A father calls your office to report his 2 year old child tripped and hit his head on the sidewalk. Which of the following symptoms reported by the father would require that his son be seen in the emergency room?
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An active 12 year old has pain in the knee. The pain increas…
An active 12 year old has pain in the knee. The pain increases with activity and is relieved with rest. You suspect Osgood-Schlatter disease and recommend:
A young adolescent reports chest pain associated with coughi…
A young adolescent reports chest pain associated with coughing and lifting. Physical examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart, lungs, and abdomen are normal. There is no history of injury. What will the primary care pediatric nurse practitioner do?
Stress responses that lead to changes in brain architecture…
Stress responses that lead to changes in brain architecture are most likely secondary to events such as
A parent is concerned that a 12-month-old child is “bow-legg…
A parent is concerned that a 12-month-old child is “bow-legged.” A physical examination reveals internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse practitioner?
A 10-year-old child has a 1-week history of fever of 104°C t…
A 10-year-old child has a 1-week history of fever of 104°C that is unresponsive to antipyretics. The primary care pediatric nurse practitioner examines the child and notes bilateral conjunctival injection and a polymorphous exanthema, with no other symptoms. Lab tests show elevated ESR, CRP, and platelets. Cultures are all negative. What will the nurse practitioner do?
An essential test in the evaluation of a 2 year old with sus…
An essential test in the evaluation of a 2 year old with suspected Kawasaki disease is:
An apparently healthy child, who is enrolled in Head Start,…
An apparently healthy child, who is enrolled in Head Start, is supected of having developmental delays based on results of screenings done at two separate clinic visits. The most appropriate next step would be to:
What will the primary care pediatric nurse practitioner elic…
What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow maneuver when screening for developmental dysplasia of the hip?
The most common rheumatoid condition of childhood is:
The most common rheumatoid condition of childhood is: