A patient calls the PMHNP with a question about her newborn. "She has a shrill, high-pitched cry I have never heard before." The PMHNP advises her to do which of the following?
Go directly to the nearest emergency department.
Change the baby’s diaper.
Feed the baby.
Do nothing; this is normal.
The Correct Answer is A
Choice A reason: A high-pitched, shrill cry in a newborn can indicate neurologic disorders, increased intracranial pressure, or other medical emergencies and warrants immediate evaluation.
Choice B reason: Changing the diaper addresses normal fussiness but would not address serious underlying pathology.
Choice C reason: Feeding is appropriate for normal crying due to hunger but not for a concerning high-pitched cry.
Choice D reason: Dismissing the symptom as normal could delay recognition of a potentially serious condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Autism spectrum disorder primarily involves deficits in social communication and restricted/repetitive behaviors. While some overlap exists, the primary issue here is broad cognitive impairment affecting adaptive functioning, which is more consistent with intellectual disability.
Choice B reason: Global developmental delay applies to children under age 5 with delays in multiple developmental domains. At age 10, this diagnosis is no longer appropriate; intellectual disability is diagnosed instead.
Choice C reason: This choice is correct because intellectual disability is defined by deficits in intellectual functioning (reasoning, problem-solving, learning) and adaptive functioning (communication, social participation, daily living skills). The description matches both criteria.
Choice D reason: Childhood-onset neurocognitive disorder is generally reserved for disorders like early-onset dementia or acquired cognitive impairments, not congenital or developmental intellectual deficits.
Correct Answer is B
Explanation
Choice A reason: White blood cell counts may be affected by infection or medications but are not reliable markers for RA activity.
Choice B reason: Erythrocyte sedimentation rate (ESR) is an inflammatory marker commonly used to monitor disease activity and response to treatment in rheumatoid arthritis.
Choice C reason: Hemoglobin levels may decrease due to chronic disease or medications but do not directly measure RA activity.
Choice D reason: Absolute neutrophil counts are used to monitor for medication-induced cytopenias, not RA disease activity.
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