NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
PKU diet to follow - CORRECT ANSWERS Breast Feeding or PA+ Free Formula. Restricted PA +
Intake Throughout Life; No meat, limited fruits & vegetables, limited grains
What happens if people with PKU don't follow their diet - CORRECT ANSWERS Short
Attention Span
Poor short term memory
Visual perception problems
Poor motor coordination
Mood disorders
Brain structural changes (reduced grey matter)
Safe PKU level - CORRECT ANSWERS 2-6mg/dl
PKU nursing Considerations - CORRECT ANSWERS Assist with testing
Teach parents about diet and need for follow up blood levels throughout life
Child may have trouble adhering to diet as ages
Provide emotional support
Genetic counseling
What kind of diet should a child with Galactosemia Follow - CORRECT ANSWERS lactose free
diet; soy formula
Calcium supplementation.
Dark green leafy green veggies are good
Can galactosemia breastfeed? - CORRECT ANSWERS NO!!! AVOID!!! Need soy formula and
calcium supplementation
,NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
Long-term consequences if diet not followed for galactosemia - CORRECT ANSWERS learning
disabilities, lower IQs, short attention span, behavior problems
Clinical Manifestations of galactosemia - CORRECT ANSWERS vomiting, weight loss, jaundice
(hepatomegaly), lethargy, hypotonia, cataracts (galactose accumulation)
When should growth hormone be given? - CORRECT ANSWERS NIGHT TIME!!! Sub Q
injections given @ night 5x a week. Is stopped once when child is where they are supposed
to be height wise.
Realistic expectations for Growth hormone - CORRECT ANSWERS Growth hormone will only
make them grow to what they were supposed to grow. So giving it to them won't make them
a 7'0 Center for UK.
Nursing considerations for Growth Hormone therapy - CORRECT ANSWERS serial blood
draws q 30 minutes for 3-hours following stimulation with insulin or glycogen.
Treat with chronological age not developmental age
Incomplete puberty - CORRECT ANSWERS Premature thelarche
Premature pubarche
What is considered True or complete precocious puberty - CORRECT ANSWERS When
Puberty HAPPENS EARLY!!!
What drug is for Precocious puberty - CORRECT ANSWERS Lupron. Slows prepubertal
growth to normal rates
Given IM monthly
When to Stop Lupron Treatment - CORRECT ANSWERS Treatment is discontinued at age for
normal pubertal changes to resume
,NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
Precocious Puberty - CORRECT ANSWERS a condition in which puberty begins before the
age of 8 in girls and 9 in boys. Testicular enlargement in boys and breast enlargement in girls
1st sign
What drug is used for Treatment of CAH - CORRECT ANSWERS Cortisone to suppress
abnormally high secretion of ACTH for LIFE. Reconstructive surgery as required.
What is something a person with CAH should always be wearing? - CORRECT ANSWERS
Medical alert Bracelet
Detection of CAH in males - CORRECT ANSWERS precocious genital development
Detection of CAH in females - CORRECT ANSWERS -Enlarged clitoris appears as a small
phallus
-Fused labia produce saclike structure without testes
-Internal female sexual organs are intact
Diagnostic Evaluation for CAH - CORRECT ANSWERS -Ultrasonography to visualize pelvic
organs
-Chromosome typing for positive sex determination and to rule out any other genetic
anomalies
Teaching for CAH - CORRECT ANSWERS Teach parents signs and symptoms of dehydration
and salt-losing crises. Have injectable hydrocortisone available and teach how to use it.
MONITOR FOR HYPONATREMIC DEHYDRATION!!!
Nursing considerations for CAH - CORRECT ANSWERS Hyponatremic dehydration for CAH
most at risk, sodium less than 135, blood sugar drops, do an ultra sound for gender, genetics
for CAH status, always have to have cortisol replacement.
, NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
what medication is for hypothyroidism - CORRECT ANSWERS Levothyroxine (Synthroid) -
take in the AM. Needs to be crushed but can not be given in soy based formula. Keep out of
sun. May administer in increasing amounts over 4 to 8 weeks to reach euthyroidism. Too
much will lead to hyperthyroidism
Goiter - CORRECT ANSWERS Hypertrophy of the thyroid gland. Occurs with hypothyroidism.
Congenital cause harms the airway of newborn and results from maternal ingestion of
antithyroid drugs during pregnancy.
Juvenile Hypothyroidism - CORRECT ANSWERS Congenital hypothyroidism is the major
cause of childhood mental retardation. Everything Slows down!!!
problems with miss diagnosis for hypothyroidism - CORRECT ANSWERS Missed or delayed
diagnosis may lead to mental defects
Signs & Symptoms Hypothyroidism (congenital) - CORRECT ANSWERS EVERYTHING SLOWS
DOWN!!!
Hypothermia
Large protruding tongue
Short, thick neck,
Delayed dentition
Hypotonia
Poor feeding
Prolonged jaundice
Constipation
Clinical Manifestations Hypothyroidism (acquired) - CORRECT ANSWERS EVERYTHING
SLOWS DOWN!!!
