Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

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A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend the infant be given?

  • A. Skim milk
  • B. Whole cow's milk
  • C. Commercial iron-fortified formula
  • D. Commercial formula without iron
Correct Answer: C

Rationale: When a mother decides to discontinue breastfeeding, it is important for the infant to receive an appropriate alternative that provides essential nutrients, including iron. Commercial iron-fortified formula ensures that the infant is receiving adequate iron, which is crucial for healthy growth and development. Skim milk is not recommended for infants under age 1 due to its high protein and mineral content, which can strain the baby's immature kidneys. Whole cow's milk is also not suitable before age 1 because it lacks essential nutrients such as iron and vitamin E, and can lead to iron deficiency anemia. Commercial formula without iron would not provide enough iron for the infant's needs, making commercial iron-fortified formula the most appropriate choice for the 5-month-old infant.

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A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)

  • A. Breastfeeding
  • B. Low Apgar scores
  • C. Male sex
  • D. Birth weight in the 50th or higher percentile
Correct Answer: B

Rationale: - Low Apgar scores: Infants with low Apgar scores (scores of 3 or lower at 5 minutes after birth) are at an increased risk for sudden infant death syndrome (SIDS). Low Apgar scores may indicate underlying health issues in the newborn that could contribute to the risk of SIDS.

A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder

  • A. intensive chemotherapy
  • B. low dose chemotherapy pulses
  • C. bone marrow transplantation
  • D. close follow up
Correct Answer: A

Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.

For most children with enuresis, the only test recommended is

  • A. blood sugar
  • B. serum electrolytes
  • C. urinalysis
  • D. abdominal sonography
Correct Answer: C

Rationale: Urinalysis is the standard initial test for evaluating enuresis to rule out urinary tract infections or other conditions.

Hepatoblastoma is a neoplasm of undifferentiated precursors of hepatocytes. It is of different histological classification; which type predict the MOST favorable outcome?

  • A. mixed type of pure epithelial and mesenchymal elements
  • B. type of pure epithelial histology
  • C. type of mixed fetal and embryonal histology
  • D. type of undifferentiated histology
Correct Answer: B

Rationale: Pure epithelial histology, particularly fetal type, is associated with the best prognosis.

The physical manifestations of fetal alcohol syndrome include:

  • A. abnormal facial tissue, cleft lip, and cleft palate.
  • B. hepatomegaly, hypotonia, and microphthalmia.
  • C. microcephaly, short philtrum, and intrauterine growth restriction.
  • D. hyperbilirubinemia, jaundice, and failure to thrive.
Correct Answer: C

Rationale: Fetal alcohol syndrome is characterized by microcephaly, a short philtrum, and intrauterine growth restriction, among other features.

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