Jane is a healthy, asymptomatic 20 year old college student who presents to the Student Health Clinic at her University.  She said she came in today to find out if she needed a pelvic exam and a pap smear.  She had her first sexual encounter 2 months ago and figures that means it is time for her first well woman exam.  She is using condoms.  The advanced practice nurse replies,

Your patient is 8 months pregnant. How do you instruct your medical assistant to position the patient in preparation for a physical exam?

While auscultating heart sounds on a 7-year-old child for a routine physical, the APRN hears a midsystolic grade 2 musical murmur at the left midsternal border, which becomes louder as the child lies down. Which of these would be a correct interpretation of these findings?

The Mini-Mental State Examination is the best known screening test for: 

Mental health screening is recommended

During the physical examination, the nurse practitioner notices that a patient has an inverted left nipple. Which statement regarding this is most accurate?

The advanced practice provider is examining a 1-month-old infant and notices tiny white, rounded cysts along the posterior midline of the hard palate.   The advanced practice provider explains to the parent:

When you look at the tympanic membrane with the otoscope, which normal landmark is present?

The advanced practice provider is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what should the advanced practice provider say?

The advanced practice nurse is conducting a newborn exam and suspects the child has Down syndrome (trisomy 21). Which of the following physical characteristics should increase the advanced practice nurse’s suspicions?