Decreased growth
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
PKU diet to follow - CORRECT ANSWERS Breast Feeding or PA+ Free Formula. Restricted PA +
Intake Throughout Life; No meat, limited fruits & vegetables, limited grains
What happens if people with PKU don't follow their diet - CORRECT ANSWERS Short
Attention Span
Poor short term memory
Visual perception problems
Poor motor coordination
Mood disorders
Brain structural changes (reduced grey matter)
Safe PKU level - CORRECT ANSWERS 2-6mg/dl
PKU nursing Considerations - CORRECT ANSWERS Assist with testing
Teach parents about diet and need for follow up blood levels throughout life
Child may have trouble adhering to diet as ages
Provide emotional support
Genetic counseling
What kind of diet should a child with Galactosemia Follow - CORRECT ANSWERS lactose free
diet; soy formula
Calcium supplementation.
Dark green leafy green veggies are good
Can galactosemia breastfeed? - CORRECT ANSWERS NO!!! AVOID!!! Need soy formula and
calcium supplementation
,NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
Long-term consequences if diet not followed for galactosemia - CORRECT ANSWERS learning
disabilities, lower IQs, short attention span, behavior problems
Clinical Manifestations of galactosemia - CORRECT ANSWERS vomiting, weight loss, jaundice
(hepatomegaly), lethargy, hypotonia, cataracts (galactose accumulation)
When should growth hormone be given? - CORRECT ANSWERS NIGHT TIME!!! Sub Q
injections given @ night 5x a week. Is stopped once when child is where they are supposed
to be height wise.
Realistic expectations for Growth hormone - CORRECT ANSWERS Growth hormone will only
make them grow to what they were supposed to grow. So giving it to them won't make them
a 7'0 Center for UK.
Nursing considerations for Growth Hormone therapy - CORRECT ANSWERS serial blood
draws q 30 minutes for 3-hours following stimulation with insulin or glycogen.
Treat with chronological age not developmental age
Incomplete puberty - CORRECT ANSWERS Premature thelarche
Premature pubarche
What is considered True or complete precocious puberty - CORRECT ANSWERS When
Puberty HAPPENS EARLY!!!
What drug is for Precocious puberty - CORRECT ANSWERS Lupron. Slows prepubertal
growth to normal rates
Given IM monthly
When to Stop Lupron Treatment - CORRECT ANSWERS Treatment is discontinued at age for
normal pubertal changes to resume
,NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
Precocious Puberty - CORRECT ANSWERS a condition in which puberty begins before the
age of 8 in girls and 9 in boys. Testicular enlargement in boys and breast enlargement in girls
1st sign
What drug is used for Treatment of CAH - CORRECT ANSWERS Cortisone to suppress
abnormally high secretion of ACTH for LIFE. Reconstructive surgery as required.
What is something a person with CAH should always be wearing? - CORRECT ANSWERS
Medical alert Bracelet
Detection of CAH in males - CORRECT ANSWERS precocious genital development
Detection of CAH in females - CORRECT ANSWERS -Enlarged clitoris appears as a small
phallus
-Fused labia produce saclike structure without testes
-Internal female sexual organs are intact
Diagnostic Evaluation for CAH - CORRECT ANSWERS -Ultrasonography to visualize pelvic
organs
-Chromosome typing for positive sex determination and to rule out any other genetic
anomalies
Teaching for CAH - CORRECT ANSWERS Teach parents signs and symptoms of dehydration
and salt-losing crises. Have injectable hydrocortisone available and teach how to use it.
MONITOR FOR HYPONATREMIC DEHYDRATION!!!
Nursing considerations for CAH - CORRECT ANSWERS Hyponatremic dehydration for CAH
most at risk, sodium less than 135, blood sugar drops, do an ultra sound for gender, genetics
for CAH status, always have to have cortisol replacement.
, NUR 311 EXAM 2 STUDY GUIDE/PRACTICE QUESTIONS
WITH 100% CORRECT VERIFIED/DETAILED ANSWERS A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST
GRADED A+ FOR SUCCESS IN NURSING
what medication is for hypothyroidism - CORRECT ANSWERS Levothyroxine (Synthroid) -
take in the AM. Needs to be crushed but can not be given in soy based formula. Keep out of
sun. May administer in increasing amounts over 4 to 8 weeks to reach euthyroidism. Too
much will lead to hyperthyroidism
Goiter - CORRECT ANSWERS Hypertrophy of the thyroid gland. Occurs with hypothyroidism.
Congenital cause harms the airway of newborn and results from maternal ingestion of
antithyroid drugs during pregnancy.
Juvenile Hypothyroidism - CORRECT ANSWERS Congenital hypothyroidism is the major
cause of childhood mental retardation. Everything Slows down!!!
problems with miss diagnosis for hypothyroidism - CORRECT ANSWERS Missed or delayed
diagnosis may lead to mental defects
Signs & Symptoms Hypothyroidism (congenital) - CORRECT ANSWERS EVERYTHING SLOWS
DOWN!!!
Hypothermia
Large protruding tongue
Short, thick neck,
Delayed dentition
Hypotonia
Poor feeding
Prolonged jaundice
Constipation
Clinical Manifestations Hypothyroidism (acquired) - CORRECT ANSWERS EVERYTHING
SLOWS DOWN!!!
Decreased growth
