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1. A mother brings her 6-year-old daughter to a pediatric
primary care nurse practitioner for evaluation of breast and
axillary hair growth. The patient has grown 1 inch in the last
three months. The nurse practitioner's action is to:
Refer the child to a pediatric endocrinologist for
management.
2. A mother of an 11 year old boy is concerned that her son is
developing secondary sexual characteristics too early. Your
counselling for this family is based on the knowledge that
puberty is consider precocious in boys if secondary sexual
characteristic appear prior to age?
a. 12 years
b. 11 years
c. 10 years
d. 9 years
3. Which of the is most likely to be part of the clinical
presentation of a UTI in a 9 month old child?
a. Fever
b. Vomiting
c. Diarrhea
d. Cough
4. You are following a 4-year-old girl in your practice with a
history of breast development that appeared 12 months ago
and that appears to be progressing. She is growing rapidly. The
np considers ordering a bone age because she knows that most
cases of premature thelarche in girls are:
vendarsol
, a. A result of enzymatic defects
b. Due to systemic CNS disease
c. Idiopathic
d. A result of hypothyroidism
5. What is the first management option in a 4 year old
with signs of attention deficit with hyperactivity (ADHD)?
Behavioral therapy
6. The onset of puberty is marked by:
Breast buds are the first sign of the onset of puberty in females.
7. The NP examines a 6-week-old female in the clinic for the
first time with a bright red, raised, rubbery lesion of irregular
shape on the infant's occiput. What condition would you
suspect? Capillary hemangioma
vendarsol