Nokea
Pick one:
- A. Diabetes mellitus is three times more common in Hispanics than in Blacks or Whites.
- B. Type 2 diabetes mellitus is less common than type 1 diabetes mellitus.
- C. Approximately one-half of the clients diagnosed with type 2 are obese.
Correct Answer: A
Rationale: The statement "Diabetes mellitus is three times more common in Hispanics than in Blacks or Whites" is accurate and supported by data. Studies have shown that diabetes mellitus, particularly type 2 diabetes, is more prevalent among Hispanic populations compared to Black or White populations. Factors such as genetic predisposition, lifestyle choices, and socioeconomic status can contribute to this disparity. It is important for healthcare providers to be aware of these trends to provide appropriate and culturally sensitive care to individuals at higher risk for diabetes.
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What is the risk of not treating congenital hypothyroidism within the first 3 months following birth?
- A. To ensure normal growth
- B. To prevent cognitive impairment
- C. To prevent mental retardation
- D. All of the above
Correct Answer: D
Rationale: Congenital hypothyroidism is a condition where a newborn baby is born with an underactive thyroid gland. If left untreated within the first 3 months following birth, it can lead to serious consequences such as stunted growth, cognitive impairment, and mental retardation.
Deteriorating insulation is found in the ceilings of a local school built in 195Parents and teachers are extremely concerned that it may be asbestos, and they call on you, the local pediatrician, to give advice in an open meeting. What advice would you give?
- A. Immediately remove all of the insulation.
- B. Confirm the presence of asbestos by laboratory evaluation, and do nothing further.
- C. Confirm the presence of asbestos by laboratory evaluation. If asbestos is confirmed, call a certified engineer for expert assessment.
- D. Reassure the parents that the hazards of asbestos have been overstated.
Correct Answer: C
Rationale: Asbestos should be confirmed by laboratory testing, and if present, a certified engineer should assess the situation to determine the safest course of action.
A highly careful mother of a 10-month-old baby boy complains of inadequate weight gain due to refusal of spoon feeding. The LEAST helpful advice is to
- A. respect infant independence
- B. offer softer diet
- C. use 2 spoons (1 for the child and 1 for the parent)
- D. use finger foods
Correct Answer: B
Rationale: Offering softer food may not address the underlying issue of refusal.
Which of the ff. is the best explanation of emphysema for a newly diagnosed patient?
- A. "You have inflamed bronchioles, which causes a lot of secretions."
- B. "Your lungs have lost some of their elasticity, and air gets trapped."
- C. "The blood supply to your lungs is damaged, so you can't absorb oxygen."
- D. "You have large dilated sacs of sputum in your lungs."
Correct Answer: B
Rationale: The best explanation of emphysema for a newly diagnosed patient is that "Your lungs have lost some of their elasticity, and air gets trapped." This explanation succinctly captures the key characteristic of emphysema, which is the destruction of the alveoli in the lungs leading to the loss of elasticity. When the alveoli lose their elasticity, they are not able to effectively expel air during exhalation, causing air to become trapped in the lungs. This trapped air leads to difficulty breathing, shortness of breath, and other respiratory symptoms commonly associated with emphysema. This explanation is clear and focuses on the primary pathology of emphysema, making it the most appropriate choice for a newly diagnosed patient to understand their condition.
minutes after birth the normal heart rate of the infant may range between:
- A. 100 and 180
- B. 130 and 170
- C. 120 and 160
- D. 100 and 130
Correct Answer: C
Rationale: The normal heart rate of a newborn infant is typically between 120 and 160 beats per minute within the first minutes after birth. This range is considered normal for a healthy newborn and reflects the development of the infant's cardiovascular system. It is important to monitor the newborn's heart rate closely in the immediate post-birth period to ensure that it remains within this normal range. Any deviations from this range may indicate a need for further evaluation and intervention.