Nokea
How should the healthcare provider respond to a parent concerned about a child's short stature?
- A. Suggest the parent consult a nutritionist
- B. Recommend frequent growth hormone injections
- C. Advise monitoring for a few years before intervention
- D. Refer for a genetic evaluation
Correct Answer: C
Rationale: When a parent expresses concern about a child's short stature, the initial approach should involve advising monitoring for a few years before considering any interventions. This allows for observation of the child's growth pattern and any potential underlying issues. Suggesting a nutritionist (Choice A) may not be necessary if there are no signs of nutritional deficiencies. Recommending growth hormone injections (Choice B) is premature without proper evaluation and diagnosis. Referring for a genetic evaluation (Choice D) can be considered later if monitoring shows atypical growth patterns or other concerning factors.
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What is an important aspect of the care plan for a child with eczema?
- A. Use of steroid creams
- B. Frequent antibiotic therapy
- C. High-protein diet
- D. Daily baths in hot water
Correct Answer: A
Rationale: The correct answer is A: Use of steroid creams. Steroid creams are commonly used in the management of eczema to reduce inflammation and itching, thus improving the skin condition and comfort of the child. Choice B, frequent antibiotic therapy, is incorrect as antibiotics are not typically used to treat eczema unless there is a secondary bacterial infection. Choice C, a high-protein diet, is not a specific recommendation for eczema treatment. Choice D, daily baths in hot water, is not recommended for eczema care as hot water can exacerbate the condition by drying out the skin.
How should a caregiver manage a child with a known allergy to peanuts?
- A. Avoid all peanut-containing products
- B. Encourage regular exposure to peanuts
- C. Administer antihistamines daily
- D. Recommend peanut-containing supplements
Correct Answer: A
Rationale: Avoiding peanut-containing products is crucial for managing a peanut allergy and preventing allergic reactions. Choice B suggesting regular exposure to peanuts can be harmful and trigger severe allergic reactions in a child with a peanut allergy. Regular exposure can increase the risk of anaphylaxis. Choice C of administering antihistamines daily is not a primary prevention strategy and should not be the first-line approach for managing a peanut allergy. Antihistamines only treat symptoms and do not prevent the allergic reaction. Choice D of recommending peanut-containing supplements can also lead to severe allergic reactions and is not recommended for a child with a known peanut allergy. It is essential to eliminate all sources of peanuts to prevent accidental exposure and potential life-threatening reactions.
What is the primary intervention for a child experiencing a tonic-clonic seizure?
- A. Administer intravenous fluids
- B. Place the child in a prone position
- C. Protect the child from injury
- D. Perform mouth-to-mouth resuscitation
Correct Answer: C
Rationale: The primary intervention for a child experiencing a tonic-clonic seizure is to protect them from injury. Placing the child in a prone position can be dangerous as it may lead to further harm due to the risk of aspiration or airway obstruction. Administering intravenous fluids is not recommended during a seizure. Performing mouth-to-mouth resuscitation is also not indicated as the child will resume breathing spontaneously after the seizure stops. Ensuring the child's safety and preventing injury by removing harmful objects and cushioning their head is essential until the seizure subsides.
In what units are energy measurements expressed by most scientists and nutritionists outside the United States?
- A. newtons
- B. liters
- C. kilojoules
- D. kilocalories
Correct Answer: C
Rationale: Kilojoules are the standard units of energy used by most scientists and nutritionists worldwide. Newtons are units of force, liters are units of volume, and kilocalories are more commonly used in the United States but not as widely adopted internationally for energy measurements. Therefore, the correct answer is 'kilojoules.'
What should be a priority for a 4-year-old child with nephrosis?
- A. Impaired body image
- B. Skin impairment
- C. Nutritional deficit
- D. Injury
Correct Answer: B
Rationale: The correct answer is B: Skin impairment. Skin care is a priority in nephrosis due to edema and increased risk of skin breakdown, requiring careful monitoring and management. While impaired body image (Choice A) can be a concern, it is not typically a priority in a 4-year-old with nephrosis. Nutritional deficit (Choice C) is important but addressing skin impairment takes precedence due to the immediate risk of complications related to skin breakdown. Injury (Choice D) is a general concern for children but is not the priority in a child with nephrosis.