Which question provides information regarding a child's community mobility?
- A. What is the level of supervision provided?
- B. Can the child leave the house and play with friends?
- C. Is the child being bullied?
- D. Is there equipment available so the child can play with peers?
Correct Answer: B
Rationale: Choice B directly assesses the child's community mobility by inquiring about their ability to leave the house and engage in play activities with friends. Community mobility involves the child's independence in social and recreational activities outside the home, making this question crucial for understanding their daily functioning and autonomy.
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Although children with Wilms tumor have a favorable prognosis, there are some adverse prognostic factors in children with Wilms tumor EXCEPT
- A. large tumors
- B. anaplastic histology
- C. loss of heterozygosity at chromosome 1p and 16q
- D. young age at diagnosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A complete blood workup is ordered for a 5 month old with tetralogy of Fallot. Because of the infant's heart disease, the nurse would expect the report to show:
- A. Anemia
- B. Polycythemia
- C. Agranulocytosis
- D. Thrombocytopenia
Correct Answer: B
Rationale: Tetralogy of Fallot is a congenital heart defect that affects the flow of blood through the heart. In this condition, there is decreased pulmonary blood flow leading to reduced oxygenation of the blood. To compensate for the low oxygen levels in the blood, the body may increase the production of red blood cells, resulting in polycythemia (an increased red blood cell count). This is the body's way of trying to ensure that enough oxygen is carried to the tissues despite the heart defect. Therefore, in a 5-month-old infant with tetralogy of Fallot, the nurse would expect the blood workup to show polycythemia.
All the following are recognized features of 'well-controlled' asthma in a 7-year-old boy EXCEPT
- A. FEV1/FVC ratio >80%
- B. FEV1 >80% of predicted
- C. daytime symptoms ≤2 days/week
- D. 2-4 exacerbations in the past year
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 32-week preterm baby on mechanical ventilation, recovering from RDS, has a satisfactory blood gas, and ventilatory settings are being reduced for weaning. What is the most valuable indicator that the baby is ready for extubation?
- A. frequency of respiration 35
- B. fraction of inspired O2 0.55
- C. peak expiratory end pressure 6
- D. inspiratory pressure 8
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is
- A. affected children usually do not have antisocial tendencies
- B. girls are more likely affected than boys
- C. there is strong association with social class
- D. the oldest member of a family of few children is more likely to be affected
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.