Review Practice Exercise 1

Health Supervision In Children > Child Health

Exam Review

Practice Exercise 1

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Total Questions : 2

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Question 1:

A child who was recently adopted internationally presents for their first health supervision visit. The nurse should be most concerned with:

A. Social and behavioral problems B. Language barriers C. Incomplete immunization records and potential infectious diseases D. The child's diet and nutritional status

Answer and Explanation

Choice A:

Social and behavioral problems may occur, especially with attachment and adjustment, but they are not immediately life-threatening and can be addressed after urgent infectious disease concerns are managed.

Choice B:

While language barriers may impact communication and school readiness, they do not pose an urgent health risk; interpreters and language support can be arranged as part of long-term care.

Choice C:

Incomplete immunization records and potential infectious diseases is the most urgent concern because it poses immediate public health and personal health risks. The nurse should initiate serologic testing for vaccine-preventable diseases, perform screenings for tuberculosis, hepatitis, HIV, and parasites, and plan catch-up immunizations according to CDC guidelines. Early detection prevents complications and protects others

Choice D:

Nutritional deficiencies such as iron and vitamin D are common in international adoptions and should be addressed, but they are typically less urgent than communicable disease control.

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Question 2:

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

Answer and Explanation

Choice A:

An urgent care center provides episodic, short-term treatment for acute illnesses or injuries, not ongoing comprehensive care.

Choice B:

A primary care pediatric practice provides continuity of care, maintains complete health records, and coordinates referrals to specialists. It fosters an ongoing relationship between the family and healthcare providers, which is central to the medical home concept.

Choice C:

A mobile outreach immunization program delivers a specific preventive service but does not coordinate or manage overall healthcare needs.

Choice D:

A dermatology practice focuses on a single specialty; does not provide comprehensive primary care or coordinate all aspects of a patient’s health.

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Total Questions : 2

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Practice Exercise 1

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