During a well baby examination of a 6-week-old infant, the primary care pediatric nurse practitioner notes poor weight gain, acrocyanosis of the hands and feet, thready peripheral pulses, and a respiratory rate of 60 breaths per minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which action is correct?

An adolescent female reports facial pain and frequent popping of her jaw. An exam reveals unilateral tender facial muscles and a deviation of the mandible to the affected side with opening of the mouth. What will the primary care pediatric nurse practitioner do?

A 16-year-old male patient presents to the urgent care clinic with acute onset of testicular pain. Which of the following characteristics would be most consistent with testicular torsion?

A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis media (OTM) is seen for follow-up. The primary care pediatric nurse practitioner notes dull-gray tympanic membranes with a visible air-fluid level. The child is afebrile and without pain. What is the next course of action?

Which of the following best describes growth and nutrition in the 12-month-old (select all that apply)?

One developmental milestone is the ability to draw a stick figure “person” with six separate body parts. What is the age group that this finding is associated with?

A 10-year-old child with newly diagnosed type 1 diabetes is being managed in a primary care setting. Which of the following is the most appropriate initial action for the nurse practitioner to take in developing a school-based diabetes care plan?

A child who has sustained a head injury after falling on the playground is brought to the clinic. The parents report that the child cried immediately and was able to walk around after falling. The primary care pediatric nurse practitioner notes unequal pupils and the child has vomited twice in the exam room. Which course of action is warranted?

Anticipatory guidance regarding safe sleeping practice includes (select all that apply):

Which of the following would increase the risk that a child’s Barlow or Ortolani test would be positive?