The MOST common cause of sleeping difficulty in the first 2 months of life is
- A. gastroesophageal reflux
- B. colic
- C. formula intolerance
- D. developmentally self-resolving sleeping behavior
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
- A. the parent's approval is unnecessary in an emergency.
- B. the patient can only receive blood that has been donated by family members.
- C. the patient can receive volume expanders.
- D. none of the above.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT
- A. risk of postoperative apnea is increased by anemia
- B. accepted standard of care includes overnight inpatient apnea monitoring for this infant after general anesthesia because of a significant risk of postoperative apnea
- C. postponing the surgery incurs a small but real risk of incarceration, with complications that may include bowel obstruction and infarction of testes or ovaries
- D. after a spinal anesthetic, monitoring for apnea is not required, and the infant can be sent home from the postanesthetic care unit on the day of surgery
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old boy exhibits separation anxiety, temper issues, and withdrawal from activities after his parents' divorce. What is the most likely diagnosis?
- A. Attention deficit hyperactivity disorder
- B. Conduct disorder
- C. Major depressive disorder
- D. Separation anxiety disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
High pH, low carbon dioxide & normal bicarbonate best fit which of the following disorders?
- A. Compensated respiratory acidosis
- B. Compensated respiratory alkalosis
- C. Uncompensated respiratory acidosis
- D. Uncompensated respiratory alkalosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the best description of anorexia nervosa?
- A. Occurs most frequently in adolescent males
- B. Occurs most frequently in adolescents from lower socioeconomic groups
- C. Results from a posterior pituitary disorder
- D. Results in severe weight loss in the absence of obvious physical causes
Correct Answer: D
Rationale: Anorexia nervosa is a serious eating disorder characterized by a persistent restriction of food intake, leading to significantly low body weight. Individuals with anorexia have an intense fear of gaining weight or becoming fat, despite being underweight. The disorder results in severe weight loss due to excessive dieting, exercising, or other behaviors to control weight. It is not caused by a posterior pituitary disorder, nor is it limited to a specific gender or socioeconomic group.