The parents of a formula-fed newborn report that they get their drinking water from a well. What will the primary care pediatric nurse practitioner recommend to provide adequate fluoride for this infant? Giving the infant a fluoride supplement Testing the fluoride level of their water source Using bottled water to prepare the infant’s formula Using powdered formula with added fluoride

A child presents with an intermittent fever for the past 3 weeks. The physical exam is otherwise unremarkable. What anticipatory guidance should be nurse practitioner offer this family? Many cases of fever of unknown origins are common diagnoses with uncommon presentations. Infectious disease referral is necessary. A bone marrow biopsy is indicated for persistent fever. Most prolonged fevers are caused from underlying immunocompromised disorders.

A 9-month-old infant has developed two teeth since the 6-month checkup. The local water supply contains fluoride. What will the primary care pediatric nurse practitioner do to promote healthy dentition at this visit? Apply sodium fluoride varnish to the infant’s teeth. Encourage the parents to make an initial dental appointment. Prescribe oral fluoride supplementation. Teach the parents how to brush the infant’s teeth with fluoride toothpaste.

A 10-day-old presents with fever. What management will the nurse practitioner anticipate?  Tracheal culture Inpatient admission Rapid strep test Blood cultures Lumbar puncture

The primary care pediatric nurse practitioner is performing a well child exam on a 12-year-old female who has achieved early sexual maturation. The mother reports that she spends more time with her older sister’s friends instead of her own classmates. What will the nurse practitioner tell this parent? Early-maturing girls need to identify with older adolescents to feel a sense of belonging. Girls who join an older group of peers may become sexually active at an earlier age. Spending time with older adolescents indicates a healthy adjustment to her maturing body. The association with older adolescents will help her daughter to gain social maturity.

What will the primary care pediatric nurse practitioner recommend to the parent of an infant who is teething who asks about comfort measures? Administer oral ibuprofen or apply topical salicylates. Apply a topical anesthetic such a benzocaine to the gums. Give the infant a cold teething ring or wet washcloth to chew. Try Baby Orajel on the infant’s gums several times daily.

A myocardial perfusion study is ordered on a patient suspected of being S/P MI X 6 hrs. One could expect the study to be:

Which of the following are live attenuated vaccines in the United States? (Select all that apply.) Meningococcal B Measles, mumps, rubella Varicella Intramuscular influenza Rotavirus

A 3-year-old child is recovering from injuries sustained in a motor vehicle accident. How will the primary care pediatric nurse practitioner evaluate this child’s pain? Ask the child to rate pain intensity on a 4- to 5-item pain discrimination scale. Have the child describe any pain as “no pain, a little pain, or a lot of pain.” Question the child about the intensity and specific location of any pain. Rely on nonverbal responses such as facial expressions and limb movements.

During a well child assessment of a 15-year-old male, the primary care pediatric nurse practitioner notes the male does not have pubic hair but does have axillary hair. To further evaluate these findings, the nurse practitioner will inquire about which of the following? Exposure of exogenous estrogen Use of marijuana/cannabis Increase in height and weight Whether he shaves or waxes his pubic hair