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Young school-age children can be extremely modest and embarrassed and resist taking off their clothes Young children with bacterial conjunctivitis may be treated with topical antibiotic drops. Culturing the Young children should have three meals and two nutritious snacks each day. The parents' young child fight frequently about finances. The parents state that they do not fight in front of the years. An initial "wait and see" approach is acceptable. If itching is severe, the risk is autoinoculation and years of age. years after that. Folic acid supplementation is often used for adults but not for children unless there is a years after placement, they should be removed by the otolaryngology surgeon. year-old child. How will the nurse practitioner begin the exam? year-old child. At a well child visit, the child reports not using the medication on a regular basis. year-old child who has Down syndrome. What will the nurse practitioner tell the parents about year-old child who ask what kinds of activities are developmentally appropriate for their child. What yearly ophthalmologic follow-up. Less frequent follow-up is required for children with ROP who did not Xylitol has been demonstrated to prevent and control tooth decay when used from 3 to 7 times daily, with Wrestlers often try to lose weight rapidly prior to wrestling matches to put themselves into a lower weight worsen and stones are not passed. Percutaneous removal of renal calculi and referral to nephrology may worries that he will have difficulty in school if he can't participate in a variety of sports. What will the worn but do not prevent injury. Stretching should be done after warming up to maintain flexibility. world. Toddlers learn by doing and need to experiment to gain mastery over the environment. It world population in economic, political, technological, and sociocultural terms. The intrapersonal domain workup to evaluate potential causes. Prostaglandin synthetase inhibitors, OCPs, and TENS are useful to workup for children with cyclic vomiting syndrome. Anti-migraine medications are used in children over
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work to attain a healthy weight, which should allow normal periods to return and reduce this risk. Even women, and is not generally used in adolescents because of irregular bleeding and higher failure rates. without signs of infection or bacteriuria, and the primary care pediatric nurse practitioner diagnoses without restricting the history is the initial focus. without facial weakness. without clinical improvement. The initial treatment is amoxicillin 45 mg/kg/day. The higher dose is used without a cardiology evaluation. Low-intensity sports are recommended for children with moderate AS. withdrawn. Trauma or violence to the self or to others can contribute to spiritual distress. The withdrawal symptoms associated with tobacco cessation are uncomfortable, but the PNP can suggest withdrawal are temporary or normal does not reframe the perception. Suggesting exercise may be with worldwide climate change is : with topical antifungal creams; therefore, it is not necessary to fluoresce the lesions, culture the lesions, or with the lowest possible potency. Lotions have a lower potency than ointments and creams. Fluorinated with stage 2 hypertension should have more aggressive laboratory evaluation, including CBC, ESR, UA, with severe AS should avoid sports to prevent sudden death. The PNP should not clear the child for sports with rubella after a local outbreak. What will the primary care pediatric nurse practitioner with rubella after a local outbreak. What will the primary care pediatric nurse practitioner with role performance problems feel incompetent and are hesitant to try new things or become with radiation to the neck, LLSB, and apex. PDA has a machinery-like murmur. Tricuspid atresia is with radiation to the neck, LLSB, and apex. PDA has a machinery-like murmur. Pulmonic stenosis may with parents given instructions about when and why to notify the provider. Analgesia is essential so that with others. - ansANS: C with Osgood-Schlatter disease (OSD). Management involves rest and ice and sometimes NSAIDs. with oral rehydration solution with good follow-up. Anti-diarrheal medications are generally not useful,
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wish to improve athletic ability. These findings are not concerning for alcohol or tobacco use. Voice will the primary care pediatric nurse practitioner tell the parent? will the primary care pediatric nurse practitioner tell the parent? will the primary care pediatric nurse practitioner prescribe? will the primary care pediatric nurse practitioner manage this condition? will the primary care pediatric nurse practitioner do? will the primary care pediatric nurse practitioner do? will the pediatric nurse practitioner employ to ensure the success of such a program? will the nurse practitioner suggest? will the nurse practitioner recommend? will the nurse practitioner recommend? will the nurse practitioner recommend? will the nurse practitioner recommend to promote healthy nutrition? will the nurse practitioner do? will the nurse practitioner do? will the nurse practitioner do? will the nurse practitioner do? will get a wrestling scholarship for college, his father remarks that his grades will never be good will be of most benefit? widely performed. "Natural" does not mean "safe." There are many drug-supplement whose newborn metabolic screen is positive for galactosemia. The nurse practitioner refers whose mother is present during the history. The mother expresses concern that her daughter wishes to whose mother is 17 years old. The mother states that she is living with her parents and plans to finish who is nursing well, according to the mother. The nurse practitioner notes that the infant weighed who is nursing exclusively. The mother reports that the infant has had a marked decrease in the who is concerned about being gay may not be ready to come out to his parents. who has had three viral respiratory illnesses causing bronchiolitis. The child's parents both who has had several hospitalizations for bronchitis and wheezing. The parent reports that who has asthma and learns that one of the child's parents smokes around the child in spite of being who has achieved early sexual maturation. The mother reports that she spends more time with her
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who exhibits athetosis and poor weight gain in spite of receiving high-calorie formula to supplement who chalks up the conflict with her mother related to her premenstrual mood swings does not see her own who are immunocompromised, or those who have an increased risk for myocarditis. Superficial wounds who are immunocompromised, or those who have an increased risk for myocarditis. Superficial wounds white blood cell values and recognizes a "left shift" because of While small studies have shown promise in treating colic in infants, the research is contradictory and While shortness of breath may indicate several more benign causes, athletes who exhibit this symptom While parents should be taught not to purchase a secondhand helmet, using a fairly new, undamaged while observing for facial grimacing. Older children can bend at the waist to touch the toes to elicit the While it is true that early maturing females may join an older group of peers to feel that they fit in, the While an RADT has a high specificity, it has variable sensitivity, and a negative test does not mean that which, according to the other physical findings, is most likely. If hyperinsulinemia is present, referral to a which vaccine will be ordered? which vaccine will be ordered? Which tool will the nurse practitioner use to estimate reading level? which this child has been shown to have, as well as the psychosocial-cultural environment to which thickened and inflamed. What will the primary care pediatric nurse practitioner do? which the testis does not descend on its own (parental reassurance would not be appropriate). Teaching Which tests will the nurse practitioner order to evaluate this child's condition? Which test will the nurse practitioner order? Which supplement will the primary care pediatric nurse practitioner caution the adolescent to Which response by the pediatric nurse practitioner demonstrates an understanding of client-centered Which part of the family history raises concerns about potential child maltreatment? which parents and adults love and care for their children. It is not necessary to be explicit but to establish which nutrients may this adolescent need to supplement?
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When fluorescein stain is applied and the entire cornea appears cloudy, it means that there is too much of When discussing developmental delays with parents, it is important to be positive and to initially focus on When developmental screening indicates an infant is not progressing at the expected rate, additional when children think that one type of thing can only be called by one name. All dogs are dogs when children see things only as they relate to themselves. When children have to take a medication at school or day care, the PNP should dispense two units of the When children have multiple impetigo lesions or non-bullous impetigo with infection in multiple family When bullying is suspected, it is ideal to interview the youth separately from the parent, even though it is when Augmentin fails. The PNP does not perform tympanocentesis. Clindamycin is used for ceftriaxone When asked if she notices anything different just before her periods, the adolescent points to her When amenorrhea occurs, initial laboratory studies should include a pregnancy test regardless of sexual When adherence is a concern, the PNP should work with the family or the child to develop intervention When a child doesn't thrive, it is first necessary to evaluate feeding and elimination behaviors Wheezing is the principal sound patients make if the obstruction allows enough air to pass through the Wheezing in a child over 5 years of age without a history of wheezing may point to an atypical wheezes. Which action uses the health belief and self-efficacy model to teach this child about asthma What will the primary care pediatric nurse practitioner recommend? What will the primary care pediatric nurse practitioner order for this child? What will the primary care pediatric nurse practitioner order for this child? What will the primary care pediatric nurse practitioner do? What will the primary care pediatric nurse practitioner do next to manage this child's What will the nurse practitioner recommend? What will the nurse practitioner recommend? what will the nurse practitioner recommend? What will the nurse practitioner do? What will the nurse practitioner do? What will the nurse practitioner do initially?
