Which type of play involves actions such as looking and touching the mother's face, putting hands in one's mouth, and responding to familiar people?
- A. Exploratory
- B. Functional or relational
- C. Pretend
- D. Symbolic or imaginary
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following chromosomal abnormalities of childhood ALL carries the highest risk of relapse despite intensive chemotherapy?
- A. t(9;22)
- B. t(4;11)
- C. hypodiploidy
- D. t(1;19)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The age by which the child can make a tower of 9 cubes and imitates a circular stroke is
- A. 24 mo
- B. 30 mo
- C. 36 mo
- D. 42 mo
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is providing care to a child who was treated with aspirin during a viral infection. Which clinical manifestations should cause the healthcare provider concern?
- A. Nausea, vomiting, and confusion
- B. Headache, vomiting, and seizures
- C. Sore throat, moist respirations, and cough
- D. Fever, rash, and photophobia
Correct Answer: A
Rationale: The symptoms of nausea, vomiting, and confusion are concerning as they are indicative of Reye's syndrome, a rare but serious condition associated with aspirin use in children during viral illnesses. Reye's syndrome can lead to severe complications, including brain and liver damage, hence prompt recognition and management are crucial.
A nurse is providing discharge teaching to the parent of a child who has juvenile idiopathic arthritis. Which of the following statements should the nurse include?
- A. Encourage the child to sleep for 8 hours each night.
- B. Perform range-of-motion exercises once per week.
- C. Give your child NSAIDs on a regular schedule.
- D. Apply heat to the child's affected joints twice daily.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is
- A. excessive hydration
- B. sodium bicarbonate
- C. xanthine oxidase inhibitor
- D. recombinant urate oxidase
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.