A 4-month-old is brought by her mother for the child’s well-check. The mom has no complaints but thinks the baby’s head “Looks big.” The child was born at 35 weeks, so gestational she is only 3 months old. The mother reports the child is eating well, has started cooing, and has a social smile. The baby’s father seems to have a large head as well, so she thought it might be normal for his side of the family. The baby’s head circumference at the 2-month checkup was in the 85th percentile, but now is in the 98th percentile and cross 2 percentile lines on the growth curve. How will you advise the mother?

The primary care pediatric nurse practitioner diagnoses acute otitis media (OTM) in a 2-year-old child who has a history of three ear infections in the first 6 months of life. The child’s tympanic membrane is intact and the child has a temperature of 101.5°F. What will the nurse practitioner prescribe for this child?

An 18-month-old presents for a well-child visit. Which of the following milestones is the last to be developed by the 18th month?

During a well-child visit for 9-month-old Aiden, his parents mention he isn’t babbling or making sounds. This could be a sign of:

The primary care pediatric nurse practitioner is performing a well child examination on a 15-year-old girl who consumes a vegan diet. Based on this assessment, which nutrients may this adolescent need to supplement?

Lucas, age 3, consistently uses his left hand for tasks. His daycare recommends teaching him to use his right hand. How should you advise?

5-year-old Emily is not keen on drawing or coloring. Instead, she prefers listening to stories. Her parents are worried. What advice would you offer?

At a 9-month well-child visit, baby Mia still isn’t attempting to pull herself up to stand. Her mother is worried. What would be the best guidance?

A 10-month-old infant who is new to the clinic has chronic hepatitis B infection. What will the primary care pediatric nurse practitioner do to manage this infant’s disease?

The primary care pediatric nurse practitioner notes a musty odor when examining a newborn at a 2-week checkup. What will the nurse practitioner suspect?