Nokea
Constellation of aniridia and hemihypertrophy is strongly associated with increased risk of which of the following tumors?
- A. rhabdomyosarcoma
- B. hepatoblastoma
- C. Wilms tumor
- D. medulloblastoma
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is
- A. 24 months old
- B. 30 months old
- C. 36 months old
- D. 42 months old
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with:
- A. electrolyte disturbances.
- B. immune deficiencies.
- C. pulmonary hypertension.
- D. respiratory tract infections.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
- A. low stage (I/II) at diagnosis
- B. no prior radiotherapy
- C. anaplastic histology
- D. more than 12 mo from nephrectomy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a parent of a 2-month-old infant with acute gastroenteritis who is bottle feeding, which of the following statements should the nurse include?
- A. Offer Pedialyte between formula feedings.
- B. Feed the infant every 6 hours.
- C. Give diluted apple juice if the infant becomes dehydrated.
- D. Switch to soy-based formula permanently.
Correct Answer: A
Rationale: In the case of acute gastroenteritis in a 2-month-old infant who is bottle feeding, the nurse should recommend offering Pedialyte between formula feedings. This helps prevent dehydration and ensures that the infant receives essential electrolytes and fluids to aid in recovery. Pedialyte is specifically formulated to help replace lost fluids and electrolytes due to vomiting and diarrhea, making it a suitable choice for infants with gastroenteritis.
Which statement best reflects a top-down approach to the evaluation process?
- A. OT focuses evaluation on the child's poor performance with hand skills
- B. OT completes an assessment to provide a motor age for fine motor and gross motor skills
- C. OT begins by interviewing the family regarding routines, interests, and daily habits
- D. OT begins by examining muscle tone, postural control, and range of motion
Correct Answer: C
Rationale: A top-down evaluation approach prioritizes understanding the child's daily life, family routines, interests, and habits to ensure that the therapy provided is relevant and meaningful within the child's natural environment. By starting with family interviews, the occupational therapist gains insight into the child's context, allowing for a more holistic and client-centered evaluation process.