The primary care nurse practitioner is performing a well child examination on a school-age child who had complete repair of a tetralogy of Fallot defect in infancy. Which of these is most important in this child’s health maintenance regime?

The primary care nurse practitioner performs a well child examination on a 12-month-old child who had repair of a congenital heart defect at 8 months of age. The child has a normal exam. The parent reports that the child is not taking any medications. The nurse practitioner will contact the child’s cardiologist to discuss whether the child needs which medication?

An infant with trisomy 21 has a complete AV canal defect. Which finding, associated with having both of these conditions, will the primary care pediatric nurse practitioner expect?

A 15-year-old female reports fainting at school in class on two occasions. The adolescent’s orthostatic blood pressures are normal. The primary care nurse practitioner suspects a cardiac cause for these episodes and will order which tests before referring her to a pediatric cardiologist?

A 4-year-old child is diagnosed with community-acquired pneumonia and will be treated as an outpatient. Which antibiotic will the primary care nurse practitioner prescribe?

An adolescent has suspected infectious mononucleosis after exposure to the virus in the past week. The primary care pediatric nurse practitioner examines the adolescent and notes exudate on the tonsils, soft palate petechiae, and diffuse adenopathy. Which test will the primary care nurse practitioner perform to confirm the diagnosis?

A 4-year-old child with an upper respiratory tract infection has cloudy nasal discharge and moderate nasal congestion interfering with sleep. The parent asks what product to use to help with symptoms. What will the primary care pediatric nurse practitioner recommend?

An unimmunized school-age child whose mother is in her first trimester of pregnancy is diagnosed with rubella after a local outbreak. What will the primary care nurse practitioner recommend?

A 13-year-old Native American female has a BMI at the 90th percentile for age. The primary care pediatric nurse practitioner notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies polydipsia, polyphagia, and polyuria. The nurse practitioner will

The primary care nurse practitioner sees a 12-month-old infant who is being fed goat’s milk and a vegetarian diet. The child is pale and has a beefy-red, sore tongue and oral mucous membranes. Which tests will the nurse practitioner order to evaluate this child’s condition?

A 2-year-old child who has Sickle Cell Anemia (sickle cell disease) comes to the clinic with a severe cough, difficulty breathing, and a fever of 102.5°C. The child currently takes penicillin V prophylaxis 125 mg orally twice daily. What will the primary care nurse practitioner do to best care for this child?

The primary care nurse practitioner is managing care for a child diagnosed with iron-deficiency anemia who had an initial hemoglobin of 8.8 g/dL and hematocrit of 32% who has been receiving ferrous sulfate as 3 mg/kg/day of elemental iron for 4 weeks. The child’s current lab work reveals elevations in Hgb/Hct and reticulocytes with a hemoglobin of 10.5 g/dL and a hematocrit of 36%. What is the next step in management of this patient?

A 3-day-old infant has a total serum bilirubin (TSB) level of 15.7 mg/dL after having a TSB of 10.8 mg/dL 24 hours prior. The infant nursed 8 times, had 7 wet diapers, and passed 4 stools in the past 24 hours. What is the indicated treatment for this infant?

A 5-day-old infant who was delivered at home has abdominal distension and poor feeding. The mother is worried that the infant is constipated because he didn’t have a first stool until yesterday and has only passed a small amount of meconium. On exam the infant is irritable with marked abdominal dissension. What will the primary care pediatric nurse practitioner do?

The parent of a 2-week-old infant reports that the infant was diagnosed with transient tachypnea of the newborn shortly after birth. The primary care nurse practitioner understands that, in this condition,

The parent of a toddler with Trisomy 21 is concerned about cancer and asks the primary care nurse practitioner which cancer is most common in children. What will the NP respond?

A 12-month-old infant who had cardiopulmonary bypass with RBC and plasma infusions during surgery at 8 months is seen for a well child examination. Which of these vaccines may be administered at this visit?

A school-age child with moderate atopic dermatitis that has been poorly managed presents with many areas of erythema, lichenification, excoriation, and dryness to the body. The NP understands that the most important component of this child's skin exacerbations and long-term management is going to be what?

The primary care NP is seeing a 5-day-old infant for a weight check follow up after the newborn visit. The only concern mom states is that the infant does not seem to be feeding well and seems tired "all the time." The infant has not gained any weight since 2 days prior and on exam the NP notes poor muscle tone, mild tachypnea, and cool extremities. What will be the most helpful diagnostic studies to evaluate this infant?