MA Ch 40

Which of the following is a highly contagious dermatologic disease that causes inflammation and pustules that become crusted before healing? a) Impetigo b) Steptococcal sore throat c) Herpes simplex virus d) Conjuctivitis e) Respiratory syncytial virus

Ginny is an 8-year-old whose mother brought her to the office because "there must be something wrong with her; she is always complaining that she hurts somewhere." Ginny sits quietly on the exam table while you take the history and her vitals. You suspect Ginny may be abused. What should you do?

Viral gastroenteritis can be serious in young children because...

Which of the following actions can you take to help relieve a child's fear in the doctors office? a) Talk to the parent instead of the child b) Ignore the child's crying c) Ask the parent to firmly restrain the child d) Explain the procedure using medical terminology e) Allow the child to examine some of the blunt instruments

When is the first does of the vaccine for hepatitis B given

At what ages should toddlers have well-child exams

You are preparing for routine vaccinations for a child in the office. When you enter the room, you notice the child is coughing and has a runny nose. You ask the mother how long the child has had these symptoms and she tells you that the child has had a cold for several days and has also been running a fever. You should:

Reya is a 2 1/2-year-oled whose parents have brought her to the office because she has been cranky and apparently does not feel well. When asked where it hurts, she points to her throat. The physician has asked you to obtain a specimen for a rapid strep test, but Reya refuses to open her mouth. Which of the following is the BEST way to open Reya's mouth to obtain the specimen? a) Squeeze Reya's nostrils shut until she opens her mouth to breathe b) Ask Reya's mother to tell her to open her mouth c) Tickle the child until she opens her mouth to laugh d) Grasp her lower jaw firmly and pull downward e) Inform the physician that you were unable to get the specimen

The best site for obtaining a blood specimen from an infant is the...

At what age do children need to spend time enjoying friendships, sporting events, and social events

The purpose of an immunization is to...

How many well-baby examinations are needed in an infant's first year

At what age are infants able to sit and creep on their hands and knees

Which of the following actions is part of a hearing test for a toddler a) Use a quiet location and have the toddler sit, lie down, or be held by the parent b) Position yourself directly in front of the toddler to perform the test c) Ask the parent to go in the next room and say the toddler's name; evaluate the result d) Clap your hands loudly directly in front of the ear e) Instruct the parent to whisper in the toddler's ear and evaluate the response

Which of the following should be included in the emotional preparation of toddlers for a physical examination? a) Avoid giving any explanations of what is going to take place b) Approach the children slowly c) Give them candy to keep them happy d) Perform procedures slowly d) Avoid letting the parent stay with the toddler

Which of the following is NOT a guideline for proper vaccine storage and handling? a) Follow infection control guidelines when preparing and administering vaccines b) Prepare vaccines just prior to administration to the patient c) Store frozen vaccines between -58F and +5F (-50C and -15C) d) Store refrigerated vaccines between 35F and 46F (2C and 8C) e) Rotate your supply of vaccines so those with the longest expiration date are used first

Most childhood cases of HIV infection are...

Which of the following is NOT a possible clue that a child may be abused? a) Tooth discoloration and unhealthy gums b) Dirty or neglected appearance c) Dulled neurologic responses d) Crying during vaccine injection e) Unexplained bruises or burns

Which of the following is a highly contagious disease that is often seen in the winter and spring as outbreaks of pnuemonia, bronchitits, and tracheobronchitits? a) HIV b) Hepatitis B c) RSV d) JRA e) SIDS

Which of the following is NOT a guideline to help keep infants and toddlers safe? a) Never leave a child unattended in a car b) Keep all cords on window blinds and lamps out of reach c) Use correctly installed gates across stairs d) Allow only plush toys in the infant's crib e) Keep emergency phone numbers close to the phone

The development of thinking skills as a child grows is...

At what age does a child become able to share and play with others?

Which of the following is a birth-related disorder that is the most frequent crippling disease in children? a) Juvenile rheumatoid arthritis b) Herpes simplex c) Cerebral palsy d) Down syndrome e) Attention deficit hyperactivity disorder

Which of the following is considered a warning sign for suicide? d) Gang membership b) Trouble controlling anger c) Anger directed at oneself d) Frequent physical fighting e) Increase in risk-taking behavior

Which of the following would you NOT recommend to reduce the risk of SIDS? a) Use a firm crib mattress and keep toys, pillows, and bumper pads out of the crib b) Breastfeed whenever possible c) Put the infant to sleep on his stomach d) Do not let the baby sleep in an adult bed e) Do not drink, smoke, or take drugs when pregnant

Changes in the feelings a child experiences during a particular period of growth and development are...

