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 A
Explanation
Choice A reason: Bisphosphonates are the first-line therapy for Paget’s disease as they inhibit bone resorption, help normalize bone turnover, and alleviate symptoms such as bone pain and deformity.
Choice B reason: Calcitonin is less effective than bisphosphonates and is generally reserved for patients who cannot tolerate bisphosphonates.
Choice C reason: Vitamin D supplementation may be supportive but is not sufficient as primary therapy for Paget’s disease.
Choice D reason: NSAIDs can help relieve bone pain but do not alter disease progression and are considered adjunct therapy rather than first-line treatment.
Correct Answer is B
Explanation
Choice A reason: The triglyceride triad refers to elevated triglycerides, small dense LDL, and low HDL, which is part of metabolic syndrome but not the overall term.
Choice B reason: Metabolic syndrome is the correct term encompassing obesity, insulin resistance, dyslipidemia, and hypertension, which collectively increase the risk of cardiovascular disease, diabetes, and stroke.
Choice C reason: Cardiovascular cluster is not a standardized medical term.
Choice D reason: Endocrine failure refers to organ-specific hormonal insufficiency and is unrelated to metabolic syndrome.
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