MATERNAL CHILD CH. 47 EXAM WITH CORRECT ANSWERS

MATERNAL CHILD CH. 47 EXAM WITH
CORRECT ANSWERS




Manifestations of hypoglycemia include: g g g




a. Lethargy.
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b. Thirst.
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c. Nausea and vomiting.
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d. Shaky feeling and dizziness. - correct answer ANS: D
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Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 802
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Some of the clinical manifestations of hypoglycemia include shaky feelings; dizziness;
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difficulty
concentrating, speaking, focusing, and coordinating; sweating; and pallor. Lethargy, thirst, g g g g g g g g g g




and nausea and g g




vomiting are manifestations of hyperglycemia g g g g




Which symptom is considered a cardinal sign of diabetes mellitus?
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a. Nauseag g




b. Seizures
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c. Impaired vision
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d. Frequent urination - correct answer ANS: D
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Hallmarks of diabetes mellitus are glycosuria, polyuria, and polydipsia. Nausea and seizures
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are not clinical
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manifestations of diabetes mellitus. Impaired vision is a long-term complication of the g g g g g g g g g g g g




disease.

A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism.
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Which results g




are consistent with this condition?
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, a. Decreased serum phosphorus
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b. Decreased serum calcium
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c. Increased serum glucose
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d. Decreased serum cortisol - correct answer ANS: B
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The diagnosis of hypoparathyroidism is made on the basis of clinical manifestations
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associated with decreased g g




serum calcium and increased serum phosphorus. Decreased serum phosphorus would be
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seen in g




hyperparathyroidism, elevated glucose in diabetes, and decreased serum cortisol in g g g g g g g g g g




adrenocortical insufficiency g




(Addisons disease). g




Which statement best describes hypopituitarism? g g g g




a. Growth is normal during the first 3 years of life.
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b. Weight is usually more retarded than height.
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c. Skeletal proportions are normal for age.
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d. Most of these children have subnormal intelligence - correct answer ANS: C
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In children with hypopituitarism, the skeletal proportions are normal. Growth is within normal
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limits for the g g




first year of life. Height is usually more delayed than weight. Intelligence is not affected by
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hypopituitarism

A child will start treatment for precocious puberty. This involves injections of synthetic:
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a. Thyrotropin.
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b. Gonadotropins.
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c. Somatotropic hormone.
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d. Luteinizing hormonereleasing hormone. - correct answer ANS: D
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Precocious puberty of central origin is treated with monthly subcutaneous injections of g g g g g g g g g g g g




luteinizing
hormonereleasing hormone. Thyrotropin, gonadotropin, and somatotropic hormone are not g g g g g g g g g




appropriate
therapies for precocious puberty g g g




A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for the GH
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to be
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administered is: g




a. At bedtime.
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b. After meals.
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c. Before meals.
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d. On arising in the morning. - correct answer ANS: A
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Injections are best given at bedtime to more closely approximate the physiologic release of
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GH. Before or after g g g




meals and on arising in the morning are times that do not mimic the physiologic release of the
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hormone.

What is the priority nursing goal for a 14-year-old with Graves disease?
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