A goiter is an enlargement or ANS: A
hypertrophy of which gland?
a. Thyroid A goiter is an enlargement or hypertrophy of the thyroid gland. Goiter
b. Adrenal not associated with the adrenals or the anterior and posterior pituitarie
c. Anterior pituitary
d. Posterior pituitary
, Maternal Child Final
A child with hypopituitarism is being ANS: C
started on growth hormone (GH) Additional support is required for children who require hormone
therapy. Nursing replacement therapy, such as preparation for
considerationsshould be based on daily subcutaneous injections and education for self-management dur
which of the following? the school-age years. Young children, obese children, and those who
a. Treatment is most successful if it is severely GH deficient have the best response to therapy. When therap
started during adolescence. successful, children can attain their actual or near-final adult height at
b. Treatment is considered successful slower rate than their peers. Replacement therapy is not needed after
if children attain full stature by attaining final height. They are no longer GH deficient.
adulthood.
c. Replacement therapy requires daily
subcutaneous injections.
d. Replacement therapy will be
required throughout the childs
lifetime
The primary method of treating ANS: C
osteomyelitis is: Osteomyelitis is an infection of the bone, most commonly caused by
a. Joint replacement. Staphylococcus aureus. The treatment of choice is antibiotics. Joint
b. Bracing and casting. replacement, bracing and casting, and long-term corticosteroids are n
c. Intravenous antibiotic therapy. indicated for infectious processes.
d. Long-term corticosteroid therapy
, Maternal Child Final
Which interaction is part of the ANS: B
discharge plan for a school-age child Promoting optimal growth and development in the school-age child is
with osteomyelitis who is receiving important. It is important to continue schoolwork and arrange for tutor
home antibiotic therapy? if indicated. The child with osteomyelitis should be on a high-calorie, h
a. Instructions for a low-calorie diet protein diet. The child with osteomyelitis may need time for the bone t
b. Arrangements for tutoring and heal before returning to full activities.
schoolwork
c. Instructions for a high-fat, low-
protein diet
d. Instructions for the parent to return
the child to team sports immediately
, Maternal Child Final
The nurse is caring for a preschool ANS: C, D, E
child with a cast applied recently for a Indications of compartment syndrome are severe pain not relieved by
fractured tibia. Which assessment analgesics, tingling of extremity, and inability to move extremity. A palp
findings indicate possible distal pulse and capillary refill to the extremity of <3 seconds are expe
compartment syndrome (Select all findings.
that apply)?a. Palpable distal pulse
b. Capillary refill to extremity of <3
seconds
c. Severe pain not relieved by
analgesics
d. Tingling of extremity
e. Inability to move extremity