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NU665A Primary Care of Child II EXAM 3 LATEST FALL SPRING 2024.2025 GRADED A+ WITH SOLUTIONS
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- Regis College
NU665A Primary Care of Child II EXAM 3 LATEST FALL SPRING 2024.2025 GRADED A+ WITH SOLUTIONS
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NU665A Primary Care of Child IINU665A Primary Care of Child II EXAM 3
LATEST FALL SPRING 2024.2025 GRADED A+
WITH SOLUTIONS
Your next patient is a 6-year-old male here with his mother. Mom brings the child
in today because the child continues to wet the bed at least twice a week. A
urinalysis was completed today and is normal. What is the best next step in the
evaluation of this child?
Ask the child and mother about his voiding and bowel patterns.
You receive the results of newborn screening from a healthy, term neonate and
find that the TSH done on the newborn screen is 82 mIU/L (elevated). What is
your next step?
Start thyroid supplementation and refer to pediatric endocrinology urgently.
The father of a 7-year-old boy expresses concern that his son has grown 2 inches
in the past six months. Upon examination, the PNP noted the presence of pubic
hair. What would the PNP's next steps be in the care of this child?
Refer the child to a pediatric endocrinologist for further work-up.
,NU665A Primary Care of Child II
A school-aged child is brought to the clinic with her father for increased urinary
frequency, dysuria, and discomfort for the past two days. Today, she has a fever
and some abdominal pain. The child was able to produce a clean catch urine
sample and the urinalysis results include positive nitrites and leukocyte esterase.
As the PNP, what would you do next?
Since the child is symptomatic, send the urine for culture and sensitivity and start
oral antibiotics.
A 7-month-old infant has an undescended testis that was noted at the end of his
previous well-baby exam. What will the primary care pediatric nurse practitioner
do to manage this condition?
Refer the child to a pediatric urologist for further evaluation.
A 15-year-old adolescent male presents today for his annual exam. He states he
had a good day at school today and has soccer practice after his appointment. His
routine urine dipstick indicates 2+ protein. He asks if this is normal. As the PNP,
what would you tell him?
This warrants some further investigation. I will order a first-morning urine sample
and check the level of protein in your urine.
,NU665A Primary Care of Child II
A 15-year-old adolescent female whose BMI is at the 90th percentile reports
irregular periods. Menarche was at 12 years of age. Through the assessment, it is
noted that the child has widespread acne on her face and back. The child also
states that she has noticed hair on her breasts and wants to know what she can
do about this. The nurse practitioner will evaluate her further based on a
suspicion of which diagnosis?
Polycystic Ovary Syndrome
A 10-year-old male is being seen today with concerns of change in school
performance, some tremors, and complaints of heart palpitations for the past few
weeks. Mom states there have been no changes in social history and family
history is positive for thyroid disease. He had routine labs done one month ago
and his T3 was elevated. What are the next steps in the care of this child?
Refer the child to a pediatric endocrinologist for further workup
A father comes into the office with his 2-week-old daughter with a chief
complaint of vomiting and severe diarrhea. The father reports the infant is more
difficult to awaken for feedings and the PNP notes the infant weighs 7 pounds and
has a weight loss of 8 ounces since her last visit three days ago. As the PNP, you
suspect food protein-induced enterocolitis syndrome (FPIES). What is the first
step in the treatment plan?
Due to the weight loss and lethargy, the infant will need IV hydration and close
monitoring.
, NU665A Primary Care of Child II
A school-aged male presents with a history of recurrent diarrhea, foul-smelling
stools, and inability to gain weight. He has had no fever, no recent travel, and no
blood or mucus noted in his stools. As the PNP, you suspect a food-related
malabsorption disorder. What would be the next step?
Instruct the mother to start a two-week lactose-free trial and return to the clinic
after completed.
Surgical skin glue preparations offer some advantage over suturing. On which of
the following wounds might the PNP use a skin adhesive?
Simple straight laceration in tension-free area
Your next patient is a 26-month-old toddler here for her 2-year well-child check.
When discussing nutrition, her mother states that the family has switched to strict
vegan a few months ago. As the PNP, what would you say to her mother?
Can you give me an example of the foods and drinks your child consumes over a
few days?
Your next patient is a 2-month-old infant here with his mother. The infant is
exclusively breastfed, and the mother asks why he needs to take Vitamin D
supplements. As the PNP, how would you answer this?
Breastmilk is the best for your child but in order to prevent bone growth issues,
one daily dose of Vitamin D is recommended
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