Pediatrics Flashcards
An 11-year-old female comes in who is in tanner stage two. She wants to know when her period will begin. What will you tell her?
In 1 to 2 years.
A 13-year-old female comes in and is in tanner stage III. She is worried about her right breast being larger than her left. What do you tell her?
We are sure her and tell her that this is normal. This usually results in 2 to 3 years. Asymmetrical breasts are normal.
A 13-year-old male comes into the clinic. Do you assessment and see that he isn’t tanner stage two. What do you expect to find?
The testes and scrotum will be enlarged. And maybe some straight hair beginning or a couple hair.
A 16-year-old male comes into the clinic. There is no testicular development. What will you do?
You will refer him out because that is not normal.
A 16-year-old female comes in to the clinic. She is in tanner stage III. She tells you she has never had a period. What will you do?
Refer her out. This is not normal.She should have had a period by the age of 15.
A 10-year-old is hit in the head with a baseball team practice and is diagnosed with concussion, even though no loss of consciousness occurred. The primary care pediatric nurse practitioner is evaluating the child two weeks after the injury and learns that the child is still experiencing some sleepiness every day. The neurological exam is normal. The child and the parents are adamant that the child be allowed to return to play baseball. What will the nurse practitioner recommend?
A. Continuation of cognitive rest only
B. Continuation of physical and cognitive rest
C. Continuation of physical rest only
D. Returning to play
B
Both physical and cognitive rest is indicated after diagnosis of concussion and youth, particularly if symptoms continue following injury. Cognitive recovery may lag behind physical recovery and is a key factor to return to play decisions. Only after all symptoms resolve me athletes progress through steps to gradually return to play.
The primary care pediatric nurse practitioner is counseling the parents of a 13-year-old female who has down syndrome about sexual maturation. What will the nurse practitioner tell these parents?
A. It is important to discuss and support healthy sexuality
B. Providing too much information about sexuality maybe confusion given the child’s kind of level of understanding
C. Suppressing periods with contraceptives will lessen their daughters distress
D. They should give her information about. But not about sexuality
A
Persons with disabilities have the same desires to make decisions and foster fulfilling relationships with others as other people have. Unless healthy sexuality is taught and supported, unhealthy and abusive sexuality is more likely to occur. Parents should give information when it is desired and delivered in a manner appropriate to the child’s level of understanding. Suppressing periods only ignores the issue but does not change the increased feelings that a company puberty.
What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?
A. Assessing the parents ability to perform homecare tasks
B. Coordinating services to ensure continuity-of care
C. Monitoring the families adherence to the healthcare plan
D. Ordering medications another prescribed treatments
B
Children and Jesus for special health care needs to receive care in a medical home, and the PMP‘s role is to coordinate care across specialties and disciplines to ensure continuity of care. The other options describe tasks that may poop be performed by other members of the child’s healthcare team and are not the primary role of the PMP
A newly divorced mother of a toddler reports that the child begin having difficulty sleeping and nightmares along with exhibiting angry outburst and tantrums two months prior their primary care pediatric nurse practitioner learned that the child refuses to play with usual play mates and often spends time sitting quietly. But with the nurse practitioner do initially?
A. Ask the mother about the child’s relationship with the father
B. Consult with a child psychiatrist prescribed medications
C. Recommended cognitive behavioral or psychodynamic therapy
D. Refer the family to a child behavioral specialist for counseling
A
The child exhibit signs of PTSD. Because the parents are newly divorced, the PMP should evaluate the child’s previous interactions with the father to determine whether violence occurred. If PTSD is likely, referral to social service agencies may be warranted. Pediatric mental health specialist may be involved once the diagnosis is established and the order of medications.
The primary care pediatric nurse practitioner is performing a well child examination on a fussy toddler who has red hair. The child’s . Taos the toddler to stop being fussy and says, red hair gives him such a temper. Which common error that the erodes self-esteem is this? A. Dwelling on negatives B. Expecting too much C. Negating the child’s feelings D. Stereotyping and typecasting
D
The parent is typecasting the child by associating having a temper with the trait of red hair, which can limit his sense of possibilities. Dwelling on negatives describes making critical remarks instead of positive remarks. A parent to expect too much creates pressures for behaviors that are beyond the reach of the child and makes the child feel in adequate. Negating feelings is a rejection of the child’s emotions.
