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A mother brings her 6-year-old son in because he is having problems with nocturnal enuresis and reports he has never been totally dry at night. She is concerned that he is just not trying and wants to know what can be done. How should the nurse practitioner respond?

An 11-year-old female presents to clinic after experiencing difficulty sleeping, weight loss, and increased bowel movements. On physical examination, there is hair thinning, palpable thyroid, tachycardia, and increased deep tendon reflexes. Which laboratory results are expected with these physical findings?

In Legg-Calve-Perthes disease, which of the following signs and symptoms are seen?

A 9-year-old boy has 24 hours of fever, persistent abdominal pain and vomiting. His physical exam reveals abdominal guarding and right lower quadrant rebound tenderness. Which of the following is the most likely diagnosis?

An 11-year-old male presents to pediatric urgent care with a chief complaint of right hip pain upon ambulation. On exam, he has pain on passive range of motion of the right hip, external rotation during hip flexion, and a limp when ambulating. Which of the following is the next best step in this child’s management?

The initial attack of acute rheumatic fever is preceded by:

The mother of a 7-year-old girl brings her child to clinic. She tells the provider she has noticed her daughter has pubic hair growth and breast buds over the last month. Physical exam reveals genitalia and breasts at Tanner stage 3. Which diagnostic findings would be congruent with these history and physical findings?

A 5-year-old child is brought to the clinic. The caregiver reports the child has been lethargic and has had a low-grade fever for about 2 weeks. Physical examination reveals no significant findings other than pallor and lymphadenopathy. A complete blood count reveals decreased hematocrit, neutropenia, and thrombocytopenia. What action should the nurse practitioner take next? 

The nurse practitioner is seeing a 10-month-old female for her first urinary tract infection. She presented with a fever and foul-smelling urine. Her urine culture results reveal E. coli. What should be included in the plan of care for the child at this visit?

An 8-year-old male presents to clinic for a routine health exam. His growth chart is attached for review. His father is 5 ft. 4 in. and his mother is 5 ft. 1 in.. His health history and physical exam are unremarkable. He had a radiograph of the left wrist which shows a bone age equal to his chronological age. Which of the following is the most appropriate next step in his care?