NURS 629 Ped Exam 4 Sum19| Questions with 100% Correct Answers | Verified

18. A 12yearold child whose weight and BMI are in the 75th percentile has a diastolic blood pressure that is between the 95th and 99th percentiles for age, sex, and height on three separate occasions. Initial tests for this child will include - renal function and plasma renin tests The parent of an infant asks about using a probiotic medication. What will the primary care pediatric nurse practitioner tell this parent? - there is no conclusive evidence about using probiotics to treat colic. 2. A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium swallow study reveals a normal esophagus. What will the primary care pediatric nurse practitioner consider next to manage this child's nutritional needs? - Video fluoroscopy swallowing study 3. A toddler is seen in the clinic after a 2day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 3second capillary refill, 2 second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had two wet diapers in the past 24 hours. What will the primary care pediatric nurse practitioner recommend? - Oral rehydration solution with followup in 24 hours 4. A 9yearold girl has a history of frequent vomiting and her mother has frequent migraine headaches. The child has recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals abnormal eye movements and mild ataxia. What is the correct action? - Refer to a pediatric gastroenterologist for further workup. 5. The parent of a 3monthold reports that the infant arches and gags while feeding - Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks. A schoolage child has a 3month history of dull, aching epigastric pain that worsens with eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8 mg/dL. What is the next step in management? - Referral for esophagogastroduodenoscopy (EGD)