A newborn is admitted to the pediatric unit to rule out congenital hypothyroidism. Which of the following findings would the nurse expect if this diagnosis is confirmed?

Bradycardia, constipation, and hypotonia

Elevated serum T3 and T4

Tachycardia, diarrhea, and tremors

Decreased thyroid stimulating hormone (TSH)

Answer and Explanation

The Correct Answer is A

A. Bradycardia, constipation, and hypotonia are common symptoms associated with congenital hypothyroidism due to the reduced metabolism that results from decreased thyroid hormone levels.

B. Elevated serum T3 and T4 would not be expected in congenital hypothyroidism; these levels are typically low.

C. Tachycardia, diarrhea, and tremors are more indicative of hyperthyroidism, not hypothyroidism.

D. In congenital hypothyroidism, the thyroid-stimulating hormone (TSH) is typically elevated as the body attempts to stimulate the thyroid gland to produce more hormones.

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Correct Answer is B

Explanation

A. Granola often contains gluten, so this meal would not be suitable for someone with celiac disease.

B. Cheese, banana slices, rice cakes, and whole milk are gluten-free and appropriate for a child with celiac disease.

C. Rye toast contains gluten, which is contraindicated for someone with celiac disease.

D. Flour tortillas generally contain gluten, so this meal is not appropriate for someone with celiac disease.

A. Tea-colored urine B. History of a recent streptococcus infection C. Polyuria D. Periorbital edema

Correct Answer is D

Explanation

A. Tea-colored urine is more typical of glomerulonephritis rather than nephrotic syndrome.

B. A recent streptococcus infection is commonly associated with post-streptococcal glomerulonephritis, not nephrotic syndrome.

C. Polyuria is not a common feature of nephrotic syndrome; rather, oliguria (decreased urine output) may occur.

D. Periorbital edema is a hallmark sign of nephrotic syndrome, resulting from significant protein loss in the urine, leading to hypoalbuminemia and fluid retention.

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A newborn is admitted to the pediatric unit to rule out congenital hypothyroidism. Which of the following findings would the nurse expect if this diagnosis is confirmed?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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