The primary care pediatric nurse practitioner is performing a well-baby checkup on a 6-month-old infant and notes a candida diaper rash and oral thrush. The infant has had two ear infections in the past 2 months and is in the 3rd percentile for weight. What will the nurse practitioner do?

Question

Quizplus · Accepted Answer

The presence of a candida diaper rash and oral thrush suggest a possible fungal infection and the recent ear infections may indicate a potential immunodeficiency. Ordering a CBC with differential and platelets and quantitative immunoglobulins can help evaluate the infant's immune system and rule out any underlying immune deficiency. Referral to an otolaryngologist may also be necessary for further evaluation and management of the recurrent ear infections. However, this should not be the first step in management.

The Primary Care Pediatric Nurse Practitioner Is Performing a Well-Baby