Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 4 — Questions and Answers
Question 1: A school-age child is being seen for a well-child visit. The nurse notes the child's blood pressure is at the 96th percentile for age, height, and sex on three separate visits. This finding is consistent with:
- Normal blood pressure
- Elevated blood pressure
- Stage 1 hypertension (Correct answer)
- Stage 2 hypertension
Correct answer: Stage 1 hypertension
A blood pressure reading at the 95th–99th percentile on three occasions meets the criteria for Stage 1 hypertension in children.
Question 2: Which screening is recommended by the AAP at the 9-month, 18-month, and 30-month well-child visits?
- Vision screening
- Developmental/behavioral surveillance and screening (Correct answer)
- Hearing screening
- Autism-specific screening
Correct answer: Developmental/behavioral surveillance and screening
Developmental and behavioral surveillance is recommended at every well-child visit, with standardized screening at 9, 18, and 30 months.
Question 3: A nurse is educating parents about media use. According to the AAP, what is the screen time recommendation for children ages 2–5 years?
- No screen time is allowed
- Less than 1 hour per day of high-quality programming (Correct answer)
- Up to 2 hours per day
- Screen time is not regulated for this age group
Correct answer: Less than 1 hour per day of high-quality programming
The AAP recommends limiting screen time to less than 1 hour per day of high-quality programs for children ages 2–5, with co-viewing encouraged.
Question 4: Which dietary recommendation is appropriate for a healthy 12-month-old transitioning from formula or breast milk?
- Switch to skim (fat-free) milk to prevent obesity
- Introduce whole cow's milk as the primary milk source (Correct answer)
- Continue formula until age 2 years
- Introduce 2% low-fat milk as the primary milk source
Correct answer: Introduce whole cow's milk as the primary milk source
Whole cow's milk is recommended for children ages 1–2 years because dietary fat is essential for brain development at this age.
Question 5: A 4-year-old refuses to eat vegetables and only wants a few preferred foods. The nurse's best guidance to the parents is:
- Force the child to eat at least one vegetable at every meal
- Allow the child to eat only preferred foods to prevent mealtime conflict
- Use the division of responsibility: parents decide what is offered, child decides whether to eat (Correct answer)
- Offer rewards such as dessert in exchange for eating vegetables
Correct answer: Use the division of responsibility: parents decide what is offered, child decides whether to eat
Ellyn Satter's Division of Responsibility in Feeding is evidence-based: parents are responsible for what, when, and where; children decide whether and how much to eat.
Question 6: Which finding on a newborn physical examination requires the nurse to notify the provider immediately?
- Caput succedaneum
- Absent red reflex in one eye (Correct answer)
- Epstein pearls on the palate
- Mongolian spot on the sacral area
Correct answer: Absent red reflex in one eye
An absent red reflex can indicate congenital cataracts, retinoblastoma, or other serious ocular conditions requiring urgent evaluation.
Question 7: A nurse is counseling a parent about introducing peanut-containing foods to a 4-month-old with severe eczema and egg allergy. The correct guidance is:
- Avoid all peanut products until age 5 to prevent allergy
- Introduce peanut products at home without prior testing
- Refer to an allergist for evaluation before peanut introduction (Correct answer)
- Wait until 12 months then introduce under physician supervision
Correct answer: Refer to an allergist for evaluation before peanut introduction
For infants with severe eczema and/or egg allergy, NIAID guidelines recommend evaluation by an allergist before introducing peanut-containing foods.
Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 4
A school-age child is being seen for a well-child visit.
The nurse notes the child's blood pressure is at the 96th percentile for age, height, and sex on three separate visits.
This finding is consistent with: