother’s concerns the PCP NP will suggest:
Developing consistent daily routines for the child
During a well child exam, the PCP learns that the parents of a young child fight frequently about finances. The parents state that they do not fight in front of the child and feel that the situation is temporary and related to the father’s job layoff. What will the NP do?
Suggest counseling to learn ways to handle stress.
During a well child assessment of an 18 month old child, the PCP observes the child becoming irritable and uncooperative. The parent tells the child to stop fussing. What will the NP do?
Offer the child a book or a toy to look at
Which recommendation will a PCP make when parents ask about ways to discipline their 3 y/o child who draws on the walls with crayons?
Provide a roll of paper for drawing and teach the child to use this.
The PCP conducts a well baby exam on an infant and notes mild gross motor delays, but no delays in other areas. Which initial course of action will the NP recommend?
Teach the parents to provided exercises to encourage motor development
The PCP is examining a newborn infant recently discharged from the NICU after a premature birth. The parent is upset and expresses worry about whether the infant will be normal. What will the NP do in this situation?
Point out the tasks that the infant can preform while conducting the assessment
The PCP sees a developmentally delayed toddler for an initial visit. The family has just moved to the area and asks the NP about community services and resources for their child. What should the NP do initally?
Ask the parents if they have an individualized family service plan (IFSP)
The PCP has a cohort of patients who have special health care needs. Which is an important role of the NP when caring for these children?
Care coordination and collaboration
The PCP preforms a physical examination on a 9 month old infant and notes two central incisors on the lower gums. The parent states that the infant nurses, takes solid foods 3x/day, and occasionally takes water from a cup. What will the PCP counsel the parent to promote optimum dental health?
To make an appointment for an initial dental examination
The PCP enters an exam room and finds a 2 month old infant in a car seat on the exam table. The infant’s mother is playing a game on her smart phon. The NP interprets this behavior as:
Moderate concern for parenting problems
A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate for the NP to ask if the infant is meeting?
Rolls back to stomach and stomach to back
A 5 day old infant comes in for a newborn check up. On assessment of the newborn you note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom, the infant have only had 2 diapers today. The infant is strictly breastfed and this is the moms 1st child. She states baby is having trouble latching on. A bili level is sent and comes back at 18. You identify this newborn to be dehydrated and is most likely to have breast milk jaundice. Which nursing intervention(s) will be required for this baby?
All of the above: phototherapy, providing support and education for the lactating mom, strict monitoring of I/O
Apgar scores measure heart rate, RR, reflex irritability, color, and:
Muscle tone
A mother on the postpartum unit asked to have her infant back from the nursery so that she can breastfeed. The nurse brings the newborn to the room and hands the baby to the mother. She asks the mother to let her know how long the baby feeds. What vital step did the nurse forget to take before giving the baby to the mother?
The nurse should have identified the baby’s ID band the the mother’s
Excessive heat loss results in which of these?
Depletion of glucose levels