Kaleb is a 13 month old male child who is at the office today for a well child exam. On the standardized growth charts, Kaleb’s weight has steadily increased from the 75th percentile to above the 97th percentile on serial measurements.  His length has remained steady between the 30th and 50th  His weight-for-length is over the 97th percentile.  His physical exam and development are within normal limits.  The correct response to Kaleb’s parent is which of the following?

The Family Nurse Practitioner evaluates a child who awoke with a sore throat and high fever after a nap. The child appears anxious and is sitting on the parent’s lap with the neck hyperextended. The physical exam reveals stridor, drooling, nasal flaring, and retractions. What will the nurse practitioner do next?

You are performing a 4 year old well child check.  Which milestones would you expect the child to have obtained? (select all that apply)

The meningitis vaccine is recommended for all children 11-12 years old.  It is especially important that which group of people obtain this vaccine?

You are caring for an infant with two teeth starting to break through the skin.  What do the parents need to start doing?

What is appropriate treatment for a preterm infant with a physiologic jaundice and a TSB of 15?

Identify which newborn skin finding is in this picture…

You are seeing a 3 month old  girl that is here for the third time related to loud breathing.  The mom reports loud, noisy breathing all day long although it does get better when she is asleep. It has been going on since she was two weeks old.  Occasionally, she will have a high pitched cough and what seems like a wheeze.  No fever, no retractions,  O2 sat 99%, lungs are clear to auscultation today.  You can hear the child breathing from outside the room.  What do you think the likely diagnosis is?

The HPV vaccine is recommended for all boys and girls.

You are caring for a  5 month old infant that you are diagnosing with gastroesophageal reflux.  Which of the following are treatment options?