Chapter 31 Ricci
Which facility fulfills the characteristics of a medical home? *A.* An urgent care center *B.* A primary care pediatric practice *C.* A mobile outreach immunization program *D.* A dermatology practice
*B.* A primary care pediatric practice
An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a bell during his examination. You review all his birth records and find no documentation that a newborn hearing screening was performed. What is the best action by the nurse? *A.* Do nothing; responding to the bell proves the infant does not have a hearing deficit. *B.* Schedule the infant immediately for newborn hearing screening. *C.* Ask the mother to observe for signs that the infant is not hearing well. *D.* Screen again with the bell at the infant's 2-month health supervision visit.
*B.* Schedule the infant immediately for newborn hearing screening.
A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child's visual acuity? *A.* Snellen *B.* Ishihara *C.* Allen figures *D.* CVTME
*C.* Allen figures
During the health interview, the mother of a 4-month-old says, "I'm not sure my baby is doing what he should be." What is the nurse's best response? *A.* I'll be able to tell you more after I do his physical. *B.* Fill out this developmental screening questionnaire and then I can let you know. *C.* Tell me more about your concerns. *D.* All mothers worry about their babies. I'm sure he's doing well.
*C.* Tell me more about your concerns.
A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not brought a copy of the child's immunization record but believes she is fully immunized: "She had immunizations 3 months ago at the local health department." Which would be the best action by the nurse? *A.* Ask the mother to bring the records to the 18-month health supervision visit. *B.* Start the "catch-up" schedule because there are no immunization records. *C.* Keep the child at the facility while the mother returns home for the records. *D.* Call the local health department and verify the child's immunization status.
*D.* Call the local health department and verify the child's immunization status.
