T2 - Evolve Ch. 24 Quiz

The first pediatric well-child visit is usually scheduled at: a) 3 - 5 days b) 6 weeks c) 1 month d) 2 weeks

a) 3 - 5 days

A blood pressure cuff that is too large for a child may result in: a) A blood pressure reading that is falsely low b) Not being able to hear the first clear tapping sound c) Discomfort for the child d) A blood pressure reading that is falsely high

a) A blood pressure reading that is falsely low

Which of the following is performed by the medical assistant during a pediatric office visit? a) All are correct b) Measurement of vital signs c) Measurement of weight and height d) Assisting with the physical examination e) Measurement of visual acuity

a) All are correct

Which of the following may result in a falsely high pediatric blood pressure reading? a) Apprehension b) Malnutrition c) Obesity d) Fever

a) Apprehension

Which of the following is not included in a well-child visit? a) Collection of a urine specimen b) Physical examination c) Evaluation of growth and development d) Administration of immunizations

a) Collection of a urine specimen

Measuring pediatric blood pressure helps to identify children at risk for developing: a) Hypertension as adults b) All are correct c) Type 2 diabetes d) Liver disease e) Juvenile rheumatoid arthritis

a) Hypertension as adults

The deltoid site should not be used as an IM injection site until the child: a) Is at least 18 months old b) Can sit quietly while the injection is administered c) Is at least 10 years old d) Has been walking for at least a year

a) Is at least 18 months old

Which of the following sites can be used to obtain a blood specimen for a newborn screening test? a) Lateral or medial curve of the plantar surface of the heel b) Lateral surface of the finger c) Earlobe d) Big toe

a) Lateral or medial curve of the plantar surface of the heel

All of the following information is included in a VIS except: a) Lot number of the vaccine b) Publication date of the VIS c) Benefits and risks of the immunization d) Reporting moderate to severe reaction

a) Lot number of the vaccine

Why is it important to develop a rapport with a pediatric patient? a) The child is more likely to be cooperative during procedures b) To prevent inaccurate test results c) To prevent the child from crying d) To reduce pain when an injection is administered

a) The child is more likely to be cooperative during procedures

Assessment of blood pressure should start at age: a) 8 yrs b) 3 yrs c) 2 yrs d) 5 yrs

b) 3 yrs

What is the term for the process of becoming immune through the use of a vaccine or toxoid? a) Passive natural immunization b) Active artificial immunization c) Passive artificial immunization d) Inflammation

b) Active artificial immunization

Which of the following is a guideline for preventing childhood obesity? a) Do not use food as a reward b) All are correct c) Limit the amount of junk food in the home d) Limit television, video, and computer time e) Encourage active play

b) All are correct

How is the vastus lateralis site located in an infant and young child? a) Divide the lateral thigh into thirds and administer the injection into the middle third b) Divide the mid-anterior thigh into thirds and administer the injection into the middle third c) Divide the buttocks into quadrants and administer the injection into the upper outer quadrant d) Divide the upper arm into thirds and administer the injection into the middle third

b) Divide the mid-anterior thigh into thirds and administer the injection into the middle third

If phenylketonuria (PKU) is left untreated, it may lead to: a) Aplastic anemia b) Mental retardation c) Malnutrition d) Spinal curvature

b) Mental retardation PKU is an uncommon congenital hereditary disease caused by a lack of the enzyme phenylalanine hydroxylase. This enzyme is needed to convert phenylalanine, an amino acid, into tyrosine, which is an amino acid needed for normal metabolic functioning.

When might the length of the needle for a pediatric IM injection need to be decreased? a) Infant younger than 12 months of age b) Preterm infant c) Child with an illness d) Overweight child

b) Preterm infant

The child's genitalia should be cleansed before applying a pediatric urine collector to: a) Prevent false-negative test results b) Prevent contaminants from entering the urine specimen c) Ensure adhesion of the urine collector to the skin surrounding the genitalia d) Protect the child from infection

b) Prevent contaminants from entering the urine specimen

How is length measured? a) The child sits in a chair with both feet flat on the floor b) The child lies in a supine position c) The child lies in a prone position d) The child stands with his or her back to the measuring device

b) The child lies in a supine position

All of the following are problems associated with childhood obesity except: a) Skin disorders b) Type 1 diabetes c) Low self-esteem d) High blood pressure

b) Type 1 diabetes Type 1 is congenital, Type 2 is acquired.

What is the term for a suspension of attenuated or killed microorganisms that stimulate antibody production in an individual? a) Antiserum b) Vaccine c) Antitoxin d) Toxoid

b) Vaccine

Which of the following injection sites should be used to administer IM injections to infants and young children? a) Dorsogluteal b) Vastus lateralis c) Ventrogluteal d) Deltoid

b) Vastus lateralis

Topics included in anticipatory guidance include: a) Sleep b) Development c) All are correct d) Safety e) Nutrition

c) All are correct

What is the recommended site for administering a subcutaneous injection to an infant younger than 12 months of age? a) Lateral part of the upper arm b) Lower back c) Anterior thigh d) Lower abdomen

c) Anterior thigh For a child 12 mo or older - lateral part of the upper arm

The newborn screening test does not screen for which of the following diseases? a) Phenylketonuria b) Congenital hypothyroidism c) Cystic fibrosis d) Sickle cell anemia

