Chapter 40

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Assisting in Pediatrics
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1

Which of the following should be included in the emotional preparation of toddlers for a physical examination?

A. approach the child slowly

B. Perform procedures slowly

C. Avoid letting the parent stay with the toddler

D. Give them candy to keep them happy

A. APPROACH THE CHILD SLOWLY

2

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

A. 1-2 years E. 9-12 years

B. 2-3 years

C. 3-5 years

D. 6-8 years

B. 2-3 YEARS

3

At what age does a child develop a personal identity?

A. 2-3 E. 14-19

B. 3-5

C. 6-10

D. 11-13

E. 14-19

4

Which of the following is a birth-related disorder that is the most frequent crippling disease in children?

A. Attention Deficit hyperactivity disorder

B. Cerebral palsy

C. Down Syndrome E. Juvenile rheumatoid arthritis

D. Herpes simplex

B. Cerebral palsy

5

Which of the following is a genetic disorder that results from one extra chromosome in each cell during the development of the fetus?

A. Down syndrome

B. Cerebral palsy E. Juvenile rheumatoid arthritis

C. Congenital Heart disease

D. Attention deficit hyperactivity disorder

A. Down syndrome

6

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

A. neonate

B. infant E. Adolescent

C. Toddler

D. Preschooler

A. Neonate

7

Which of the following is the treatment for jaundice in a newborn?

A. place the infant on a special high-protein diet

B. Inject hormones to stimulate the liver

C. Keep the infant well hydrated with breast milk/formula

D. Administer passive range of motion exercises

C. Keep the infant well hydrated with breast milk/formula

8

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

A. 2 months E. 9 months

B. 3 months

C. 5 months

D. 6 months

E. 9 months

9

By what age can most toddlers walk independently?

A. 1 month

B. 6 months

C. 1 year

D. 15 months

D. 15 MONTHS

10

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

A. 1-3 years

B. 3-5 years

C. 6-10 years

D. 11-13 years

C. 6-10 YEARS

11

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. shoulders broaden

B. BODY HAIR GROWS

12

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

A. 1-3 years

B. 3-5 years E. 14-19 years

C. 6-10 years

D. 11-13 years

E. 14-19 YEARS

13

Which of the following statements about well-child examination is true?

A. Infants need two well-baby exams during their first year: 6 months & 1 year

B. Children between 2-3 should have a well-child exam every 3 months

C. Blood pressure is not checked during well-child exam until 12

D. From the age of 3, children should have well-child exams every year

D. From the age of 3, children should have well-child exams once every year

14

Which of the following actions will help relieve a child's fear when coming to the medical office?

A. ask the parent to firmly restrain the child

B. Explain the procedure using medical terms

C. Allow the child to exam some of the blunt instruments

C. Allow the child to examine some of the blunt intsruments

15

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

A. 2

B. 3

C. 5

D. 7

D. 7

16

At which of the following ages should toddlers have well-child exams?

A. 14, 16, 18, 20, 24, & 28

B. 24 months and 36 months

C. 18, 24, & 36 months E. 15, 18, 24, & 30 months

D. 14, 20 & 30 months

30 MONTHS

17

What is the purpose of administering an immunization?

A. To reduce a person's susceptibility to infections

B. To prevent a person from getting a common cold

C. To reduce the possibility of contracting STD'S

D. To treat an ongoing bacterial infection

A. TO REDUCE A PERSON'S SUSCEPTIBILITY TO INFECTIONS

18

When is the first dose of vaccination for hepatitis B given?

A. The day after birth

B. Age 2

C. Age 5

D. Age 8

A. THE DAY AFTER BIRTH

19

which of the following is NOT a guideline for the proper storage and handling of vaccines?

A. Store refrigerated vaccines between 35*F & 46*F (2*C & 8*C)

B. Store frozen vaccines between -58*F-+5*F (-50*C_-15*C)

C. Follow infection control guidelines

D. Prepare vaccines just prior to administering

E. Rotate your supply of vaccines so that those w/ longest expire date are used first

E. Rotate your supply of vaccines so those with the longest expiration date are used first

20

Which of the following is part of a hearing test for a toddler?

A. Clap your hands loudly directly in front of the ear.

B. Instruct the parent to whisper in the toddlers ear and evaluate response

C. Use a quiet location, have the toddler sit, lie down or be held by parent

C. Use a quiet location and have the toddler sit, lie down or be held by the parent

21

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

A. brachiocephalic vein

B. jugular vein

C. Forehead

D. Heel

D. HEEL

22

Most childhood cases of HIV infections are?

A. transmitted from a mother to her infant

B. caused by blood transfusions during delivery

C. curable using antiviral agents

A. Transmitted from a mother to her infant

23

Which of the following conditions is commonly "misunderstood" and over-diagnosed in children?

A. Cerebral palsy

B. Down syndrome

C. Respiratory syncytial virus (RSV)

D. Viral gastroenteritis

E. Attention deficit hyperactivity disorder

E. ATTENTION DEFICIT HYPERACTIVITY DISORDER

24

Which of the following is a highly contagious disease that is often seen in the winter and spring as outbreaks of pneumonia, bronchitis, and tracheobronchitis?

A. Hepatitis B

B. SIDS E. HIV

C. RSV

D. JRA

C. RSV

25

Why can viral gastroenteritis be serious in young children?

A. it can cause extreme fluid loss, resulting in dehydration

B. the high fever that accompanies it may cause brain damage

C. it permanently weakens the child's immune system.

A. IT CAN CAUSE EXTREME FLUID LOSS, RESULTING IN DEHYDRATION

26

Which of the following is NOT a known risk factor for child abuse?

A. Single parenthood

B. Inadequate knowledge of normal developmental expectations

C. Financial problems

D. Mother older than 18 years

D. MOTHER OLDER 18 YEARS

27

The actual bodily changes that occur as a child grows are which type of development?

A. Psycho-emotional development

B. Social development

C. Intellectual-cognitive development

D. Athletic development

E. Physical development

D. PHYSICAL DEVELOPMENT

28

The development of thinking skills as a child grows is?

A. psycho-emotional development

B. social development

C. intellectual-cognitive development

D. Athletic development

C. INTELLECTUAL-COGNITIVE DEVELOPMENT

29

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

A. Psycho-emotional development

B. Social development

C. Intellectual-cognitive development

A. PSYCHO-EMOTIONAL DEVELOPMENT

30

The way a child relates to others as he/she grows is?

A. Psycho-emotional development

B. Social development

C. Intellectual-cognitive development

B. SOCIAL DEVELOPMENT

31

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

A. 3-5 Pounds

B. 4-6 Pounds

C. 5-7 Pounds

D. 7-9 Pounds

D. 7-9 POUNDS

32

Which of the following is a highly contagious dermatologic disease that causes inflammation and pustules that become crusted before healing?

A. Streptococcal sore throat

B. Impetigo

C. Herpes simplex virus

B. IMPETIGO

33

Which of the following is NOT an effective treatment for head lice?

A. 1% Permethrin cream rinse

B. Avoidance of sun exposure

C. Removal of eggs with a fine-tooth comb

B. AVOIDANCE OF SUN EXPOSURE

34

Which of the following can help relieve discomfort due to infectious conjunctivitis?

A. Applying an ice cube to the eye

B. Using a medicated shampoo

C. Applying a topical antifungal medication

D. Applying warm compresses to the eye

D. APPLYING WARM COMPRESSES TO THE EYE

35

Which of the following is NOT a warning sign of potential violence?

A. Gang membership

B. Withdrawal from friends and activities

C. Frequent physical fighting

D. Feeling constantly disrespected

E. Decrease in risk-taking behavior

E. DECREASE IN RISK-TAKING BEHAVIOR

36

Which of the following is considered a warning sign for suicide?

A. Frequent physical fighting

B. Increase in risk-taking behavior

C. Anger directed at oneself

D. Gang membership

C. ANGER DIRECTED AT ONESELF

37

which of the following statements about suicide is true?

A. Suicide is the leading cause of death for people aged 10-18

B. Males are more likely to attempt suicide than females

C. Females are more likely to be successful on the first attempt

D. Changes in habit, including carelessness or sloppiness, are suicide warning signs

D. CHANGES IN HABIT, INCLUDING CARELESSNESS OR SLOPPINESS, ARE SUICIDE WARNING SIGNS