Clinical practice in the management of complex or chronic health problems of infants, children, and adolescents in a specialty setting as well as management in primary care. For each semester hour of credit earned, four laboratory hours a week for one semester. Nursing 396V and 493H may not both be counted. Offered on the letter-grade basis only. Prerequisite: Graduate standing; admission to the pediatric nurse practitioner specialization; Nursing 394E, 394F and concurrent enrollment in Nursing 396U and consent of instructor.