A mother brings her 6-year-old son in because he is having problems with nocturnal enuresis and reports he has never been totally dry at night. She is concerned that he is just not trying and wants to know what can be done. How should the nurse practitioner respond?

Which condition corresponds with the attached photograph?

 Which tests should be ordered to diagnose thalassemia? 

A 13-year-old girl presents for assessment of her short stature. On exam, the child has height and weight below the 5th percentile, webbed neck, lack of breast bud development, high-arched palate and low-set posterior hair line. What is the most likely diagnosis in this child?

A thirteen-year-old boy presents to the clinic with a history of multiple episodes of  “passing out” at church. He states after standing quietly for about 10 minutes, he feels warm and then his vision darkens from the periphery. He feels sweaty, his heart races, he feels dizzy, and then he passes out. When he “comes round”, he returns to normal. His EKG is normal. What is the most likely diagnosis? 

A 4-day-old full-term newborn presents today for routine follow-up after an uneventful 48-hour nursery course. Maternal history: negative for HIV, Hepatitis B, syphilis, Group B streptococcus. No maternal history of smoking, alcohol or drug use. Newborn screening panel was completed. The newborn passed the hearing and critical congenital heart disease screenings.  Hepatitis B vaccine #1, Vitamin K, and erythromycin ophthalmic ointment were administered after delivery.  The infant is nursing every 2 hours and has 10 wet diapers and 4 to 5 seedy yellow bowel movements per day.  The infant has lost 3% of birth weight. What should be included in the care of this newborn?

A 2 ½ -year-old boy is seen in the clinic with a 1-day history of refusing to use his left arm. The mother states the child ran after a ball that was rolling into the street and the mother grabbed the child’s left forearm and pulled him away from the street. The child is holding his left arm close to his body with the elbow in a flexed position. On physical examination, the child has no bony tenderness, erythema, or swelling of the joints but on passive motion, the child resists and cries in pain. What is the diagnosis for this child?

Which of the following is not a key feature of autism spectrum disorder?

A murmur that is described as a grade II and is best auscultated at the left lower sternal border is likely a functional murmur.

How long should a child with sickle cell anemia receive prophylactic penicillin?