The nurse practitioner is seeing a 2-week-old newborn on the first clinic visit. She notes
dysmorphic facial features. The nurse practitioner's evaluation includes:
A.) Ordering a chromosome analysis.
B.) Complete a postnatal history.
C.) Detailed physical exam and perinatal history.
D.) Avoiding discussion with parents until diagnostic studies are completed. CORRECT ANS-
C.) The first and most important part of all data gathering starts with a detailed history and
physical exam. A detailed, objective description of the dysmorphic features is essential for
comparison to textbook descriptions, and so forth. Although chromosome analysis will
probably be ordered, it is not done initially. Parents should be included in the discussion of
findings and be kept informed of the progress throughout all the evaluation process.
An 18-month-old's feet turned inward. The mother is concerned; however, the child is
unaware of it. The differential diagnosis includes all except:
A.) Femoral anteversion
B.) Metatarsus adductus
C.) Legg-Calve-Perthes disease
D.) Adducted great toe CORRECT ANS-C.) In-toeing is a common problem and can result
from femoral anteversion, adduction of the great toe, medial tibial torsion, and metatarsus
adductus. Legg-Calve-Perthes disease is commonly seen in older chlidren (ages 4-8) with loss
of hip medial rotation.
The characteristics of an innocent heart murmur in children include:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheeGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.