Question 110 pts
A 10-month-old infant is playing with a toy, moving it from hand to hand, in the presence of their caregiver. The caregiver takes the toy and, with the infant watching, places it under a cloth. The infant then actively searches for the hidden toy. What major cognitive milestone is the infant currently demonstrating?
Group of answer choices
Object permanence
Fine motor coordination
Gross motor skills
Pincer grasp
Question 210 pts
A 55-year-old patient presents with a petechial rash on their hands and feet that has been spreading inward. They also have a low white blood cell count, low platelet count, and low sodium levels. The patient reports a severe headache and retroorbital eye pain. What is the most appropriate initial step in managing this patient?
Group of answer choices
Begin doxycycline therapy
Perform serologic testing for a likely infectious disease.
Start antiviral treatment
Administer broad-spectrum antibiotics
Question 310 pts
A 4-year-old girl presents to the clinic for a routine check-up. The nurse practitioner reviews her growth chart and notes a consistent pattern over the past year. Which of the following best represents a normal growth pattern for a child of this age over a one-year period?
Group of answer choices
Gains 3-5 pounds and grows 2-3 inches
Gains 15 pounds and grows 10 inches
Gains 1-2 pounds and grows less than 1 inch
Gains 8 pounds and grows 5-6 inches
Question 410 pts
A mother brings her newborn for the initial visit and expresses concern about certain movements her baby exhibits. Which of the following is considered a normal reflex in a full-term newborn?
Group of answer choices
When the baby’s palm is stroked, the infant extends his or her fingers
In response to a loud noise, the baby extends the arms and then pulls them back
The baby curls its fingers when the top of the head is touched
When the baby’s cheek is stroked, the infant turns away from the side of the stimulation
Question 510 pts
A 6-month-old infant presents for a well-child checkup. The nurse practitioner notes that the infant’s weight has tripled since birth, and the infant is able to sit unsupported and babble consonant-vowel combinations. Which of the following statements regarding the infant’s growth and development is most accurate?
Group of answer choices
The infant’s developmental milestones are significantly delayed for their age.
The infant’s weight gain and developmental milestones are within normal limits.
The infant’s weight gain is slower than expected, and further evaluation is needed.
The infant’s weight gain is excessive, indicating potential health concerns.
Question 610 pts
A 4-year-old preschooler is brought to the clinic by their parent, who reports that the child frequently mispronounces words and has difficulty with certain speech sounds. After conducting an initial assessment, which includes listening to the child speak, observing their pronunciation, and asking the child to say specific words or sentences, the nurse practitioner agrees that the child has not reached normal language milestones. Which of the following is an appropriate action for the NP to take?
Group of answer choices
Refer the child to a speech therapist for immediate intervention.
Reassure the parent that speech difficulties are common at this age and suggest monitoring the child’s progress.
Recommend hearing tests to rule out hearing impairment.
Order a comprehensive neuropsychological evaluation.
Question 710 pts
A 60-year-old patient presents with pain, stiffness, and swelling in the hand joints. Examination reveals tenderness and swelling of several of the DIP joints with the presence of Heberden’s nodes (i.e., bony outgrowths at the distal interphalangeal [DIP] joints) in a few fingers. The patient reports stiffness in the joints that worsens after using them. What feature is more indicative of osteoarthritis (OA) rather than rheumatoid arthritis (RA) in this patient?
Group of answer choices
Symmetrical involvement of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints
Soft and tender joint swelling
Morning stiffness lasting for hours
Presence of Heberden’s nodes
Question 810 pts
A 16-year-old girl is being seen in the clinic. The nurse practitioner notes that she is able to think about abstract concepts, is concerned about future plans, and is able to generate multiple possible solutions to problems. This represents which of the following stages of cognitive development?
Group of answer choices
Sensorimotor stage
Formal operational stage
Preoperational stage
Concrete operational stage
Question 910 pts
Which of the following best describes the typical cognitive milestones for a 10-year-old?
Group of answer choices
They fully understand all abstract concepts
Their metacognition is fully developed
They rely solely on sensory and motor experiences
They primarily think in concrete operational terms
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Question 1010 pts
The mother of a 3-year-old child should be justifiably concerned about their child’s development if they…
Group of answer choices
… cannot pedal a tricycle.
… cannot think logically.
… do not gain weight as fast as in their first year of life.
… cannot spell out simple words.
Solution:
Question 110 pts
A 10-month-old infant is playing with a toy, moving it from hand to hand, in the presence of their caregiver. The caregiver takes the toy and, with the infant watching, places it under a cloth. The infant then actively searches for the hidden toy. What major cognitive milestone is the infant currently demonstrating?
Group of answer choices
Object permanence
Fine motor coordination
Gross motor skills
Pincer grasp
Question 210 pts
A 55-year-old patient presents with a petechial rash on their hands and feet that has been spreading inward. They also have a low white blood cell count, low platelet count, and low sodium levels. The patient reports a severe headache and retroorbital eye pain. What is the most appropriate initial step in managing this patient?
Group of answer choices
Begin doxycycline therapy
Perform serologic testing for a likely infectious disease.
Start antiviral treatment
Administer broad-spectrum antibiotics……