A 2-year-old child is unable to kick a ball. The nurse practitioner would consider this finding:

normal.

suggestive of a developmental delay.

a sign of autism.

a potential indicator of vision problems.

Answer and Explanation

The Correct Answer is B

Rationale:
A. By age 2, most children are typically able to perform gross motor skills such as kicking a ball.
B. Inability to kick a ball at this age may suggest a gross motor developmental delay. This finding warrants further assessment of overall motor development and may indicate the need for early intervention services.
C. While motor delays can be associated with autism, inability to kick a ball alone is not a specific sign of autism spectrum disorder.
D. Vision problems may affect coordination, but gross motor delays like difficulty kicking are more directly linked to neuromuscular or developmental issues.

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Correct Answer is C

Explanation

Rationale:
A. Polycystic ovarian syndrome (PCOS) typically causes secondary amenorrhea, not primary amenorrhea, as menstruation usually begins normally.
B. Hyperprolactinemia can lead to secondary amenorrhea by disrupting the hypothalamic-pituitary-ovarian axis.
C. Turner's syndrome, a chromosomal disorder (45,X), is a common cause of primary amenorrhea due to gonadal dysgenesis, resulting in absent or delayed puberty.
D. Ovarian failure usually leads to secondary amenorrhea after menarche, rather than primary amenorrhea.

A. withdraw from the track team. B. limit sexual intercourse to twice a month. C. avoid eating undercooked steaks. D. limit her weight gain to 15 pounds.

Correct Answer is C

Explanation

Rationale:
A. Withdrawal from physical activity such as track is not necessary for a healthy, uncomplicated pregnancy; regular exercise is encouraged.
B. Limiting sexual intercourse is not routinely required in a normal pregnancy unless there are complications.
C. Avoiding undercooked steaks and other undercooked meats is important to reduce the risk of foodborne infections, particularly Toxoplasma gondii and other pathogens, which can be harmful to the developing fetus.
D. Weight gain should not be limited to 15 pounds; recommendations vary based on pre-pregnancy BMI, and restricting weight gain unnecessarily may be harmful.

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A 2-year-old child is unable to kick a ball. The nurse practitioner would consider this finding:

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Naxlex Comprehensive Predictor Exams

Primary amenorrhea may be attributed to:

Correct Answer is C

Explanation

A healthy 17-year-old patient was informed that she is 8 weeks pregnant. The nurse practitioner should instruct the adolescent to:

Correct Answer is C

Explanation

An adolescent was diagnosed with primary syphilis. He has no known drug allergies. The most appropriate treatment would be:

A 16-year-old patient diagnosed and treated for chlamydia infection should return for retesting:

An adolescent was recently diagnosed with generalized anxiety disorder (GAD). When discussing the medication treatment plan, the nurse practitioner should inform the adolescent that:

The most important factor used to determine the rate of fluid replacement in a child after establishing the degree of dehydration should be the:

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A pregnant adolescent female is diagnosed with iron deficiency anemia and treated with elemental iron. To determine the effectiveness of the supplementation, the nurse practitioner instructs the adolescent to return:

In a fully developed term infant, at age 6 weeks the nurse practitioner should expect the triangular-shaped posterior fontanel to be:

A whitish covering on an infant's tongue that cannot be wiped away is consistent with: