A parent brings their 3-year-old child to the nurse practitioner to ask whether it is normal for the child to still have an umbilical hernia.

A parent brings their 3-year-old child to the nurse practitioner to ask whether it is normal for the child to still have an umbilical hernia. The hernia is easily reducible and has not increased in size. The appropriate response by the nurse practitioner is that: • A – this is a normal finding. It will probably resolve before the child is 5 years old. • B – this is a normal finding. If it has not resolved in the next 6 months, the child will be referred to a surgeon for repair. • C – this is an abnormal finding at this age. I will refer the child to the surgeon of your choice. • D – this is an abnormal finding, but it will probably resolve with use of an umbilical belt at night while the child sleeps.

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