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The primary care pediatric nurse practitioner is performing a well
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child examination on a 9-month-old infant whose hearing is
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normal but who responds to verbal cues with only single syllable
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vocalizations. What will the nurse practitioner recommend to the |\ |\ |\ |\ |\ |\ |\ |\ |\
parents to improve speech and language skills in this infant?
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a. Provide educational videos that focus on language.
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b. Read simple board books to the infant at bedtime.
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c. Turn the television to Sesame Street during the day.
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d. Sing to the child and play lullabies in the baby's room.
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b. Read simple board books to the infant at bedtime.
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The mother of a 6-month-old infant is distressed because the
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infant can say "dada" but not "mama* and asks the primary cite
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pediatric nurse practitioner why this is when she is the one who
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spends more time with the infant. How will the nurse practitioner
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respond?
a. This may mean that your baby doesn't hear well.
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b. At this age. your baby does not understand the meaning of
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sounds.
c. Most sounds made by babies at this age ace accidental"
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d. Babies at this age cannot make the 'ma' sound
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b. At this age. your baby does not understand the meaning of
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sounds.
,The primary care pediatric nurse practitioner performs a well
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baby examination on a 7-day-old infant who is nursing well,
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according to the mother. The nurse practitioner notes that the
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infant weighed 3250 grams at birth and 2990 grams when
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discharged on the second day of life. The infant weighs 3080
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grams at this visit. Which action is correct?
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a. Suggest supplementing with formula.
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b. Refer to a lactation consultant.
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c. Schedule a weight check in 1 week.
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d. Follow up at the 2-month checkup.
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c. Schedule a weight check in 1 week.
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The parent of a newborn infant asks the primary care pediatric
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nurse practitioner when to intervene to help the infant's future
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intellectual growth. What will the nurse practitioner tell the
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parent?
a. Cognitive learning begins during the toddler years.
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b. Intellectual growth begin when speech develops.
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c. Language and literacy skills begin at birth.
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d. Preschool is an optimal time to begin general learning
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c. Language and literacy skills begin at birth.
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, The primary care pediatric nurse practitioner is examining a 12-
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month-old infant who was 6 weeks premature and observes that
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the infant uses a raking motion to pick up small objects. The
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PEDS questionnaire completed by the parent did not show
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significant developmental delays. What will the nurse practitioner
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do first?
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a. Reassure the parent that this is normal for a premature infant
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b. Perform an in depth developmental assessment.
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c. Refer the infant to a developmental specialist.
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d. Suggest activities to improve fine motor skills.
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b. Perform an in depth developmental assessment.
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The primary care pediatric nurse practitioner is performing a well
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baby examination on a 2-month-old infant who has gained 25
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grams per day in the last interval. The mother is nursing and tells
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the nurse practitioner that her infant seems fussy and wants to
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nurse more often. What will the nurse practitioner tell her?
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a. The infant may be going through an expected growth spurt.
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b. She should keep a log of the frequency and duration of each
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feeding.
c. She may not be making as much breastmilk as before.
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d. The infant should stay on the previously established nursing
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scheduie.
a. The infant may be going through an expected growth spurt.
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