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What will the nurse practitioner do first? what the dynamics of encopresis, including retention, are and that they are involuntary. what other groups must deal with. The PNP is not aware that the family may lack the resources to move, What is the recommended treatment for this infant? What is the next course of treatment? what is permitted and encouraged. Providing an appropriate outlet for drawing helps to teach the child What is her diagnosis? What is an appropriate initial treatment? well to this treatment. What will the nurse practitioner tell the child's parents about this disease? weight-bearing joints, such as swimming or cycling. Exercise helps raise HDL levels but does not reduce weight normally. What will the primary care pediatric nurse practitioner recommend? weeks of exposure weeks of exposure weeks of a depressive episode. A diagnostic rating scale may help in diagnosing the depression, but weeks and will confirm a recent strep infection. The anti-DNase B test will also confirm a recent weeks after symptom onset, assuming physical stamina has returned, all symptoms have resolved, and the week-old newborn with a slightly elevated bilirubin who is breastfeeding well and who has week. Oral acyclovir is not effective in preventing disease onset. It is not necessary to remain home for week. Oral acyclovir is not effective in preventing disease onset. It is not necessary to remain home for week to treat wheezing and shortness of breath. The child currently has clear breath sounds website for adverse effects reporting. The AAP PediaLink program is a source for labeling changes of ways. A variety of stressors, including parental divorce, substance abuse, bullying in school, and early ways to discipline their 3-year-old child who draws on the walls with crayons? ways of expressing individuality and help them to achieve psychosocial milestones. The fact that the teen watchful waiting for worsening of symptoms is not indicated. was deployed to wartime duty shortly after the baby was born. To determine the immediate risk of war-torn country.
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varicella disease occurred despite VariZIG administration. value. If these behaviors are detected, the PNP should refer the child to a specialist for further assessment, vaccine should be given initially for all children over the age of 2 years and a booster dose given every 5 Vaccine doses may be given 4 days prior to or later than minimum intervals or ages to provide schedule Vaccine doses may be given 4 days prior to or later than minimum intervals or ages to provide schedule usually does self-resolve, the child needs hospitalization for close monitoring and follow- up. usual foods and wants to eat mashed potatoes and chicken strips at every meal and snack. USP labeling verifies meeting of standards for contamination, adulteration, manufacturing using the SABA. A treatment of 4 puffs of a SABA in clinic results in marked improvement in using more diagnostic tools. The CARS may be used but requires specialty training and proper Using a "reframing" technique, how will the primary care pediatric nurse practitioner respond? uses 2 puffs of albuterol via a metered-dose inhaler 20 minutes before exercise but reports useful to ill children or one that might be used by a substantial number of children. The Food and Drug useful in term or older infants. Because this infant is symptomatic, observation for spontaneous closure is used, but it is an alternative approach. used to suppress ovulation when symptoms are severe. Referral to a pediatric gynecologist is not used to further assess children who have positive findings on the BESS-2. The PSC is used to assess used if the lesions become uncomfortable or persist and should be used with caution. More severe used if MRSA is cultured. used for universal screening in newborns. The American Academy of Pediatrics (AAP) Bright Futures used for mild, localized reactions. used for mild cases. Oral antibiotics are not indicated. used for children who have difficulty initiating or maintaining sleep. Referral to a sleep disorder clinic use to record this information?
