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The following are true EXCEPT
- A. Hypoglycemia develops in about 25-50%
- B. Increased weight of the placenta and all infant organs
- C. Heart failure occurs in 5-10% of infants of diabetic mothers
- D. The incidence of congenital anomalies is increased threefold in infants of diabetic mothers
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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All the following are characteristic of retinal hemorrhage caused by abusive head trauma (AHT) EXCEPT
- A. multiple
- B. involve more than one layer of the retina
- C. central
- D. traumatic retinoschisis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After severe birth asphyxia, infants may have motor automatisms characterized by
- A. absence of oral-buccal-lingual movements
- B. time-synchronized electroencephalographic discharges
- C. significant cortical epileptic activity
- D. a poor prognosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which strategy is most likely to promote positive behavior in children?
- A. Providing flexible instructions with no consequences
- B. Limiting opportunities until the child performs adequately
- C. Improving the child's competence and creating a positive environment
- D. Setting strict rules with punishments for misbehavior
Correct Answer: C
Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.
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.
A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
- A. It will have no effect.
- B. it will cause wide fluctuations in the
- C. it will decrease the need insulin. need for insulin
- D. It will increase the need for insulin.
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.