Nokea
Risk factors for birth brachial plexus injury include the following EXCEPT
- A. shoulder dystocia
- B. birthweight greater than 4 kg
- C. primiparous mothers
- D. diabetic mother
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
- A. complete blood count
- B. pharmacogenetic testing of the thiopurine S-methyltransferase (TPMT) gene
- C. renal function test
- D. bone marrow study
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When discussing the correction of hypospadias in a newborn, what does the nurse explain about this condition?
- A. No intervention is required as the defect will correct itself over time.
- B. Surgical repair of hypospadias is typically performed before 18 months of age.
- C. Corrective surgery is commonly postponed until preschool age.
- D. Repairing the defect does not increase the risk of testicular cancer.
Correct Answer: B
Rationale: Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis. Surgical repair is the primary treatment for hypospadias and is usually recommended to be done before 18 months of age. This timing is preferred for optimal cosmetic and functional outcomes. Waiting until preschool age for corrective surgery may increase the complexity of the procedure and potential complications. Correcting hypospadias does not impact the risk of testicular cancer.
The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?
- A. three month
- B. eight month
- C. one year
- D. three year
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Diagnosis of attention deficit/hyperactivity disorder (ADHD) in children up to the age of 16 years requires the presence of at least
- A. 4 symptoms of inattention or4 symptoms of hyperactivity-impulsivity for at least 4 months in two or more environments
- B. 5 symptoms of inattention or 5 symptoms of hyperactivity-impulsivity for at least 5 months in two or more environments
- C. 6 symptoms of inattention or 6 symptoms of hyperactivity-impulsivity for at least 6 months in two or more environments
- D. 6 symptoms of inattention or 6 symptoms of hyperactivity-impulsivity for at least 3 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
- A. Placing the newborn on a radiant warmer
- B. Placing the newborn in an open crib
- C. Preparing the newborn for phototherapy
- D. Preparing the newborn for bottle-feeding
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.