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use the word. Semantics is the understanding that words have specific meanings. use an ICS as a controller medication. Patients with asthma should be encouraged to exercise use a glycerin suppository or ask the mother to increase fluids in the absence of clinical pathology. urologist. Until the causes are known, it is premature to recommend treatment. urination in the evenings on weekdays, incontinence after voiding. The parent reports that the child Urinary tract infection and labial adhesions are both in the differential diagnosis of dysfunctional voiding up. Hospitalization is not necessary unless severe distress occurs. An FEV1 less than 40% after up this possibility. up this possibility. unresponsive to treatment. unlikely in a 4-year-old child. Decreased saliva occurs with some medications. Unless the infection is resistant to treatment, fungal cultures are not necessary. Topical medications alone unless the history suggests increased intracranial pressure. - ans Unless the diagnosis is questionable, or if treatment failure occurs, tinea corporis is treated empirically unless the child's head is submerged. PETs usually fall out on their own; if they are still in place 2 to 3 unless the child worsens or does not improve in 48 to 72 hours. unless problems persist in spite of standard management. unless dyspepsia is present. Unless an actual speech delay is observed, a referral is not indicated, nor is it necessary to implement a Unequal scapulas noted on standing can denote scoliosis and deserves a more thorough physical undigested formula frequently. The infant's weight gain has dropped to the 5th percentile from the understanding. In this way, the child will know that parents are accessible and open to discussion of understand what the child says. The nurse practitioner will : understand the link between stress and the symptoms of the disease? underlying tissues and requires surgical intervention and skin grafts. A superficial partial- underlying distress, adolescents must get help identifying these causes. Many have a history of physical, underlying cause is better understood, management options cannot be determined, so referrals to
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treatment. Pro-CT is used to differentiate viral from bacterial infections. The WBC will most likely treatment. Pro-CT is used to differentiate viral from bacterial infections. The WBC will most likely treatment. Keratolytics and antibiotics are used to treat superficial folliculitis. treatment. Daily oral corticosteroid medications are not recommended because of the adverse treatment. - ansANS: D treatment when influenza is suspected. Children under age 2 years should be treated with antiviral treatment when influenza is suspected. Children under age 2 years should be treated with antiviral Treatment should include IV antibiotics in the hospital. treatment options. treatment indicates a need to be seen in the ED. treatment for this condition? treatment for this child? treatment failures and is not the first-line treatment. Lindane has neurotoxic side effects and is only Treatment and diagnosis must occur immediately. treatment after the epiphysis is stabilized. treated for depression for over 5 years. Which aspect of this child's development will be of the most treat discomfort, but determining the cause is more important. transmits to both lung fields. The child has normal growth and development. What will the nurse transmits to both lung fields. transient. Co-sleeping may be practiced in some cultures but is not recommended. It is not necessary to trait. Steering the child to specific activities is limiting. training should be 2 to 3 times weekly with a day in between sessions. Initially, youth should begin with a training readiness to see if the child is ready. If the child is not ready, toilet training can be very stressful training are not, because of effects on developing bones. track team and has recently begun to practice daily during the school week. The adolescent toxicity. If the lesions can be covered, children do not need to be kept home from school. town the next day. What will the nurse practitioner order? total cholesterol or LDL levels. School-age children need 60 minutes of physical activity but not
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Topical treatment with diphenhydramine and Maalox is useful for symptomatic relief of herpes stomatitis. topical effects. Chewing gum containing xylitol is effective. It is not necessary to have fluoride varnish Topical corticosteroids are useful for contact dermatitis. Lanolin-based emollients are contraindicated Topical antiviral medications are not effective. Oral acyclovir is only effective if initiated within 3 days of Topical antibiotics combined with BPO are more effective than either drug alone and are especially topical adhesive. It is not necessary for the child to remain still after the adhesive is applied, Topical adhesive is applied by holding the wound edges together (approximating the wound tooth abscesses and dental pain. Tetracycline is not recommended in children under age 12. tool will the primary care pediatric nurse practitioner use to evaluate this possibility? tonsils, soft palate petechiae, and diffuse adenopathy. Which test will the primary care pediatric nurse together. toddlers. What will the primary care pediatric nurse practitioner counsel the mother? Toddlers may develop sleep resistance as a normal part of their behaviors associated with increased Toddlers and preschoolers who are experiencing anxiety often respond to play therapy. School-age toddler who has red hair. The child's parent tells the toddler to stop being fussy and says, "red hair toddler first needs a thorough evaluation of potential problems. Fiberoptic endoscopy is invasive. MRI to young children with uncomplicated pyelonephritis who are well hydrated with no abdominal pain or to use only pumped breast milk once this begins. Refrigerated breast milk may be stored up to 8 to treat ARS in communities with resistant S. pneumonia. If antibiotics have been used previously, to their infant's needs. Solid foods are not added until age 6 months. Teething usually does not begin until to the sounds they make. Infants can say "mama" but without meaning. Babies make sounds on purpose to the clinic. The toddler's mother was found to be HIV positive during her pregnancy with this child
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to assess risk behaviors that contribute to most morbidity, mortality, and social problems in teens. to assess full immunity, since suppliers can be suspect. to assess full immunity, since suppliers can be suspect. to antipyretics. The primary care pediatric nurse practitioner examines the child and notes to an hour. - ans to a cardiologist. The infant may have CHF and will need to be evaluated. TMP-SMX is used for recurrent vulvovaginitis. Sexual abuse is considered if signs of trauma are present TMP-SMX is a first-line medication for grade II VUR prophylaxis. TMP-SMX: TMP 2 mg/kg as a single TMJ is a biopsychosocial problem. Conservative treatment should always be the first course of treatment, time. time training and working out. The primary care pediatric nurse practitioner notes that his weight and time sitting quietly. What will the nurse practitioner do initially? time of eruption of the first tooth and no later than 12 months old. Parents should be counseled ticks were attached. The child is asymptomatic. What is the best course of action? ticks were attached. The child is asymptomatic. What is the best course of action? throat culture is negative for GABHS, other causes, such as gonococcal infection, may be considered but though no loss of consciousness occurred. The primary care pediatric nurse practitioner is evaluating though amenorrhea in female athletes is common, it is concerning. Plyometrics and volleyball can this young age is reflexive and not conscious and intentional. It is not a form of priapism. this therapy. Craniofacial surgery may be used in the presence of maxillofacial deformities that affect This response of increased modesty is age-appropriate and not regressive. This rash is typical of pityriasis rosea, a benign, self-limited papulosquamous disease that is not this patient? This patient has mild AUB and may be managed by observation and reassurance along with iron to this parent? This murmur is characteristic of a PDA and, because of cardiac enlargement, represents a larger shunt, This is not normal for this degree of prematurity
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This is most likely an annular ligament displacement injury, or "nursemaid's elbow." The primary this is associated occasionally with a rapid heart rate and tremors. What is the best type of referral that This infant was term and likely has positional plagiocephaly, which has not responded to repositioning This infant lost about 8% of its birth weight, which is normal and, since discharge home, has gained at this includes strategies to help distinguish the undesired behavior, such as cutting the hair so it cannot be this illness. What will the primary care pediatric nurse practitioner recommend? This family has an altered perception of health and health behaviors based on their own experience with This child's age, history, and symptoms are consistent with slipped capital femoral epiphysis. The child this child? this child? this child? this child? this child? this child will This child shows symptoms of separation anxiety disorder. Environmental stress, parental dysfunction, This child should be at a 19-month adjusted age for prematurity so, according to the parent screen, is 4 This child most likely exhibits confusional arousal, which occurs when a child is awakened from a deep This child meets criteria for treatment of acute rhinosinusitis (ARS) based on duration of symptoms This child is losing weight and working out too often to try to change his body. Children with personal This child is high risk and should receive fluoride varnish treatments every 3 to 6 months. Annual or This child is eligible for all three vaccines. Varivax should be given 5 months after VariZIG, unless This child is eligible for all three vaccines. Varivax should be given 5 months after VariZIG, unless This child has symptoms, a history, and lab work that indicate idiopathic thrombocytopenic purpura. This child has symptoms of Rett syndrome, which affects females more than males and is characterized
