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The clinician is performing a developmental assessment of a 2-week-old infant. Which finding is concerning?  

The primary care nurse practitioner evaluates a child who awoke with a sore throat and high fever after a nap. The child appears anxious and is sitting on the parent’s lap with the neck hyperextended. The physical exam reveals stridor, drooling, nasal flaring, and retractions. Given this presentation, what is the appropriate next step?  

The clinician is seeing an 10-month-old child with pruritic erythematous patches on both cheeks (see image). The child’s skin is noted to be dry and chapped. What is the most likely diagnosis?  

A parent reports that 3 weeks ago his three and a half year old daughter has started stuttering when she speaks. Her physical exam is normal and through and questioning you discover that there are no associated signs or symptoms such as grimacing, tics or extreme self-consciousness. What is the most appropriate action step in this situation?  

At what age would the first discussion regarding home safety be a priority with a parent; in particular addressing gates on stairs, falls, and electrical outlet covers?    

A child has been under treatment for attention-deficit hyperactivity disorder (ADHD). No response has occurred with behavioral interventions. Which of the following categories of medication should this patient be given?  

As a member of the community obesity coalition program, you are asked to give a talk on childhood obesity. The coalition wants information about appropriate amounts of TV for the pediatric population. Which of the following is the best recommendation?    

A child has an acute infection causing lower airway obstruction. Which initial symptom is expected in this child?  

Which of the following is true of the IUD (intrauterine device)?    

The mother of an 8-year old girl asks you when she should expect her child to begin puberty. You respond that it usually occurs within a standardized age range among boys and girls in the United States. Of the following choices, the best estimation for the age range during which puberty occurs is: