A child was recently prescribed an opioid for a tibial fracture. The parent reports the child is very nauseous after taking the opiate. Which of the following interventions is MOST appropriate? Lower the opioid dose by half. Prescribe glycerin suppository for possible impaction as cause of nausea. Refer for acupuncture. Prescribe ondansetron.

In addition to fluoride varnish, what additional intervention can be considered in those children at high risk for tooth decay? Encourage use of whitening toothpaste Fluoride supplement regardless of fluoride level in local water Apply topical iodine prior to application of fluoride varnish Prescribe low dose prophylaxis antibiotics

Review the findings from the Clinical Evaluation of Language Fundamentals – 5th Edition (CELF-5) and select ALL accurate statements.

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