Which of the following is most accurate about nurse practitioner’s scope of practice?

A. The organization that grants NP certification dictates a profession scope of practice.

B. The employer is able to require the NP to provide services that are beyond what regulatory bodies outline.

C. The law of the state where the NP practices provides regulatory guidance on scope of practice.

D. Federal law advises on NP scope of practice.
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A four-week-old infant born at 39 weeks’ gestation, exclusively breast fed and has been healthy was brought in for an evaluation following a 2 day history of projectile vomiting that occurs after each feeding without with increased fussiness. The child's father mentioned that the baby appears to be without distress after vomiting and wants to feed immediately afterwards. Parents deny the infant has had fever, diarrhea or skin lesion; in addition, has not had exposure to individuals with similar symptoms. His last BM was about 18 hours ago, described as small and firm. Physical exam reveals an alert, active infant with a small palpable mask that is appreciated in the right upper quadrant of the abdomen. The most likely diagnosis is:

A. Viral gastroenteritis

B. Pyloric stenosis

C. Intussusception

D. Gastroesophageal reflux
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A 25-year-old woman gravida 2, para 1 is 24 weeks pregnant and is being seen for an urgent care visit. She reports a constant headache over the past two days along with ankle swelling. Her BP today is 162/86 in, which is a significant elevation from her pre pregnancy blood pressure of 122/68.Laboratory results indicate 2 plus proteinuria as well as elevated ALT and AST. Platelets and LDH are within normal limits, as is fundoscopic and neurological exams. The most likely diagnosis is:

A. Health syndrome

B. Gestational hypertension

C. Preeclampsia

D. Hypertensive emergency
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