Review the following scenario and determine if this child ne…

Review the following scenario and determine if this child needs speech and/or language services. Explain why or why not. Sophie is a 3 year 6 month old female. Parents report that Sophie frequently gets frustrated when no one understands what she is trying to say. Parents report that Sophie uses gestures, single words, and will lead you to what she wants if she cannot get it herself. Sophie reportedly attends day care and is very interactive with other children, but she also seems to experience frustration with her classmates and teachers when trying to communicate. Articulation testing reveals a standard score that is one standard deviation below the mean of same age peers. Language testing reveals scores that fall in the normal range for receptive language and more than one standard deviation below the mean for expressive language. A speech sample reveals multiple sound errors in all instances when more than three words are spoken in connected speech.

In addition to fluoride varnish, what additional interventio…

In addition to fluoride varnish, what additional intervention can be considered in those children at high risk for tooth decay? Encourage use of whitening toothpaste Fluoride supplement regardless of fluoride level in local water Apply topical iodine prior to application of fluoride varnish Prescribe low dose prophylaxis antibiotics

You are conducting a classroom observation as part of your a…

You are conducting a classroom observation as part of your assessment for Kristen, a five-year-old child who is non-speaking. You note that Kristen uses a core board to indicate her choices during snack time. This is an example of Kristen using aided communication.

A child presents with an intermittent fever for the past 3 w…

A child presents with an intermittent fever for the past 3 weeks. The physical exam is otherwise unremarkable. What anticipatory guidance should be nurse practitioner offer this family? Many cases of fever of unknown origins are common diagnoses with uncommon presentations. Infectious disease referral is necessary. A bone marrow biopsy is indicated for persistent fever. Most prolonged fevers are caused from underlying immunocompromised disorders.