Nokea
Stage 1 hypertension in children is defined as:
- A. Average SBP or DBP levels <90th percentile
- B. Average SBP or DBP levels > 99th percentile
- C. BP > 120/80
- D. Average SBP or DBP levels 95-99th percentile
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Associated anomalies have been reported in up to 30% of congenital diaphragmatic hernia cases; these include the following EXCEPT
- A. pulmonary hypoplasia
- B. CNS lesions
- C. esophageal atresia
- D. cardiovascular lesions
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 13-year-old adolescent female attained out-patient department (OPD), with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired, weak, and lacking energy. Examination reveals heart rate 46 beats/min, blood pressure 70/40 mmHg, weight below 3rd centile, dry skin, and lanugo-type hair growth on face; lab investigations show hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is
- A. admission to the hospital
- B. referral to psychiatrist
- C. referral to dietician
- D. make an scheduled OP visit to you and to psychiatrist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most common cause of convulsions in acute hyponatremia
- A. Hypoxemia
- B. Brain edema
- C. Intracranial hemorrhage
- D. Cerebral stroke
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a well-baby visit, Liza asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?
- A. Applesauce
- B. Egg whites
- C. Rice cereal
- D. Yogurt
Correct Answer: C
Rationale: When introducing solid foods to an infant for the first time, rice cereal is generally recommended as it is mild, easy to digest, and less likely to cause food allergies compared to other foods. It is a good source of iron and a suitable first food for most infants. Introducing rice cereal as the first solid food also helps the baby get accustomed to a different texture and aids in their transition from a milk-only diet to solid foods. It is important to follow the guidance of healthcare professionals regarding the introduction of solid foods to infants to ensure they receive appropriate nutrition and avoid any potential digestive issues.
A school-age child has peripheral edema. Which of the following assessments should the nurse perform to confirm peripheral edema?
- A. Palpate the dorsum of the child's feet
- B. Weigh the child daily using the same scale
- C. Assess the child's skin turgor
- D. Observe the child for periorbital swelling
Correct Answer: A
Rationale: To confirm peripheral edema in a child, the nurse should palpate the dorsum of the child's feet by pressing a fingertip against a bony prominence for 5 seconds. This assessment helps detect the presence of pitting edema, which is characterized by an indentation that remains after the pressure is released.