A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.
Obesity.".
Diabetes.".
Cataracts.".
Skeletal abnormalities.".
The Correct Answer is B
Choice A rationale:
The statement about an increased risk for developing obesity is accurate. However, this does not indicate a need for further education about Down syndrome, as obesity is a common concern in the general population as well.
Choice B rationale:
The statement about an increased risk for developing diabetes would indicate a need for further education. Individuals with Down syndrome are indeed at an elevated risk of developing diabetes, often in their early adulthood.
Choice C rationale:
The statement about an increased risk for developing cataracts is accurate. However, it is not a primary concern associated with Down syndrome in infancy.
Choice D rationale:
The statement about skeletal abnormalities is accurate. While individuals with Down syndrome can have certain skeletal features, this is not a critical concern during infancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The child's preference for macaroni and cheese is unrelated to the diagnosis of bilateral otitis media. This choice does not provide insight into the child's ear condition.
Choice B rationale:
This statement is most likely related to the patient's diagnosis of bilateral otitis media. Falling asleep with a bottle of juice can lead to prolonged exposure of the teeth to sugar, increasing the risk of dental caries, which is commonly associated with ear infections.
Choice C rationale:
The child's behavior of pulling off his hat when outdoors does not offer information about the ear infection and its diagnosis.
Choice D rationale:
The child's refusal to wear shoes indoors is unrelated to the diagnosis of bilateral otitis media. It does not provide relevant information about the ear condition or its management.
Correct Answer is A
Explanation
Choice A rationale:
Monitoring urine protein is crucial in pediatric patients with nephrotic syndrome. Nephrotic syndrome involves damage to the glomeruli in the kidneys, causing excessive protein loss in the urine, leading to hypoalbuminemia and edema.
Choice B rationale:
Urine pH is not typically a primary concern in nephrotic syndrome. This condition is more focused on proteinuria, hypoalbuminemia, and edema.
Choice C rationale:
Leukocytes in the urine may indicate a urinary tract infection (UTI), but this is not a hallmark feature of nephrotic syndrome. UTIs are not the primary concern in this scenario.
Choice D rationale:
Ketones in the urine could indicate diabetic ketoacidosis or starvation, which are not directly related to nephrotic syndrome. Ketones are not a key indicator in nephrotic syndrome assessment.
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