Which of the following is the treatment for jaundice in a newborn? a) Inject hormones to stimulate the liver b) Keep the infant well hydrated with breast milk or formula c) Place the infant on a special high-protein diet d) Administer passive range-of-motion exercises e) Provide tub baths in tepid water

Which of the following statements about suicide is true? a) Exposure to violence in movies and video games may convince a person to commit suicide b) Females are more likely to be successful in their first suicide attempt c) Males are more likely to attempt suicide than females d) Changes in habit, including carelessness or sloppiness, are suicide warning signs e) Suicide is the leading cause of death for people aged 10-18

Which of the following is NOT a sign of potential violence? a) Decrease in risk-taking behavior b) Frequent physical fighting c) Feeling constantly disrespected d) Gang membership e) Withdrawal from friends and activities

Charla is a three-year-old whose mother has brought her to the pediatrician's office because she has has a low-grade fever for three days. The physician has asked you to take all her vital signs, including blood pressure. Charla is scared; she is whimpering and clinging tightly to her mother. Which of the following actions should you take? a) Tell Charla there is nothing to be afraid of b) Take Charla's blood pressure before getting her other vital signs c) Ask Charla's mother to tell her not to be afraid d) Use an oral thermometer to avoid scaring Charla futher e) Check Charla's temperature first because it is the most important

The way a child relates to others as he or she grows is...

Which of the following is a genetic disorder that results from one extra chromosome in each cell during the development of the fetus? a) Juvenile rheumatoid arthritis b) Attention deficit hyperactivity disorder c) Down syndrome d) Congenital heart disease e) Cerebral palsy

By what age can most toddlers walk independently?

At what age do children tend to develop a sense of what is right and wrong and a sense of honesty and fairness?

For which of the following diseases are toxoids used to produce active immunity? a) Pertussis and poliomyelitis b) Hepatitis B and rubella c) Influenza and chickenpox d) Mumps and measles e) Tetanus and diphtheria

Which of the following is NOT an effective treatment for head lice? a) Washing combs and brushes in anti-lice shampoo b) 1% permethrin cream rinse c) Avoidance of sun exposure d) Disinfecting clothing, bedding, and toys e) Removal of eggs with fine-tooth comb

Which of the following can help relieve discomfort due to infectious conjunctivitis? a) Using an eye ointment to relieve itching b) Applying a topical antifungal medication c) Applying an ice cube to the eye d) Using a medicated shampoo e) Applying warm compresses to the eye

What is the specialty that provides care to children and adolescents?

Which of the following are indicators of a cardiovascular defect in a newborn infant? a) Bright red skin and excessive crying b) High blood pressure and pale skin c) Pale skin and low pulse d) Lethargy and excessive crying e) Blue lips and fingernails

Which of the following conditions is commonly misunderstood, misdiagnosed, and over-diagnosed in children? a) Viral gastroenteritis b) Cerebral palsy c) Respiratory syncytial virus d) Down syndrome e) Attention deficit hyperactivity disorder

At what age does a child develop a personal identity?

Which of the following statements about well-child examination is true? a) The child's hearing should be tested when the child is 6 months old b) Blood pressure is not checked during well-child examinations until the child is 12 years old c) From the age of 3, children should have well-child examinations every year d) Children between 2 and 3 years old should have a well-child examination every 3 months e) Infants need two well-baby exams during their first year: one at 6 months and one at 1 year

Peter is a 4-year-old child who is in the office for a well-child exam. While you are taking the history, Peter's mother says he has been urinating much more lately. You also discover that Peter's older sister is diabetic. Which of the following questions would you ask next? a) "Has Peter been wetting the bed lately?" b) " Is Peter having trouble while toilet training?" c) "Does Peter have trouble urinating?" d) "Does Peter seem to be excessively thirst?" e) "Does Peter have pain when he urinates?"

the actual bodily changes that occur as a child grows are known as...

About how much does a full-term infant usually weigh at birth?

At what age do most SIDS cases occur?

In which stage of growth and development is a child's head usually one-fourth the entire body length?

The best method to give an injection to a child is to...

Which of the following physical changes occur to both males and females during puberty? a) Hips widen b) Body hair grows c) External genitalia grow d) Shape becomes more rounded e) Shoulders broaden

Which of the following is NOT a known risk factor for child abuse or neglect? a) Financial problems b) Single parenthood c) Lack of family support d) Mother older than 18 years e) Inadequate knowledge of normal developmental expectations