What age do children usually begin receiving the HPV vaccine? ✔✔11 Years When can a child stop using a booster seat in the car? ✔✔when the child is at least 4'9" tall A 13-year-old client diagnosed w/ infectious mononucleosis 2 weeks ago is in your office today c/o abdominal pain to the upper left quadrant, is febrile, & tired. based on the client's recent history, what is the best intervention? ✔✔refer to emergency services An established 14-year-old client who recently returned from camp presents to the clinic c/o chills, severe, headache, myalgia, malaise, GI upset/tenderness, diarrhea, cough, conjunctival infection & fever. on exam, the provider notes a rash of faint pink spots on the wrists, forearms, ankles and the trunk. what is the most likely diagnosis? ✔✔rocky mountain spotted fever a client w/ chickenpox who cannot stop itching present to the clinic requesting relief. what can the provider do to help this client? (Select all that apply) ✔✔prescribe calamine lotion prescribe oral antihistamines recommend oatmeal baths an infant can complete hand-to-hand transfers at what age? ✔✔7 months which is the most appropriate anticipatory guidance for the child diagnosed w/ fracture through the growth plate? ✔✔use crutches to ambulate until healed the provider learns that the family of a client recently rescued a cat from the outside. to prevent risk of toxoplasmosis, which anticipatory guidance is most appropriate? ✔✔thoroughly wash hands after changing cat litter a 9-day-old client presents to the clinic who is sluggish, has a temp of 97F, HR 105, cool extremities, and loss of appetite, what should the provider do? ✔✔refer to emergency room to rule out sepsis the provider understands that a client w/ a history of hemolytic anemia & a recent diagnosis of erythema infectious (5th disease) is at risk for which complication? ✔✔aplastic crisis What should a cultural assessment of the family & child include? ✔✔an assessment of a patient's dominant culture including the accompanying health beliefs, and beliefs about birth, illness, and deaths what question should the provider ask to elicit information about the internal structure of the family? ✔✔has any family member recently moved in or out of the home? if so, how has this move affected the family? "Culture is a social construction of the relationships within and among groups of human beings..." which of the following is not a part of the products of culture? ✔✔none of the above the provider understands that. children who show signs of aggressive behavior, depression, anxiety, and poor school performance may have been exposed to which of the following during childhood? ✔✔domestic violence which of the following best defines the role of the APN in health care? ✔✔provides continuity of care for underserved populations which of the following is considered a developmental red flag? ✔✔loss of milestones What would be the most likely weight of a 1-year-old child whose weight at birth was 7 pounds? ✔✔20-23 pounds 

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