The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
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While assessing a newborn infant for developmental hip dysplasia (DDH), the nurse evaluates which of the following signs as indicating the presence of DDH?
- A. One knee is lower when both legs are flexed
- B. Thigh and gluteal skin folds are symmetrical
- C. Hip adduction of affected side is limited
- D. Negative Ortolani sign when hips are abducted
Correct Answer: A
Rationale: In developmental hip dysplasia (DDH), one knee appearing lower than the other when both legs are flexed indicates a possible dislocated hip joint or hip dysplasia. This finding is known as the Galeazzi sign and is often used as a clinical indicator for DDH in newborn infants. It suggests a discrepancy in leg lengths due to hip instability or malformation. Therefore, this sign is important in helping to diagnose DDH and initiating appropriate interventions early on.
When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. How should the nurse assess this diet?
- A. Indicates they live in poverty
- B. Is lacking in protein
- C. May provide sufficient amino acids
- D. Should be enriched with meat and milk
Correct Answer: C
Rationale: The nurse should assess that the diet of the Hispanic family, which consists mainly of vegetables, legumes, and starches, may provide sufficient amino acids. While this diet may lack animal sources of protein commonly found in meat and milk, plant-based foods like legumes and grains can complement each other to provide all essential amino acids necessary for protein synthesis in the body. This combination of foods essentially forms a complete protein source, supporting overall nutritional needs. It's important for the nurse to recognize the potential nutritional value in the diet and offer education on balanced meal planning to ensure adequate protein intake for the family. The assessment should focus on the overall nutrient adequacy and not solely on the presence of specific food items.
the vital sign that the nurse should most certainly check before administering digoxin is:
- A. pulse rate
- B. temperature
- C. blood pressure
- D. respiratory rate 99- coarctation of the aorta reflects which of the statements?
Correct Answer: A
Rationale: Before administering digoxin, it is crucial for the nurse to check the patient's pulse rate. Digoxin is a medication commonly used to treat heart conditions such as atrial fibrillation and heart failure by increasing the strength and efficiency of the heart's contractions. However, digoxin can also cause adverse effects such as bradycardia (slow heart rate) or heart block. Therefore, it is important to assess the patient's pulse rate to ensure that it is within the safe range before administering digoxin.
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
- A. touching his genitals in public
- B. showing his genitals to others
- C. undressing in public
- D. imitating intercourse or other adult sexual behaviors
Correct Answer: D
Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.
Which term refers to a newborn born before completion of week 37 of gestation, regardless of birth weight?
- A. Postterm
- B. Preterm
- C. Low birth weight
- D. Small for gestational age
Correct Answer: B
Rationale: The term "preterm" refers to a newborn born before completion of week 37 of gestation, regardless of birth weight. Preterm birth can lead to various health issues for the newborn, as they may not have fully developed before being born. It is important for healthcare providers to closely monitor preterm infants to ensure they receive the proper care and support for their development.