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This child exhibits problems with personal identity and copes by clowning around to avoid dealing with this as a priority. Once child protective services is involved, the PNP may assist with notification of This adolescent has symptoms consistent with secondary dysmenorrhea and should have a full diagnostic This adolescent has indicated an understanding of the need to lose weight but doesn't want to give up This adolescent has hot-tub folliculitis that is superficial at this point and may be treated with topical this action is not indicated. This "slapped cheek" rash is consistent with fifth disease, or erythema infectiosum, and will be followed This "slapped cheek" rash is consistent with fifth disease, or erythema infectiosum, and will be followed this thickness burn is red, mottled, moist, and painful and may scar, with healing in 7 to 14 days. thicken the vulvar epithelium. If treatment fails, referral to a pediatric gynecologist should be made. thick or cause discomfort, prescribing retinoic acid is not necessary. they grasp rather than being spoon-fed, allowing the infant more control. Foods given either by they are worried about the potential for injury. What will the pediatric nurse practitioner these tasks. A remarriage does not necessarily help the child to achieve this task. It is a sign that the child These symptoms suggest this young child may have pyelonephritis. Amoxicillin clavulanate may be given These symptoms are indicative of testicular torsion. Testicular torsion causes a sudden onset of unilateral These lesions are characteristic of benign migratory glossitis or "geographic tongue" and are benign. these episodes and will order which tests before referring her to a pediatric cardiologist? There is no protection for HPV oncogenic types acquired prior to the vaccine. The vaccine does not There is no protection for HPV oncogenic types acquired prior to the vaccine. The vaccine does not there is no conclusive evidence about effectiveness. There is no evidence that probiotics are not safe. There is growing evidence that climate change is having a dramatic effect on food crops that leads to food
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There is evidence that infants who exclusively breastfeed for at least 4 months have less risk for therapy. Topical vasoconstrictors should be avoided because of rebound hyperemia. therapy. Corrective lenses alone improve amblyopia in 27% of patients. The unaffected eye is patched; 2 therapy, and reassurance. therapy only when the child must be dry at night, such as when on a sleepover. Anticholinergic then localized to the right lower quadrant. The child vomited once today and then experienced relief them? them? them that confidentiality will be maintained unless the health of the child or others is at risk. The Thelarche, or the development of breast budding, generally precedes menarche by 2. years, so this their own genitalia for pleasure and for the purpose of soothing, and this is normal. A penile erection at the visit. The child is not at a "meltdown" state. The values-beliefs pattern identifies the beliefs that influence daily living, decision making, and meaning The usual initial OCP is a combination with 30 to 35 mcg of estrogen and low progestin potency. The The urologist must order the VCUG and will decide if prophylactic antibiotics are indicated The U.S. Preventive Task Force has issued two recommendations for preventing caries in children, The type C tympanogram has a sharp peak between - 100 and - 200 mm H2O and reflects negative ear the tongue is coated and red - ans the toddler has just been diagnosed with pertussis. What will the nurse practitioner do to prevent the time of ovulation. Unless the pain is severe, the adolescent should be reassured and offered strategies The three-generation pedigree is used to map out risks for genetic diseases in families, as well as the teen that the mother is "in charge." The symptoms above are characteristic of a VSD and may not present at birth but appear later as CHF The subdermal implants are used in older adolescents who are committed to long-term contraception.
