18. A 12yearold child whose weight and BMI are in the 75th percentile has
a diastolic blood pressure that is between the 95th and 99th percentiles
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age, sex, and height on three separate occasions. Initial tests for this child
will include: Ans- renal function and plasma renin tests
2. The parent of an infant asks about using a probiotic medication. What
will the primary care pediatric nurse practitioner tell this parent?: Ans- there
is no conclusive evidence about using probiotics to treat colic.
3. 2. A toddler who was born prematurely refuses most solid foods and has
poor weight gain. A barium swallow study reveals a normal esophagus.What
will the primary care pediatric nurse practitioner consider next to manage
this child's nutritional needs?: Ans- Video fluoroscopy swallowing study
4. 3. A toddler is seen in the clinic after a 2day history of intermittent vomiting
and diarrhea. An assessment reveals an irritable child with dry mucous
membranes, 3second capillary refill, 2 second recoil of skin, mild tachycardia
and tachypnea, and cool hands and feet.
The child has had two wet diapers in the past 24 hours.What will the primary
care pediatric nurse practitioner recommend?: Ans- Oral rehydration solution
with followup in 24 hours
5. 4. A 9yearold girl has a history of frequent vomiting and her mother has
frequent migraine headaches.The child has recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals
abnormal eye movements and mild ataxia.What is the correct action?: AnsRefer to a pediatric gastroenterologist for further workup.
6. 5. The parent of a 3monthold reports that the infant arches and gags while
feeding: Ans- Begin a trial of extensively hydrolyzed protein formula for 2 to 4
weeks.
7. A schoolage child has a 3month history of dull, aching epigastric pain that
worsens with eating and awakens the child from sleep. A complete blood
count shows a
hemoglobin of 8 mg/dL. What is the next step in management?: AnsReferral for esophagogastroduodenoscopy (EGD)
8. 7. A 2monthold infant cries up to 4 hours each day and, according to the
parents, is inconsolable during crying episodes with fists and legs noted
to be tense and stiff.The infant is breastfeeding frequently but is often
fussy during feedings.The physical exam is normal and the infant is gaining weight normally. What will the primary care pediatric nurse practitioner
recommend?: Ans- Eliminating certain foods from the mother's diet [Show Less]