NR-602 Primary Care of the

Childbearing & Childrearing Family

Practicum

Midterm Exam

1. Role-play with equipment during the course of a physical examination would be most

beneficial with which of the following groups?

- Preschoolers/Toddlers

2. What is the Ortolani Sign?

-Assess for congenital hip dysplasia

3. When performing a physical examination of a toddler, which of the following body

parts would examine last?

- Ears and throat

4. What are three findings using Jones criteria for Rheumatic Fever?

-Streptococal infection, carditis, and erythema marginatum

5. While examining a 4-month-old boy, you are unable to palpate one of his testes. The

next most appropriate step is:

- Refer the child to a urologist

6. Concurrent Otitis media and Conjunctivitis is likely due to which?

- Haemophilus influenza

7. What is the appropriate management of a child with asthma who presents with acute

wheezing and/or coughing?

- Administer a short-acting beta agonist

8. Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her

face above the right nares. She has a history of having a bad scratch in the same area

several days ago. What condition do you suspect?

-Impetigo

9. The most appropriate management of a 5-year old with a firm nontender nodule in

the mid-upper eyelid for 3 weeks would be:

-Topical ophthalmic ointment

10. A 10-month-old child has been diagnosed with gastroenteritis. He attends a child

care facility. What is the most likely cause of illness?

-Rotavirus

11. If a child or any patient describes a “pop” in the knee. What is this indicative of?

- Anterior cruciate ligament tear

12. A 7-year-old African American female presents with several hyperkeratotic raised,

periungual lesions on the two middle fingers of her left hand. She has a history of nail

biting. The most likely diagnosis is:

- Verruca vulgaris

13. Management of scoliosis depends on the severity of curve as well as the age of the

child. Which of the following would require surgical intervention?

- Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees.