Hesi Maternal

HESI MATERNAL1. When taking the health history of a child, the nurse know what which finding is an early indication of hypothyroidism in children? a. Cessation of growth in a child that had been normal a.i. Since the thyroid gland is responsible for metabolism, cessation of growth which as previously w/ in normal range, is the most common for hypothyroidism in children. The child w/ hypothyroidism is likely to be HYPOactive not (HYPERactive), although there is delay in the eruption of permanent teeth & slow sexual development happen w/ hypothyroidism, they are LATE signs.. (NOT EARLY indications) and are signs more often assoc w/ lack of growth hormone 1. The nurse received a lab report stating a child w/ asthma has theophyline level of 15 mcg/dl. What action will the nurse take? a. Hold the next dose of theophylline a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is w/in the therapeutic rage. 2. Surgery is being delayed for an infant with undescended testes. In collaboration w/ the health care provider and the family, which prescription should the nurse anticipapte? a. A trial of HCG may aid in testicular descent, but does not replace surgical repair for true undescended testes. (cryptorchidism: may be found in the inguinal canal due to exaggerated creamasteric reflex 3. Which menu selection by a child w/ celiac disease indicates to the nurse that the child understands necessary dietary considerations? a. Oven baked potato chips & cola a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat, and barley. The child should avoid any produces containing these indredients to avoid symptoms such as diarrhea. 4. The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother? a. Walk away from him and ignore the behavior a.i. The best approach for a toddler is to ignor the attention-seeking behavior. The parents should be somewhat nearby, w/in view of the child but should avoid reinforcing the behavior in any way. Tantrums can sometimes be avoided by talking to the child before the situation occurs 5. Which restraint should be used for a toddler after a cleft palate repair? a. Elbow a.i. Elbow restraints prevent children from bending their arms and brining their hands to the oral surgical site, (A) restrains the hands but the child can bend and bring their head to their ands. (B) is used during procedures (mummy). (D)-jacket, restrains the body torso and is not appropriate