Autism is typically diagnosed between and 3 years of age.
Correct Answer: 2
Rationale: Autistic is typically diagnosed between 2 and 3 years of age.
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What assessment findings should lead the nurse to suspect Down syndrome in a newborn?
- A. Hypertonia and dark skin
- B. Low-set ears and a simian crease
- C. Inner epicanthal folds and a high, domed forehead
- D. Long, thin fingers and excessive hair
Correct Answer: B
Rationale: Manifestations of the Down syndrome infant include low-set ears, simian crease, protruding tongue, and hypotonic extremities.
A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared. What response by the nurse is most appropriate?
- A. No. When the lesions have gone you may stop the nystatin.
- B. Yes. You should continue it for the full 7 days.
- C. No. Thrush is a self-limiting disorder and nystatin is given for comfort only.
- D. Yes. The medication should be refilled for a second week of therapy.
Correct Answer: B
Rationale: Nystatin should be given for the full 7 days even if the lesions are no longer present.
What should the therapeutic management of iron deficiency anemia include?
- A. Multivitamins
- B. Calcium
- C. Ferrous sulfate
- D. Iodine
Correct Answer: C
Rationale: Therapeutic management of iron deficiency anemia is iron (ferrous sulfate) supplementation, nutritional counseling, and treatment of any underlying condition.
The nurse anticipates that the cerebrospinal fluid (CSF) taken from a child with bacterial meningitis would have a low
Correct Answer: glucose
Rationale: The glucose level in the CSF of a child with bacterial meningitis is low because the bacteria in the fluid have digested the glucose.
Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance. What is an appropriate suggestion by the nurse?
- A. Take the child to the health care provider for testing.
- B. Be firm and insist the child go to school.
- C. Allow the child to stay home and rest.
- D. Consult with the teacher at school.
Correct Answer: B
Rationale: Parents should be firm and insist the child go to school.
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