The parent of a child with complex health care needs tells the primary care pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can’t articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do?

What is an initial key part of management of a child suspected of having an inborn error of metabolism(IEM)?

A 5-year-old child who had a repair for transposition of the great arteries shortly after birth is growing normally and has been asymptomatic since the surgery. The primary care nurse practitioner (PNP)notes mild shortness of breath with exertion and, upon questioning, learns that the child has recently reported dizziness. What will the nurse practitioner do?

The primary care pediatric nurse practitioner reviews hematology reports on a child with beta-thalassemia minor and notes an Hgb level of 8 g/dL. What will the nurse practitioner do?

During a well-baby assessment on a 1-week-old infant who had a normal exam when discharged from the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge. What is the likely diagnosis?

Which of the following clinical findings is NOT associated with Prader-Willi syndrome?

Which of the following statements accurately describes the health condition of children in the United States?

A 4-month-old child presents for a well-child visit. The child is somewhat irritable but calms down in the caregiver’s arms. The child is afebrile. The caregiver reports that the child is teething and has been somewhat irritable all morning. Which of the following statements about teething is correct?

Which of the following is not a recommended screening test once the diagnosis of Williams syndrome is confirmed?

A child is diagnosed with Crohn disease. What are likely complications for this child?