Nokea
Normal values (reference intervals) are difficult to establish within the pediatric population. Many variables should be considered when developing reference intervals. All the following are variables that commonly considered to define reference intervals EXCEPT
- A. genetic composition
- B. physiologic development
- C. environmental influences
- D. subclinical disease
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Regarding the language skills, a 2-year-old child can
- A. count
- B. name colors
- C. define words
- D. name pictures
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which causes the symptoms in testicular torsion?
- A. Twisting of the spermatic cord interrupts the blood supply.
- B. Swelling of the scrotum displaces the testis.
- C. Unmanaged undescended testes cause displacement.
- D. Microthrombi in the cord cause blockage.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The MOST appropriate advice for a 4-year-old child with stuttering and repetitions of initial sounds is
- A. there is no need for further evaluation as 80% recover by their own
- B. tries to reduce pressures associated with speaking
- C. refers to ENT specialist
- D. refers to speech therapist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning care to address nutritional needs for a preschooler with cystic fibrosis. Which interventions should the nurse include in plans?
- A. Administer pancreatic enzymes 2 hours after meals.
- B. Monitor and adjust the use of pancreatic enzymes if steatorrhea develops.
- C. Encourage adequate fluid intake based on the child's needs.
- D. Increase fat content in the child's diet to 40% of total calories.
Correct Answer: D
Rationale: Increasing fat content in the diet is essential for meeting the high energy needs of a child with cystic fibrosis. Cystic fibrosis impairs the absorption of nutrients, particularly fats, so increasing the fat content in the child's diet to 40% of total calories helps ensure adequate caloric intake. This intervention can help maintain the child's nutritional status and support growth and development.