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During a newborn examination, the APRN flexes an infant’s hi…

During a newborn examination, the APRN flexes an infant’s hips and knees to 90 degrees, abducts one thigh, and lifts the greater trochanter forward. She feels a clunk as the femoral head slides into the socket. How should this finding be interpreted?

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A 5-year-old has fatigue and poor concentration. Her hemoglo…

A 5-year-old has fatigue and poor concentration. Her hemoglobin is in the normal range, her RDW is mildly elevated, her serum ferritin is low at 10 ng/mL, her transferrin saturation is low, and her total iron-binding capacity is high. Which stage of iron deficiency do these results represent?

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A 16-year-old runner has a normal examination at his sports…

A 16-year-old runner has a normal examination at his sports physical. He says that twice this season he became dizzy and briefly passed out near the end of a race. His mother thinks he was dehydrated. Which action is most appropriate?

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A healthy-appearing 5-week-old has had evening crying for 2…

A healthy-appearing 5-week-old has had evening crying for 2 weeks. Which history finding should most prompt evaluation for a serious cause?

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Which patient statement would indicate that learning has occ…

Which patient statement would indicate that learning has occurred for the patient placed on enalapril for treatment hypertension?

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A 3-day-old girl was born at 36 weeks of gestation and disch…

A 3-day-old girl was born at 36 weeks of gestation and discharged at 30 hours of age. She is breastfed, and her father thinks she looks yellow. Her bilirubin has been evaluated, no treatment is needed today, and feeding is improving. Her parents ask when to bring her back and when to call. Which plan is most appropriate?

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Two days after surgical repair of pyloric stenosis, a 5-week…

Two days after surgical repair of pyloric stenosis, a 5-week-old has vomited twice after feeds. He feeds eagerly, has normal wet diapers, and is alert. His parents ask what to expect and when to call. Which guidance is best?

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After a long, respectful discussion, the parents of a 12-mon…

After a long, respectful discussion, the parents of a 12-month-old firmly decline her 12-month vaccines today. Which plan is most appropriate?

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A 20-month-old cruises along furniture but has never walked…

A 20-month-old cruises along furniture but has never walked without holding on. His neurologic examination is normal. What is the best next step?

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A 27-year-old female presents to the emergency department wi…

A 27-year-old female presents to the emergency department with palpitations, shortness of breath, mild chest discomfort, and fatigue. Vital signs: HR 188, BP 118/76, RR 22, SpO2 96%. She is alert and oriented. The ECG shows supraventricular tachycardia (SVT). Vagal maneuvers were unsuccessful.” Select which of the following are indicated to treatment the arrythmia such as medication, intervention, or teaching. 

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