NRNP 6541 PEDS FINAL EXAM

A Mantoux test in a child with no risk factors is considered positive with a reaction of - at least 15 mm induration A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? - Conservation I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can't wave bye-bye yet. How old am I? - 6 months A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile, height about the 10th percentile, and head circumference at the 50th percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child's small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances. Which of the follow - Oral supplementation with bicarbonate Which of the following vaccines is routinely recommended at 4 months of age? - Diphtheria, tetanus, acellular pertussis (DTaP) I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am - 2-1/2 years old (30 months)