Nokea
Regarding the physical growth of middle childhood (6-11 yr), all are true EXCEPT
- A. 3-3.5 kg weight increment/yr
- B. 6-7 cm height increment/yr
- C. brain myelinization stops by 8 yr
- D. deciduous tooth falls by 6 yr
Correct Answer: C
Rationale: Brain myelinization continues beyond 8 years.
You may also like to solve these questions
Many factors in nasopharyngeal carcinoma patients may affect the prognosis. Which of the following carries the worst outcome?
- A. elevated lactate dehydrogenase (LDH) level
- B. advanced disease
- C. extensive cervical lymph node involvement
- D. evidence of Epstein-Barr virus (EBV) DNA
Correct Answer: A
Rationale: Elevated LDH levels are strongly associated with aggressive disease and poor prognosis.
When doing the first assessment of a male newborn, the nurse notes that the scrotum is large, edematous, and pendulous. This should be interpreted as a(n):
- A. normal finding.
- B. hydrocele.
- C. absence of testes.
- D. inguinal hernia.
Correct Answer: B
Rationale: A hydrocele presents as a fluid-filled sac surrounding the testes within the scrotum. In newborns, it is a common finding due to the open connection between the peritoneal cavity and the scrotum that may allow fluid to accumulate. This can result in a large, edematous, and pendulous scrotum. Hydroceles are usually benign and tend to resolve on their own within the first year of life. In contrast, the absence of testes (cryptorchidism) would be identified as the inability to palpate the testes in the scrotum or inguinal canal. An inguinal hernia would present as a bulge in the inguinal area caused by a loop of intestine protruding through a weak spot in the abdominal wall.
A 16-year-old discusses his recent diagnosis of lupus with the nurse. Which statement best describes adolescent thinking regarding the future?
- A. Adolescents are preoccupied with the present.
- B. Adolescents are beginning to think abstractly and consider future possibilities.
- C. Adolescents think only in concrete terms.
- D. Adolescents are overly concerned with past events.
Correct Answer: B
Rationale: During adolescence, abstract thinking develops, allowing teens to envision future possibilities.
An adolescent girl tells the nurse that she is very suicidal. The nurse asks her whether she has a specific plan. Asking this should be considered:
- A. an appropriate part of the assessment.
- B. not a critical part of the assessment.
- C. suggesting that the adolescent needs a plan.
- D. encouraging the adolescent to devise a plan.
Correct Answer: A
Rationale: Asking an adolescent girl who expresses suicidal thoughts whether she has a specific plan is an appropriate part of the assessment. This question helps the nurse determine the level of risk and urgency of the situation. Knowing whether there is a specific plan in place can guide the nurse in determining the appropriate intervention and level of care needed to ensure the safety and well-being of the adolescent. It is crucial to assess for the presence of a specific plan as it can indicate a higher risk of imminent harm.
Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following?
- A. "Currant jelly" stools
- B. Regurgitation
- C. Steatorrhea
- D. Projectile vomiting
Correct Answer: D
Rationale: Pyloric stenosis is a condition in infants where there is a tightening of the muscle at the outlet of the stomach, causing obstruction of food passage into the small intestine. One of the hallmark symptoms of pyloric stenosis is projectile vomiting, in which the vomit is forceful and shoots out a significant distance. This distinguishes it from regular regurgitation or spitting up, which are more common in infants for other reasons. Nurse Nancy would likely note this symptom while assessing a child with pyloric stenosis.