Nokea
The baby with birth brachial plexus palsy (BBPP) will start with occupational or physical therapy at approximately
- A. 1 wk of age
- B. 2 wk of age
- C. 3 wk of age
- D. 4 wk of age
Correct Answer: A
Rationale: Early intervention is critical for optimal recovery in BBPP. Therapy typically begins within the first week of life to prevent contractures and promote nerve regeneration.
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The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism?
- A. Candida albicans
- B. Chlamydia trachomatis
- C. Escherichia coli
- D. Group B beta-hemolytic streptococci
Correct Answer: C
Rationale: Escherichia coli is the most common cause of early-onset neonatal sepsis and meningitis within 24 hours after birth. E. coli can be transmitted from the mother to the infant during delivery, particularly if there is prolonged rupture of membranes or maternal infection. Infections caused by E. coli in newborns can be severe and life-threatening. It is important to identify and promptly treat infections caused by E. coli in neonates to prevent complications and improve outcomes.
In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT
- A. liver
- B. spleen
- C. lung
- D. hematopoietic system
Correct Answer: C
Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.
All the following are Test results seen in JRA EXCEPT :
- A. Increase ESR
- B. Positive RF
- C. Positive IgM & IgG
- D. Positive CA 9
Correct Answer: D
Rationale: Juvenile idiopathic arthritis (JIA), previously known as Juvenile Rheumatoid Arthritis (JRA), is a chronic inflammatory disorder that primarily affects children. In JIA, common test results include an increase in ESR (Erythrocyte Sedimentation Rate), positive RF (Rheumatoid Factor), and positive IgM & IgG antibodies. However, a positive CA 9 result is not typically associated with JRA. CA 9 (Carbonic Anhydrase 9) is not a commonly used marker for diagnosing or monitoring JIA, so it would not be expected to be seen in test results for this condition.
A nurse is planning a teaching session for parents of a newborn who plan to bottle-feed. Which should the nurse include in the teaching session? (Select all that apply.)
- A. Limiting the feeding to 15 minutes
- B. Propping the bottle for night feedings is acceptable
- C. Proper technique for cleansing the bottles and nipples
- D. Feeding infant on alternate sides of the lap
Correct Answer: C
Rationale: Proper technique for cleansing the bottles and nipples - It is essential to educate parents on the proper technique for cleaning bottles and nipples to prevent bacteria growth and ensure the newborn's milk is not contaminated.
Which of the following malignancies is least likely to occur in a 10-month-old infant?
- A. neuroblastoma
- B. nephroblastoma
- C. retinoblastoma
- D. hepatoblastoma
Correct Answer: D
Rationale: Hepatoblastoma is rare in infants under 1 year old, being more common in toddlers.