Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 5 — Questions and Answers
Question 1: A nurse is providing anticipatory guidance to the parents of a 15-month-old. Which injury prevention topic is MOST important at this developmental stage?
- Drowning prevention and pool fencing (Correct answer)
- Firearm safety in the home
- Trampoline safety
- Teen driver safety
Correct answer: Drowning prevention and pool fencing
Drowning is a leading cause of unintentional injury death in children ages 1–4, making water safety and pool fencing critical anticipatory guidance topics at this age.
Question 2: Which statement by a parent indicates understanding of safe sleep practices for their 2-month-old?
- 'I put my baby on their side so they won't choke if they spit up.'
- 'I place my baby alone, on their back, in their own crib with a firm mattress.' (Correct answer)
- 'I keep my baby warm at night by adding a loose blanket in the crib.'
- 'My baby sleeps in our bed so I can feed them more easily at night.'
Correct answer: 'I place my baby alone, on their back, in their own crib with a firm mattress.'
Placing an infant alone, on their back, on a firm surface in their own sleep space follows AAP Safe Sleep guidelines to reduce SIDS risk.
Question 3: At which well-child visit should universal autism spectrum disorder (ASD) screening using a validated tool such as the M-CHAT-R/F be performed?
- 9-month and 12-month visits
- 15-month and 24-month visits
- 18-month and 24-month visits (Correct answer)
- 30-month and 36-month visits
Correct answer: 18-month and 24-month visits
The AAP recommends standardized ASD-specific screening with the M-CHAT-R/F at the 18-month and 24-month well-child visits.
Question 4: A 7-year-old child has a BMI at the 97th percentile. The nurse should initially recommend which intervention?
- A very low-calorie diet to achieve rapid weight loss
- Bariatric surgery referral
- Increased physical activity and reduced intake of sugar-sweetened beverages (Correct answer)
- Prescription weight-loss medication
Correct answer: Increased physical activity and reduced intake of sugar-sweetened beverages
First-line management of childhood obesity includes lifestyle interventions such as increased physical activity and reduced consumption of sugar-sweetened beverages.
Question 5: Which statement best describes the purpose of the Edinburgh Postnatal Depression Scale (EPDS) in pediatric primary care?
- It screens infants for depressive symptoms at well-child visits
- It screens mothers for postpartum depression during well-infant visits (Correct answer)
- It assesses the child's emotional development at school age
- It evaluates paternal bonding with the newborn
Correct answer: It screens mothers for postpartum depression during well-infant visits
The EPDS is used during well-infant visits to screen mothers for postpartum depression, which directly affects infant health and development.
Question 6: A nurse is teaching a group of parents about adolescent health promotion. Which behavior has been shown to most significantly reduce adolescent mortality?
- Annual influenza vaccination
- Regular STI screening
- Consistent use of seatbelts (Correct answer)
- Daily physical activity
Correct answer: Consistent use of seatbelts
Motor vehicle crashes are the leading cause of death among adolescents in the US, and consistent seatbelt use is the most effective preventive behavior.
Question 7: During a 2-week newborn visit, a breastfeeding mother reports her baby has had only 4 wet diapers in the past 24 hours. The nurse's priority action is to:
- Reassure the mother that 4 wet diapers is normal at this age
- Assess the infant's weight, feeding frequency, and latch technique (Correct answer)
- Advise the mother to supplement with formula immediately
- Schedule a follow-up in 2 weeks to re-evaluate
Correct answer: Assess the infant's weight, feeding frequency, and latch technique
A newborn should have at least 6 wet diapers per day by day 4–5 of life; fewer diapers suggest inadequate intake requiring a thorough feeding assessment.
Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 5
A nurse is providing anticipatory guidance to the parents of a 15-month-old.
Which injury prevention topic is MOST important at this developmental stage?