Chapter 24

a blood pressure cuff that is too large for a child may result in -a blood pressure reading that is falsely high -discomfort for the child -a blood pressure reading that is falsely low

a blood pressure reading that is falsely low

what is the recommended site for administering a subcutaneous injection to an infant younger than 12 months of age -anterior thigh -lower back -lower abdomen

anterior thigh

which of the following may result in a falsely high pediatric blood pressure reading -apprehension -malnutrition -obesity

apprehension

the most important use of growth charts is to -assess the Childs individual growth pattern -Identify children with prehypertension -Identify children with type 2 diabetes

assess the Childs individual growth pattern

the deltoid site should not be used as an IM injection site until the child is

at least 18 months old

all of the following information is included in a VIS except -benefits and risks of the immunization -lot number of vaccine -reporting moderate to severe reaction

benefits and risks of the immunization

which of the following is a characteristic of the newborn screening test -best time to preform the test is between 1 and 7 days after birth -Is required in all states by law -positive results require further testing

best time to preform the test is between 1 and 7 days after birth

head circumference is measured in -grams -centimeters or inches -microns

centimeters or inches

which of the following is not included in a well- child visit -administration of Immunizations -physical exam -collection of a urine specimen

collection of a urine specimen

what immunization are included in a DTaP injection -diphtheria, polio, tetanus -diphtheria, pertussis, tetanus -diphtheria, rubella, rubeola

diphtheria, pertussis, tetanus

how is the vastus laterals site located in an infant and young child

divide the mid-anterior thigh into thirds and administer the injection into the middle third

which of the following immunizations can be administered to a newborn

hepatitis b

Measuring pediatric blood pressure helps to identify children at risk for developing

hypertension as adults

after administration of immunization, the NCVIA requires that all of the following be documented in the medical record except -signature of the Childs parent or guardian -date of administration of the vaccine -name and address of medical office

signature of the Childs parent or guardian

the length of the needle used to administer an intramuscular injection to a child depends on -whether the child is walking -age of child -size of child

size of child

all of the following are problems associated with childhood obesity except - high blood pressure -skin disorders -type 1 diabetes

skin disorders

which of the following is an important reason for weighing a child -to determine the proper dosage of medication of the child -determine if the child is deficient in vitamins or minerals -to assess the rate of brain growth

to determine the proper dosage of medication of the child

what is the term used to describe a Childe between 1-3 years of age -Infant -rug rat -toddler

toddler

what is the term for a suspension of attenuated or killed microorganism's that stimulate antibody production in an individual -antiserum -antitoxin -vaccine

vaccine

which of the following injection site should be used to administer IM injections to infants and young children -dorsogulteal -vastus lateralis -deltoid

vastus lateralis

all of the following are used in determining if a child has hypertension except -age -weight -height

weight

What is the needle length range for a pediatric IM injection

5/8 - 1 inch

assessments of blood pressure should start at age -2 years -3 years -5 years

3 years

The first pediatric well-child visit is usually scheduled at

3-5 days

the resistance of the body to pathogenic microorganism's or their toxins is known as -Immunization -Inflammation -Immunity

Immunity

most invalid test results on a newborn screen test are caused by

Improper storage of the blood specimen

when might the length of the needle for a pediatric IM injection need to be decreased -preterm infant -child with illness -Infant younger than 12 months of age

Infant younger than 12 months of age

what is the term for the process of becoming immune through the use of a vaccine or toxoid -passive artificial immunization -active artificial immunization -Inflammation

active artificial immunization

Topics included in anticipatory guidance include -safety -nutrition -development -sleep

all are correct

which of the following is a guideline for preventing childhood obesity -encourage active play -do no use food as a reward -limit television, video, and computer time -limit the amount of junk food in the home

all are correct

which of the following is performed by the medical assistant during a pediatric office visit -measurement of vital signs -measurement of weight and height -measurement of visual acuity -assisting with the physical examination

all are correct

which of the following sites can be used to obtain a blood specimen for a newborn screening test -lateral or medial curve of the plantar surface of the heal -earlobe -big toe

lateral or medial curve of the plantar surface of the heal

what immunization are included in an MMR injection -meningitis, mumps, rubella -measles, mumps, rubella -measles, mumps, chickenpox

measles, mumps, rubella

if PKU is left untreated it may lead to

mental retardation

what is the name for the physician who specializes in the diagnosis and treatment of disease in children

pediatrician

the newborn screening test does not screen for which of the following diseases -sickle cell anemia -phenylketoneuria -cystic fibrosis

phenylketoneuria

all of the following are reasons for obtaining a pediatric urine specimen except -diagnose a pathologic condition -screen for the presence of disease -prevent a urinary tract infection

prevent a urinary tract infection

the Childs genitalia should be cleansed before applying a pediatric urine collector to -prevent contaminates from entering the urine specimen -protect the child from infection -prevent false- negative test results

prevent contaminates from entering the urine specimen

the techniques used to interact with a child depends on -the weight of the child -the age of the child -the motor skills of the child

the age of the child

which of the following indicates that the proper cuff size has been selected for a pediatric patient -the cuff fits snugly on the Childs arm -the cuff is positioned at least 1 inch above the bend in the elbow -the bladder of the cuff encircles 80% - 100% of the Childs arm

the bladder of the cuff encircles 80% - 100% of the Childs arm

all of the following are characteristics of the sick child visit except -the child is exhibiting the symptoms of disease -treatment is prescribed -the child is cured of his/her illness

the child is cured of his/her illness

why is it important to develop a rapport with a pediatric patient -the child is more likely to be cooperative during procedures -prevent inaccurate test results -prevent the child from crying

the child is more likely to be cooperative during procedures

how is length measured

the child stands with his/her back to the measuring device

which of the following is required by the NCVIA before an immunization is administered

the parent must be provided with information on the benefits and risks of the immunization

what is the purpose of measuring head circumference

to determine if normal brain development is taking place