Nokea
the following are signs and symptoms of congenital hip dysplasia except:
- A. ortolani's click
- B. limited hip adduction.
- C. asymmetric gluteal folds.
- D. trendelenburg's while standing. 127
Correct Answer: D
Rationale: Trendelenburg's sign is not a typical sign of congenital hip dysplasia. Trendelenburg's sign indicates weakness of the hip abductor muscles and is seen when a person stands on one leg and the pelvis on the unsupported side drops. The other options are more commonly associated with congenital hip dysplasia:
You may also like to solve these questions
Which is the most common cause of anemia in preterm newborns?
- A. Frequent blood sampling
- B. Respiratory distress syndrome
- C. Meconium aspiration syndrome
- D. Persistent pulmonary hypertension
Correct Answer: A
Rationale: The most common cause of anemia in preterm newborns is frequent blood sampling. Preterm infants are often subject to numerous blood tests for various reasons such as monitoring oxygen and blood gas levels, assessing bilirubin levels, infection screening, and more. These repeated blood withdrawals lead to a loss of red blood cells and can contribute to the development of anemia in preterm infants. Anemia in preterm newborns can have significant consequences, including impaired growth and development, delayed hospital discharge, and the potential need for blood transfusions. Therefore, minimizing unnecessary blood sampling and utilizing non-invasive monitoring methods whenever possible are key strategies in preventing and managing anemia in preterm newborns.
An infant can move his head from side to side while following a moving object, can lift his head from a prone position 45 degrees off the examining table, smiles when encouraged, and makes cooing sounds. He cannot maintain a seated position. The most likely age of the infant is:
- A. 1 month
- B. 3 months
- C. 6 months
- D. 9 months
Correct Answer: B
Rationale: At 3 months, infants typically develop the ability to lift their heads 45 degrees in prone, follow objects with their eyes, smile responsively, and make cooing sounds. They are not yet able to sit independently.
Mr. Reyea has expressive aphasia. As a part of a long range planning. The nurse should ;
- A. Provide positive feedback when he uses the word correctly
- B. Wait for him to verbally state needs regardless of how long it may take
- C. Suggest that he get help at home because the disability is permanent
- D. Help the family to accept the fact that Mr, Reyes cannot participate in verbal communication Situation - Patricia Zeno is a client with history myasthenia gravis
Correct Answer: A
Rationale: In caring for a patient with expressive aphasia like Mr. Reyea, providing positive feedback when he uses a word correctly is essential for reinforcing and encouraging communication efforts. This positive reinforcement can help boost his confidence and motivation to continue trying to communicate effectively. It is important to support and acknowledge any progress made, as communication difficulties can be frustrating for individuals with aphasia. Waiting for him to verbally state needs regardless of how long it may take, as well as suggesting that he get help at home because the disability is permanent, may not be the most therapeutic or supportive approaches. Helping the family accept that Mr. Reyea cannot participate in verbal communication should not be the primary focus, as there are strategies and therapies that can help improve communication abilities in patients with aphasia.
You are discussing the risk of radiotherapy with the parents of a child with medulloblastoma; the mother has a concern about the late neurological complications post radiotherapy. The statement that should be included in the discussion that late neurological sequelae post radiotherapy is more severe with
- A. focal radiotherapy rather than craniospinal irradiation
- B. children with an age of less than 3 year
- C. concomitant chemo-radiotherapy
- D. low grade tumors rather than high grade tumors
Correct Answer: B
Rationale: Younger children (<3 years) are more susceptible to long-term neurotoxic effects of radiotherapy.
A client with newly diagnosed type 2 diabetes mellitus is admitted to the metabolic unit. The primary goal for this admission is education. Which of the following goals should the nurse incorporate into her teaching plan?
- A. Maintenance of blood glucose levels between 180 and 200mg/dl
- B. Smoking reduction but not complete cessation
- C. An eye examination every 2 years until age 50
- D. Exercise and a weight reduction diet
Correct Answer: D
Rationale: For a client with newly diagnosed type 2 diabetes mellitus, the primary focus should be on lifestyle modifications to help manage the condition. A key component of managing type 2 diabetes is maintaining a healthy weight through a balanced diet and regular exercise. Regular physical activity can help improve insulin sensitivity and can assist in weight management. A weight reduction diet can help control blood sugar levels and reduce the risk of complications associated with diabetes. Therefore, incorporating education on exercise and a weight reduction diet is essential in optimizing the client's health outcomes and quality of life.