A child returns from a successful spinal fusion surgery. What is the top priority assessment for this child?

Assess for signs of overhydration.

Assess for seizure activity.

Assess for impaired pupillary response.

Assess for impaired color, sensitivity, and movement of the lower extremities.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Overhydration is not the immediate priority after spinal fusion surgery.
B. Seizure activity is not commonly associated with spinal fusion surgery.
C. Pupillary response assessment is more relevant to neurological or head injuries, not spinal surgery.
D. Assessing color, sensitivity, and movement of the lower extremities is crucial to detect early signs of neurovascular compromise or spinal cord injury following spinal fusion. Prompt recognition can prevent permanent damage.

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Correct Answer is C

Explanation

Rationale:
A. Bruising around the hip is not a typical sign of developmental dysplasia of the hip (DDH); it could indicate trauma.
B. Low urine output is unrelated to hip development and may indicate kidney or hydration issues.
C. Asymmetry in thigh or gluteal skin folds — such as extra skin folds on one leg — is a common sign of DDH. It suggests that the hip may not be properly aligned or developed.
D. Diaper fit can vary for many reasons and is not a reliable indicator of DDH.

A. hypothyroidism. B. hypoparathyroidism. C. hyperparathyroidism. D. hyperthyroidism.

Correct Answer is A

Explanation

Rationale:
A. Congenital hypothyroidism often presents with features such as a large, protruding tongue, poor feeding, lethargy, and hypotonia.
B. Hypoparathyroidism typically presents with hypocalcemia-related symptoms like tetany, seizures, or muscle cramps, not a large tongue.
C. Hyperparathyroidism is rare in infants and more likely to present with symptoms related to high calcium levels such as vomiting, constipation, or lethargy.
D. Hyperthyroidism usually causes increased metabolism, irritability, weight loss, and tachycardia — not a protruding tongue.

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A child returns from a successful spinal fusion surgery. What is the top priority assessment for this child?

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Naxlex Comprehensive Predictor Exams

Which of the following observations by the nurse could indicate developmental dysplasia of the hip in the newborn?

Correct Answer is C

Explanation

A large, protruding tongue on an infant can be a sign of:

Correct Answer is A

Explanation

A 6-year-old involved in a bicycle crash has a right tibia and fibula fracture that has been casted. Which of the following are early signs of compartment syndrome in this child? Select all that apply.

A nurse is admitting a baby to the newborn nursery. The nurse suspects the baby may have congenital hypothyroidism. Which of the following findings has the nurse likely observed? Select all that apply.

A child comes to the clinic with a complaint of a rash after a tick bite. Lyme disease is suspected. Which assessment finding would be seen with Lyme disease?

When children are more physically active, which change in management of the child with diabetes should the nurse expect?

A nurse is assessing a child who has scabies. Which of the following findings should the nurse expect?

A child returns from a successful spinal fusion surgery. What is the top priority assessment for this child?

A nurse correctly explains to the parents of a newborn that a metabolic screening test:

A nurse is educating a young boy about the assessments required to make a diagnosis of growth hormone deficiency. What information should the nurse include in the teaching?