Child A is 4 years old, and Child B is 8 years old. Both children obtain a raw score of 45 on a standardized test. Explain why you cannot make any definitive statement about either child’s skills with this information, and what else is needed to analyze their results.

You are conducting a classroom observation as part of your assessment for Kristen, a five-year-old child who is non-speaking. You note that Kristen uses a core board to indicate her choices during snack time. This is an example of Kristen using aided communication.

The nurse practitioner is performing a well visit for a 4-month-old infant. The infant was recently hospitalized for intussusception. Which vaccine is contraindicated at today’s visit? DTaP Hepatitis B Pneumococcal Rotavirus

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: