TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION UPDATED 2026!!!

TEST BANK
For Nelson Pediatrics Review(Mcqs) 19 Edition Updated!!!




Wickyaplus stuvia

, MCQs in Pediatrics Review of Nelson Textbook of Pediatrics 20 Edition
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1. Which of the following statements regarding foster care is true?
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□A permanency plan must be made for a child in foster care no later than 12 mo from the child's entry into care
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□A minority of children in foster care have a history of abuse or neglect
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☑The mission of foster care is to safely care for children while providing services to families to promote
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reunification
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□Most (>70%) of children in foster care are reunited with their families
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■ A and C
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description The mission of foster care is to provide for the health, safety, and well-being of children while
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assisting their families with services to promote reunification. Children entering foster care have frequently
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experienced early childhood trauma. More than 70% have a history of abuse, neglect, or both. Only about
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50% of children achieve reunification. In the USA, the Adoption and Safe Families Act (P.L. 105-89)
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passed in 1997 requires that a permanency plan be made for each child no later than 12 mo after entry to
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foster care and that a petition to terminate parental rights typically must be filed when a child has been in
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foster care for at least 15 of the previous 22 mo. (See Chapter 35, page 134, and e35-1.)
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2. A 4 yr old girl is admitted to the hospital for her third evaluation for vaginal bleeding. The
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mother noted bright red blood on the child's underwear. Previous examinations revealed a
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normal 4 yr old girl, Tanner stage 1, with normal external genitalia. Pelvic ultrasound results
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were normal, as was the serum estradiol level. The hemoglobin and platelet counts were
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normal, as were the bleeding time and coagulation studies. Findings on pelvic examination
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conducted under anesthesia also were normal. The next step in the examination is to:
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 Determine the blood type of the blood on the underwear
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□Interrogate the father x x




□Isolate the parents and child
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□Determine von Willebrand factor levels x x x x

, □Measure fibronectin in the vagina x x x x




description Consideration of factitious disorder by proxy should be triggered when the reported symptoms
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are repeatedly noted by only one parent, appropriate testing fails to confirm a diagnosis, and seemingly
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appropriate treatment is ineffective. At times, the child's symptoms, their course, or the response to treatment
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may be incompatible with any recognized disease. Preverbal children are usually involved. Bleeding is a
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particularly common presentation. This may be caused by adding dyes to samples, adding blood (e.g., from the
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mother) to the child's sample, or giving the child an anticoagulant (e.g., warfarin). (See Chapter 37, page
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146.)
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3. Munchausen syndrome by proxy is characterized by all of the following EXCEPT:
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□Mother who appears devoted and wins over members of care team
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□Multiple hospitalizations and investigations without diagnosis
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□Symptoms on history but not witnessed by medical team
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■ Symptoms occurring in presence of different caregivers (e.g., while mother is out of town)
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□Use of medications or toxins
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description Symptoms in young children are mostly associated with proximity of the offending caregiver to
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the child. The mother may present as a devoted or even model parent who forms close relationships with
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members of the health care team. While appearing very interested in her child's condition, she may be
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relatively distant emotionally. (See Chapter 37, page 146.)
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4. Which statement is false?
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■ Malnutrition is the second leading cause of acquired immune deficiency worldwide behind HIV infection
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□Zinc is important in immune function and linear growth
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□Kwashiorkor and marasmus are rare in developed countries x x x x x x x




□The Western diet is associated with increased noncommunicable disease
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description The significant global burden of malnutrition and undernutrition is the leading worldwide cause of
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acquired immunodeficiency and the major underlying factor for morbidity and mortality globally for children <5
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yr of age. Zinc is a micronutrient that supports multiple metabolic functions in the body, is essential for normal
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immune functioning, and is required to support linear growth; zinc deficiency is associated with impaired
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immune functioning and poor linear growth. In parallel to the risk for nutrient and energy deficiencies, issues
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relating to excesses pose important challenges because of their negative health effects, such as obesity or
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cardiovascular disease risk factors. The nutrition transition under way in the
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, developing world from traditional diets to the Western diet has been associated with increases in
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noncommunicable diseases, often coexisting with undernutrition and malnutrition, observed sometimes in the
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same communities or even the same families. (See e41-1.)
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5. Components of energy expenditure in children include: x x x x x x




□Thermal effect of food x x x




□Basal metabolic rate x x




□Energy for physical activity x x x




□Energy to support growth x x x




■ All of the above
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description The 3 components of energy expenditure in adults are the basal metabolic rate, the thermal
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effect of food (energy required for digestion and absorption), and energy for physical activity. Additional
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energy intake and expenditure are required to support growth and development for children. (See e41-
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4.)
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6. Which of the following clinical scenarios increases the risk of vitamin A deficiency?
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□Vegetarian diet x




□Chronic intestinal disorders x x




□Zinc deficiency x




■ B and C
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□All of the above
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description Vitamin A is an essential micronutrient because it cannot be biogenerated de novo by
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animals. It must be obtained from plants in the form of provitamin-A carotenoids. In the USA, grains and
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vegetables supply approximately 55% and dairy and meat products supply approximately 30% of
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vitamin A intake from food. Vitamin A and the provitamins-A are fat soluble, and their absorption depends
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on the presence of adequate lipid and protein within the meal. Chronic intestinal disorders or lipid
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malabsorption syndromes can result in vitamin A deficiency. In developing countries, subclinical or clinical
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zinc deficiency can increase the risk of vitamin A deficiency. There is also some evidence of marginal zinc
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intakes in children in the USA. (See Chapter 45, page 188.)
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7. Which statement about vitamin A toxicity is NOT true?
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