// // // // // //
A //well //12-year-
old //child //recently //arrived //from //South //Africa //presents //for //a //school //physical. //She //received
//BCG /
/immunization /
/shortly //after //birth //and //is //up //to //date //with //required //immunizations. //A //PPD //is //placed //and
//read /
/at /
/48 /
/hours. /
/Likely /
/findings /
/include /
/which /
/of //the //following? //- //CORRECT //ANSWERS(S)✔✔Positive //PPD, //child //requires //a //follow-
up //chest //X-ray
The //BCG, //or //bacilli //Calmette-Guérin, //is //a //vaccine //for //TB. //Many //foreign-
born /
/persons /
/have /
/been /
/vaccinated /
/with /
/the /
/BCG /
/vaccine, /
/especially /
/in /
/countries /
/where /
/there /
/is //
a/
,/high /
/incidence /
/of /
/TB. /
/It /
/is /
/likely /
/that /
/this /
/child /
/will /
/have //
a/
/positive /
/PPD /
/test. /
/It /
/is //not //possible //to //determine //in //this //case, //however, //if //the //child //has //active //TB //without //a
//chest //X-ray.
What //behavior //in //a //2-year-
old /
/would /
/be /
/considered /
/worrisome? //- //CORRECT //ANSWERS(S)✔✔Unable //to //walk //downstairs //holding //a //rail:
The /
/nurse /
/practitioner /
/should /
/always /
/be /
/aware /
/of /
/typical /
,/expected /
/growth /
/and /
/development /
/parameters. /
/At /
/two /
/years /
/of /
/age, /
/normal /
/expected /
/gross /
/motor /
/skills //include //having //the //ability //to //walk //up //and //down //stairs //without //difficulty. //The //child
//should /
/be /
/evaluated //further //for //other //delays //in //gross //motor, //fine //motor, //or //language/social //skills.
Baby //Sabrina //presents //for //her //6 //month //well //child //check-
up. /
/At /
/40 /
/weeks //gestation //her //documented //birth //weight //was //6 //lbs //6 //oz, //and //length //of //20 //inches.
//Currently /
/her /
/weight /
/is /
/10 /
/lbs, //
4/
/oz /
/and /
/length /
/is /
/24 /
/inches. /
, /The /
/nurse /
/practitioner /
/concludes /
/the /
/following: //- /
/CORRECT /
/ANSWERS(S)✔✔The //infant //is //failing //to //meet //expected //gains //in //both //weight //and //length.:
Infants //age //0-
3/
/months /
/gain /
/approximately /
/1.4 /
/inches /
/in /
/height /
/per /
/month. /
/Baby /
/Sabrina /
/would //be //expected //to //have //achieved //24 //inches //in //height //by //3 //months //of //age. //At //5-
6 //months //of //age, //infants //have //usually //doubled //their //birth //weight.
During //a //sports //physical //for //an //18-year-
old //male //high //school //student, //which //finding //would //require //further //follow-
up? //- //CORRECT //ANSWERS(S)✔✔Tanner //stage //of //4:
Typically, //males //age //13-18 //will //have //developed //to //Tanner //stage //5. //An //18-year-
old /
/male /
/that /
/is /
/in /
/Tanner /
/stage //