c) Cystic fibrosis

What immunizations are included in a DTaP injection? a) Dysentery, pertussis, mumps b) Diphtheria, rubella, rubeola c) Diphtheria, pertussis, tetanus d) Diphtheria, polio, tetanus

c) Diphtheria, pertussis, tetanus

The resistance of the body to pathogenic microorganisms or their toxins is known as: a) Contagious b) Immunization c) Immunity d) Inflammation

c) Immunity

After administration of an immunization, the NCVIA requires that all of the following be documented in the medical record except the: a) Date of administration of the vaccine b) Manufacturer and lot number of the vaccine c) Signature of the child's parent or guardian d) Name and address of the medical office

c) Signature of the child's parent or guardian

The techniques used to interact with a child depends on: a) The motor skills of the child b) The weight of the child c) The age of the child d) The head circumference of the child

c) The age of the child

Which of the following is an important reason for weighing a child? a) To determine if the child is deficient in vitamins or minerals b) To compare the child's weight with weights of other children of the same age c) To determine the proper dosage of medication for the child d) To assess the rate of brain growth

c) To determine the proper dosage of medication for the child

What is the purpose of measuring head circumference? a) To assess the nutritional state of the infant b) To determine if normal brain development is taking place c) To screen for microcephaly and macroencephaly d) To determine if the fontanelles are closing properly

c) To screen for microcephaly and macroencephaly

What is the needle length range for a pediatric IM injection? a) 1/2 to 1 1/2 inches b) 1 to 2 inches c) 3/8 to 5/8 inch d) 5/8 to 1 inch

d) 5/8 to 1 inch

Head circumference is measured in: a) Grams b) Microns c) Millimeters d) Centimeters or inches

d) Centimeters or inches

Most invalid test results on a newborn screen test are caused by: a) Warming the puncture site before collecting the specimen b) Improper storage of the blood specimen c) Not wiping away the first drop of blood when collecting the specimen d) Collection of an inadequate amount of the blood specimen

d) Collection of an inadequate amount of the blood specimen

Which of the following immunizations can be administered to a newborn? a) DTaP b) Polio c) MMR d) Hepatitis B

d) Hepatitis B

What immunizations are included in an MMR injection? a) Meningitis, mumps, rubella b) Measles, mumps, chickenpox c) Measles, hepatitis, rubella d) Measles, mumps, rubella

d) Measles, mumps, rubella

What is the name for the physician who specializes in the diagnosis and treatment of disease in children? a) Obstetrician b) Neonatologist c) Podiatrist d) Pediatrician

d) Pediatrician

All of the following are characteristics of the sick-child visit except: a) The provider evaluates the child's condition b) The child is exhibiting the symptoms of disease c) Treatment is prescribed d) The child is cured of his or his illness

d) The child is cured of his or his illness

All of the following are reasons for obtaining a pediatric urine specimen except: a) To screen for the presence of disease b) To evaluate the effectiveness of therapy c) To diagnose a pathologic condition d) To prevent a urinary tract infection

d) To prevent a urinary tract infection

What is the term used to describe a child between 1 and 3 years of age? a) Rug rat b) Infant c) Preschooler d) Toddler

d) Toddler

Which of the following is a characteristic of the newborn screening test? a) Is required in all states by law b) Best time to perform the test is between 1 and 7 days after birth c) Positive results require further testing d) The specimen is placed on a special filter paper e) All are correct

e) All are correct

The most important use of growth charts is to: a) Identify children with type 2 diabetes b) Identify children with prehypertension c) Compare the child's growth with that of other children of the same age. d) All are correct e) Assess the child's individual growth pattern

e) Assess the child's individual growth pattern

Which of the following indicates that the proper cuff size has been selected for a pediatric patient? a) The cuff fits snugly on the child's arm. b) The bladder of the cuff is centered over the antecubital space. c) The cuff is positioned at least 1 inch above the bend in the elbow. d) All are correct e) The bladder of the cuff encircles 80% to 100% of the child's arm.

e) The bladder of the cuff encircles 80% to 100% of the child's arm.

What is the primary use of growth charts? How would you educate a parent on what the growth chart numbers represent? Use examples to aid in your explanation.

The growth chart records the pattern of growth for your child. So if your child is in the 60th percentile for weight and height, that means that your child is heavier and taller than 60% of other children his/her age. Conversely, that also means that 40% of children in the same age group are heavier than your child. Typically, children will follow a relatively consistent growth line, so don't worry so much on where your child falls in terms of percentile. If he/she is in the 15% percentile and maintains that pattern, then the child is likely growing normally. We are really looking for rapid increases or decreases in these measurements that would be a cause for concern; that's when the doctor would investigate further

Which of the following is required by the NCVIA before an immunization is administered? a) The parent must be provided with information on the benefits and risks of the immunization b) The parent must sign a consent form c) The vaccine label must be checked three times d) The child must be promised a sticker after the injection

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

The length of the needle used to administer an intramuscular injection to a child depends on: a) The size of the child b) The amount of medication being administered c) The age of the child d) Whether the child is walking

a) The size of the child

All of the following are used in determining if a child has hypertension except: a) Weight b) Gender c) Age d) Height

a) Weight