Nurse Moose
    Pediatrics Proctored Exam (Samuel merit university)

    Phase 1 A 5 year old is brought to her pediatrician for an annual routine checkup. Her grandparents, who are also the legal guardians, are with her. The child has not seen her pediatrician in a year. The child recently had a visit to the urgent care center and was treated for strep throat. The grandparents are concerned about the child’s weight gain. They state no matter how much she eats she cannot gain weight and is hungry all of the time. Highlight the conditions requiring immediate follow-up in the “follow-up” category. Assessment: Weight:15.9 kg Height: 41 in Heart rate: 122 beats per minute Blood pressure: 96/44 Child is anxious, looks thin, and has dry lips and dry mucous membranes. Upon neck palpation the child has several enlarged cervical lymph nodes and has a “sweet odor to her breath, The remainder of the examination is within normal limits.