Prompt management of hypothyroidism in infancy is necessary because:

The infant can have weight gain

The infant can have rapid gut motility and diarrhea

Infancy is a critical period for brain development

The infant may become hyperactive and irritable

Answer and Explanation

The Correct Answer is C

Choice A reason:

Weight gain is not a primary concern in the management of hypothyroidism in infancy. While hypothyroidism can lead to weight gain due to a slower metabolism, the more critical issue is the impact on brain development. Early and adequate treatment of hypothyroidism is essential to prevent intellectual disabilities and ensure normal neurocognitive outcomes.

Choice B Reason:

Rapid gut motility and diarrhea are not typical symptoms of hypothyroidism. In fact, hypothyroidism is more commonly associated with constipation due to a slower metabolism. Therefore, this choice is not relevant to the prompt management of hypothyroidism in infancy.

Choice C Reason:

Infancy is indeed a critical period for brain development. Untreated hypothyroidism during this time can lead to severe intellectual disabilities and developmental delays. Early diagnosis and treatment with thyroid hormone replacement are crucial to ensure normal brain development and cognitive function.

Choice D Reason:

Hyperactivity and irritability are not common symptoms of hypothyroidism. In fact, hypothyroidism often leads to lethargy and decreased activity levels. Therefore, this choice is not relevant to the prompt management of hypothyroidism in infancy.

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Correct Answer is C

Explanation

The correct answer is c. “My toes feel like they are sleeping and won’t wiggle when I tell them to.”

Choice A reason:

“Watch how well I blow these bubbles” is not a concerning statement. It indicates that the child is engaging in normal activities and is not experiencing any distress related to the cast or the injury.

Choice B Reason:

“My skin is so itchy under there” is a common complaint among children with casts. Itchiness can be managed with appropriate care, such as using a hair dryer on a cool setting to blow air under the cast. However, it is not an immediate cause for concern.

Choice C Reason:

“My toes feel like they are sleeping and won’t wiggle when I tell them to” is a concerning statement. This could indicate nerve compression or impaired circulation, which are serious complications that require immediate medical attention. Prompt evaluation is necessary to prevent permanent damage.

Choice D Reason:

“I was able to ride on the scooter with the PT person’s help” is not a concerning statement. It suggests that the child is participating in physical therapy and is able to move with assistance, which is a positive sign of recovery.

A. Your child’s diet will consist of low-fat, low-carbohydrate foods. B. You will need to decrease the number of calories in your child’s diet. C. You will need to avoid adding salt to your child’s food. D. Your child’s diet will need an increased amount of protein.

Correct Answer is C

Explanation

Choice A reason:

A low-fat, low-carbohydrate diet is not specifically recommended for children with acute glomerulonephritis. The primary dietary concern for these children is managing fluid retention and blood pressure, which is more directly influenced by salt intake rather than fat or carbohydrate intake.

Choice B Reason:

Decreasing the number of calories in the child’s diet is not a primary recommendation for managing acute glomerulonephritis. While maintaining a healthy weight is important, the focus should be on reducing salt intake to manage edema and blood pressure.

Choice C Reason:

Avoiding salt is crucial for children with acute glomerulonephritis. Salt can lead to water retention, which exacerbates edema and can increase blood pressure. Therefore, it is important to limit salt intake to help manage these symptoms.

Choice D Reason:

Increasing the amount of protein in the diet is not recommended for children with acute glomerulonephritis. In fact, protein intake may need to be limited because the kidneys are less able to filter waste products from protein metabolism. Excessive protein can put additional strain on the kidneys.

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Prompt management of hypothyroidism in infancy is necessary because:

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Naxlex Comprehensive Predictor Exams

Edited TextWhat is the most concerning statement by a child with a newly placed long leg cast after repair of the tibia?

Correct Answer is C

Explanation

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

Correct Answer is C

Explanation

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The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hip. Which instruction should be included in the teaching?

Prompt management of hypothyroidism in infancy is necessary because:

The nurse is caring for a child with acute renal failure. Which clinical manifestation should the nurse recognize as a sign of hyperkalemia?

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?