A 10-month-old infant who is new to the clinic has chronic hepatitis B infection. What will the primary care pediatric NP do to manage this infant's
... [Show More] disease - ANSWER-Consult a pediatric infectious disease specialist
The primary care pediatric nurse practitioner is performing an initial well child exam on a 3-year-old child recently adopted from Africa. The adoptive parent has a recorded of immunizations indicating that the child is fully vaccinated. What will the NP do? - ANSWER-Perform antibody titers and re-immunize the child
A 3-year-old child who attends day care has had a fever, nausea, and vomiting several weeks prior and now has darkened urine and constipation along with hepatomegaly and right upper quadrant tenderness. What treatment is warranted for this child? - ANSWER-Supportive care
A 10-month-old infant has an erythematous, fluctuant, non-draining abscess on the right buttock after 10 days of treatment with amoxicillin for impetigo. What is the next step in managing this infant's care? - ANSWER-Incision and drainage of abscess with culture
An unimmunized school-ag child whose mother is in her first trimester of pregnancy is diagnosed with rubella after a local outbreak. What will the PCP-NP recommend - ANSWER-Assessment of maternal rubella titers
A 2-month-old infant has a staccato cough and fever. Which aspect of the history is most important in determining the diagnosis? - ANSWER-Immunization history
The parent of a 2-month-old infant is reluctant to have the baby vaccinated. What is an initial step in responding to these concerns - ANSWER-Question the parent's reasons for concern about immunizations
Which lab value is most concerning in an infant with fever and a suspected bacterial infection? - ANSWER-C-reactive protein of 11.5 mg/L
An adolescent has a TB skin test prior to working as a volunteer in a hospital. The adolescent is healthy and has not travelled to or from a TB-endemic area or had close contact with anyone who has TB. The Mantoux skin test shows 10mm of induration after 48 hours. What will the primary care pediatric NP do? - ANSWER-Reassure the adolescent that this is a negative screen
A parent is concerned about vaccine adverse reactions. Based on an Institute of Medicine report, what will the primary care pediatric NP tell the parent? - ANSWER-The MMR may be linked to febrile seizures in immunocompromised children [Show Less]