The clue to need a help for a child who does not respond correctly to 'Give me' or 'Sit down' or 'Come here' when spoken without gestural cues is by age of
- A. 15 months
- B. 18 months
- C. 21 months
- D. 24 months
Correct Answer: D
Rationale: By 24 months, a child should be able to follow simple commands without gestures.
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What does the surgical closure of the ductus arteriosus do?
- A. Stop the loss of unoxygenated blood to the systemic circulation
- B. Decrease the edema in legs and feet
- C. Increase the oxygenation of blood
- D. Prevent the return of oxygenated blood to the lungs
Correct Answer: A
Rationale: The ductus arteriosus is a fetal blood vessel that allows blood to bypass the lungs while in utero. After birth, the ductus arteriosus should close to redirect blood flow through the lungs for oxygenation. Surgical closure of the ductus arteriosus is performed to prevent the shunting of unoxygenated blood from the pulmonary artery to the aorta, therefore stopping the loss of unoxygenated blood to the systemic circulation. This helps to ensure that oxygenated blood is properly circulated to the body tissues and organs.
Children with ALL who carry poor outcome include all the following EXCEPT
- A. age younger than 1 year and older than 10 year
- B. T-cell immunophenotype
- C. hyperdiploidy chromosomal abnormality
- D. initial leukocyte count of > 50,000
Correct Answer: C
Rationale: Hyperdiploidy is generally associated with a favorable prognosis in ALL, unlike other listed factors.
Failure to thrive (FTT) is a descriptive term given to malnourished infants and young children who fail to meet expected standards of growth. Of the following, the growth parameter that is usually not affected by malnutrition is
- A. weight
- B. height
- C. weight for height ratio
- D. head circumference
Correct Answer: D
Rationale: Head circumference is less likely to be affected by short-term malnutrition because brain growth is prioritized during infancy and early childhood.
In embryonic period, formation of all of the following occur by the given time EXCEPT
- A. 8 days - blastocyst formation
- B. 6 weeks - ectoderm formation
- C. 8 weeks - crown-rump length about 3 cm
- D. 10 weeks - endoderm formation
Correct Answer: D
Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.
Which of the ff. nursing diagnoses is the focus of care for a patient with hypertension?
- A. Activity intolerance
- B. Impaired physical mobility
- C. Ineffective airway clearance
- D. Deficient knowledge
Correct Answer: D
Rationale: Hypertension, also known as high blood pressure, is a condition where the force of blood against the artery walls is consistently too high. Education about the condition, its causes, treatment, lifestyle modifications, and potential complications is crucial in managing hypertension effectively. Patients with hypertension often need to make significant changes to their diet, exercise routine, and overall lifestyle to control their blood pressure. Therefore, addressing Deficient knowledge nursing diagnosis is essential in providing patient education and empowering the individual to take control of their health. Focusing on improving the patient's understanding of hypertension can lead to better adherence to treatment plans and ultimately better blood pressure control.
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