Nokea
A neonate has been diagnosed with caput succedaneum. Which statement is correct about this condition?
- A. It usually resolves in 3-6 weeks
- B. It doesn't cross the cranial suture line
- C. It's a collection of blood between the skull and the periosteum
- D. It involves swelling of tissue over the presenting part of the presenting head
Correct Answer: D
Rationale: Caput succedaneum is a condition characterized by the swelling of tissue over the presenting part of the infant's head during delivery. It is commonly a result of prolonged labor or vacuum extraction. Unlike cephalohematoma, caput succedaneum does cross the cranial suture lines. This condition typically resolves within a few days to a week after birth without intervention. It is important to monitor the infant for any complications or signs of infection during the resolution process.
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While caring for a patient who is hospitalized for acute gastroenteritis and dehydration, the pediatric nurse notes that the patient's parent keeps packets of herbs by the patient's bedside. Suspecting that the parent may be administering the herbs to the patient, the nurse's first action is to:
- A. ask the parent in a nonjudgmental manner about the herbs.
- B. coordinate a nursing care conference to discuss the patient's plan of care.
- C. discuss the risks of using alternative therapies with the parent.
- D. refer the family to a social worker for possible nonadherence with the healthcare regimen.
Correct Answer: A
Rationale: A nonjudgmental approach encourages open communication and allows the nurse to assess the situation appropriately.
The nurse teaches a client with newly diagnosed hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function. Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy?
- A. Methimazole (Tapazole)
- B. Livothyronine (Cytomel)
- C. Thyroid USP dessicated (Thyroid USP
- D. Levothyroxine (Synthroid) Enseals)
Correct Answer: D
Rationale: Levothyroxine (Synthroid) is the agent of choice for thyroid hormone replacement therapy in clients with hypothyroidism. Levothyroxine is a synthetic form of the thyroid hormone T4 and is considered a stable and reliable medication for thyroid replacement. It is usually well tolerated and has a consistent potency, making it easier to adjust the dosage based on the client's thyroid hormone levels. Levothyroxine is typically taken orally once daily on an empty stomach, preferably in the morning, to ensure optimal absorption. In contrast, Methimazole (Tapazole) is used to treat hyperthyroidism by inhibiting the production of thyroid hormones, Livothyronine (Cytomel) is a synthetic form of the thyroid hormone T3, and Thyroid USP dessicated (Thyroid USP) is a natural preparation derived from porcine thyroid glands,
The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
In assessing clients for pernicious anemia, the nurse should be alert for which of the following risk factors?
- A. Positive family history
- B. Infectious agents or toxins
- C. Acute or chronic blood loss
- D. Inadequate dietary intake
Correct Answer: C
Rationale: Pernicious anemia is primarily caused by the body's inability to absorb vitamin B12 due to a lack of intrinsic factor produced by the stomach. However, chronic blood loss can also lead to anemia by depleting the body's iron stores necessary for the production of healthy red blood cells. Acute blood loss can quickly lower the hemoglobin levels in the blood, while chronic blood loss can lead to iron-deficiency anemia over time. Therefore, in assessing clients for pernicious anemia, the nurse should be alert for the risk factor of acute or chronic blood loss as a potential cause of anemia.
Low birth weight or premature infants are screened for anemia at birth and again at the age of
- A. 2 months
- B. 4 months
- C. 6 months
- D. 8 months
Correct Answer: C
Rationale: Anemia screening for low birth weight or premature infants is recommended at 6 months.