A 12-year-old female is in clinic with her mother for her we…

A 12-year-old female is in clinic with her mother for her well child exam. Mom is trying to be pro-active in discussing menstrual cycles with her daughter and asks you when you think she will start to have periods. With your knowledge about the Tanner Sexual Maturity Rating and Growth and Development, what is the most accurate thing to tell mom regarding her daughter’s period starting?  

A non-toilet trained infant is brought into the clinic for a…

A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?

A 2-year-old who had a history of a fever for the last 1 day…

A 2-year-old who had a history of a fever for the last 1 day is at daycare and has what the daycare teacher describes as a seizure. She reports the seizure lasted about 3 minutes and there has not been any recurrent seizure activity. The child is brought to the clinic by the parent; neurologically the patient appears normal. Body temperature is 99.9 degrees after receiving ibuprofen. On exam, you notice a reddened, erythematous, bulging right TM. How should the nurse practitioner manage this?