Pediatrics Baby Fell off Bed Questions

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The nurse is developing a teaching plan for a client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus?

  • A. antidiuretic hormone (ADH).
  • B. follicle-stimulating hormone (FSH).
  • C. thyroid-stimulating hormone (TSH).
  • D. luteinizing hormone (LH).
Correct Answer: A

Rationale: Clients with diabetes insipidus lack antidiuretic hormone (ADH), also known as vasopressin. ADH plays a crucial role in regulating the amount of water reabsorbed by the kidneys, thus maintaining the body's water balance. In diabetes insipidus, there is a deficiency or decreased response to ADH, leading to excessive urine production and consequent dehydration if not managed properly. Therefore, understanding the role and function of ADH is essential for the nurse to include in the teaching plan for a client diagnosed with diabetes insipidus.

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Regarding physical growth of middle childhood (6-11 years), all are true EXCEPT

  • A. 3-3.5 kg weight increment/yr
  • B. 6-7 cm height increment/yr
  • C. brain stops myelinization by 8 years
  • D. risk for future obesity falls by 6 years
Correct Answer: D

Rationale: Risk for obesity does not necessarily fall by 6 years.

You are meeting with parents of a 12-year-old girl who recently diagnosed with papillary thyroid carcinoma (PTC). The statement that should be included in your discussion is

  • A. PTC has a grim overall prognosis
  • B. FTC do not require radioactive iodine therapy
  • C. supraphysiologic levothyroxine therapy is required during long-term follow-up
  • D. calcitonin/carcinogenic antigen monitoring is required during the course of treatment
Correct Answer: C

Rationale: Levothyroxine suppression therapy is standard in differentiated thyroid cancer.

Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?

  • A. Pulmonary congestion
  • B. Congenital heart defect
  • C. Heart failure
  • D. Systemic venous congestion
Correct Answer: C

Rationale: Heart failure is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures. This results in the inefficient delivery of oxygen and nutrients to the body's tissues, leading to symptoms such as fatigue, shortness of breath, and fluid retention. Pulmonary congestion, systemic venous congestion, and congenital heart defects can be associated with heart failure but are not the primary definition of the condition.

A 1-year-old child develops right eye ptosis, miosis, and loss of sweating; you suspect neuroblastoma. The MOST valuable investigation to confirm the diagnosis is

  • A. CT scan of the neck and chest
  • B. CT scan of the abdomen
  • C. CT scan of the brain
  • D. magnetic resonance imaging (MRI) of the brain
Correct Answer: A

Rationale: CT scan of the neck and chest can help identify a primary neuroblastoma mass in the adrenal gland or sympathetic chain.

A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?

  • A. 16 lb 4 oz
  • B. 20 lb 5 oz
  • C. 24 lb 6 oz
  • D. 32 lb 8 oz
Correct Answer: C

Rationale: Infants typically triple their birth weight by 12 months. For an 8-lb infant, that would be approximately 24 lb.

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