Nokea
A term infant is born with Apgar scores of 5 at minute and 7 at 5 minutes The infant has a heart rate of 7 and demonstrates pallor with hepatosplenomegaly A Coombs test on maternal blood yields positive results The most likely diagnosis is
- A. Erythroblastosis fetalis
- B. Hereditary spherocytosis
- C. Chronic fetal-maternal hemorrhage
- D. ABO incompatibility
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
- A. thyrotoxicosis
- B. ADHD
- C. behavioral insomnia of childhood
- D. sleep-onset association disorder
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
One of the following drugs is not used during resuscitation:
- A. Atropine
- B. Bicarbonate
- C. Digitalis
- D. Epinephrine
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
- A. patients may present with frank hematuria, flank pain, and/or a palpable mass
- B. it can be asymptomatic and detected incidentally
- C. it has a propensity to metastasize to the lungs, bone, liver, and brain
- D. it can be associated with von Hippel-Lindau disease
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assisting a health care provider (HCP) examining an infant with developmental dysplasia of the hip perform an Ortolani maneuver. The nurse understands that this maneuver is performed for which purpose?
- A. To assess for hip instability
- B. To assess for movement of the hips
- C. To push the femoral head out of the acetabulum
- D. To ensure that hyperextension and full range of motion exist
Correct Answer: A
Rationale: The Ortolani maneuver is a physical examination test specifically used to assess for hip instability in infants with suspected developmental dysplasia of the hip (DDH). This maneuver helps the healthcare provider determine if the femoral head can be gently relocated into the acetabulum, which can indicate the presence of hip dysplasia in newborns. Hip instability may be a sign of DDH, which is a condition where the hip joint has not developed properly. It is crucial to detect DDH early to prevent long-term complications such as hip dysplasia or dislocations.
Heimlich maneuver is used for which of the following purposes:
- A. Assessing if the child is breathing
- B. Expelling a foreign body in an unconscious child
- C. Chest compression in a large child
- D. Opening the airway in possible cervical spine injury
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.