The NNP orders a to test her patient for cystic fibrosis (CF).  Following a thorough examination and positive results on the above testing, the newborn is diagnosed with cystic fibrosis. The NNP tells the parents about the disease, which mainly affects the systems. The NNP provides education to the parents regarding the recurrence risk of future biological offspring having CF. The risk is % for each subsequent pregnancy. As the child grows, special dietary considerations of will likely need to be implemented due to the impact of the disease on the .

A WHNP is seeing RC, a 25-year-old woman, who comes to your office complaining of increasing fatigue and occasional heart palpitations over the last several weeks. She occasionally feels short of breath while having the palpitations, but denies any fever, chills, or weight loss during this time. She does not have a history of asthma or any cardiac problems. She has never had symptoms like this before. PMH: Seasonal allergies. Last menstrual period was 1 week prior. Her periods are moderately heavy, lasting 5 to 7 days, cycling regularly every 30 days. She is not taking any medications. Physical Exam: Temp 36.2 C; Heart rate 72 beats/min; blood pressure 125/72 mmHg. Her conjunctiva look pale, and she has a soft systolic murmur heard best at the left second intercostal space. The rest of the exam is unremarkable. Labs: Hgb 10 g/dL (low); Hct 30% (low); MCV 76 fL (low); serum iron 40 μg/dL (low); transferrin 450 μg/dL (high); ferritin 8 μg/dL (low). The WHNP diagnoses this as a , which appears to be due to . In this demographic, the most common reason for this disorder is due to .

A 27-year-old pregnant female presents to review testing results of her perinatal screening for congenital and genetic abnormalities.  Testing was abnormal and suggestive that her child likely has syndrome, the most common chromosome abnormality among live-born infants.  This condition is most commonly related to during the formation of one of the parent’s gametes or during early embryonic development. Risks for this condition include . The patient opts to continue her pregnancy; the fetus is screened for , which is a common comorbidity in this syndrome.

Many antidepressant drugs work by increasing the availability of serotonin and

The PNP is seeing a 6-year-old boy with sudden-onset lower extremity edema. Over the past 4 days, the patient’s father noticed significant and worsening swelling that began in the patient’s feet and seems to be moving up his legs. The father reports his son is urinating infrequently, and it is dark in color, but there is no gross blood in the urine. The patient recently recovered from an upper respiratory infection and sore throat 2 weeks ago. The patient lives with his parents and younger sister, attends the local public school, and is in the first grade. The PNP’s physical exam: The patient is afebrile, and his vital signs are normal. There is no periorbital edema; however, he has pitting edema to his knees. Labs: Urinalysis and urine cytology reveal significant proteinuria (albumin only), with no red cells or casts.  Serum evaluation reveals: BUN and creatinine at the upper limits of normal. The PNP suspects the sore throat and symptoms were . This resulted in a hypersensitivity reaction, where immune complexes deposited in the kidney. The PNP knows the edema is likely due to pressure. Treatment for the condition will include .

When using SAL, I coach parents to integrate their own use of the SGD into conversation when they are communicating with their child.

Focused stimulation approach relies on 3 theories that are believed to work together as children develop language.  The first theory is based upon the fact that repetitive models of language will promote language learning.  This is referred to as: 

The system of Augmentative language targets the development of language/communication in young children using: (best answer)

 RE/PMT may be not be as successfully used with children and families from different cultural backgrounds due to both linguistic differences and/or differences in the way that parents from other cultures play with their children.

Haylee is working with a parent. Haylee shows an exemplar of the EMT strategy to be used at least two times, using different toys. This takes about 10 minutes. Haylee just completed what aspect of TCMR?