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The BEST means for preserving bone density for as long as
possible in a child with muscular dystrophy is to
A. encourage physical activity.
B. recommend calcium supplementation.
C. provide daily sun exposure when possible.
D. ensure adequate protein intake. - ANSWER-A. encourage
physical activity.
In a child who is chronically ill with limited mobility, which
intervention BEST
reduces the risk of pressure
ulcers?
A. massage reddened areas to promote
circulation
B. encourage to sit upright as often as
tolerated
C. request order for physical therapy
D. maintain hydration and nutrition - ANSWER-D. maintain
hydration and nutrition
A potential complication of Nissen
fundoplication surgery is:
,A. aspiration
pneumonia
B.
constipation
C. dumping
syndrome
D. vomiting - ANSWER-C. dumping
syndrome
Which of the following factors is MOST important in facilitating
the transition of an adolescent with a chronic illness from a
pediatric to an adult care provider?
A. early initiation of the process at least a year before the 18th
birthday
B. parents' readiness to accept adult care providers
C. collaboration between the family, and pediatric and adult
providers D. pediatric provider's support of the transfer -
ANSWER-C. collaboration between the family, and pediatric
and adult providers
Which of the following foods provides the best source of folic
acid for a pregnant
adolescent?
A. carrots
B. milk
C. salmon
D. spinach - ANSWER-D.
spinach
,Which symptom is associated with the INITIAL presentation
of a cerebellar
tumor in a
child?
A.
ataxia
B. personality
changes
C.
seizures
D. visual changes - ANSWER-A.
ataxia
In a child with cystic fibrosis, which dietary modification is
appropriate when stools become frequent, frothy and foul
smelling?
A. increase pancreatic enzymes when eating a high fat meal
B. take pancreatic enzymes between meals for better
absorption
C. restrict high fat meals and chew pancreatic enzymes
thoroughly
D. open the enzyme capsules and sprinkle the powder on food -
ANSWER-A.
increase pancreatic enzymes when eating a high fat meal
Which lab test is appropriate to determine if a child with
extensive bruising has a bleeding disorder?
A. vitamin D levels
B. complete metabolic profile
, C. prothrombin time
D. liver and pancreatic enzymes - ANSWER-C. prothrombin time
Counseling regarding sudden infant death syndrome (SIDS)
prevention includes A. limiting use of pacifiers.
B. placing infant in a side-lying position.
C. avoiding soft mattresses.
D. positioning the infant prone. - ANSWER-C. avoiding soft
mattresses.
Voluntary stool retention is MOST often associated with
A. a previously painful bowel
movement.
B. the mother-child
relationship.
C. the need to exert
control.
D. a learning disability. - ANSWER-A. a previously painful
bowel movement.
Which of the following findings would indicate the need to
evaluate an 8 month
old for a neuromuscular
dysfunction?
A. absent Moro
reflex