The nurse caring for a toddler who is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?
Delayed cognitive abilities
Delayed social interactions
Delayed language development
Delayed motor skills
The Correct Answer is A
A. Delayed cognitive abilities. Cognitive impairment is the most serious consequence of untreated congenital hypothyroidism. Thyroid hormones are critical for brain development, especially in infancy and early childhood. Severe intellectual disability can result if treatment is delayed, making early diagnosis and levothyroxine therapy essential.
B. Delayed social interactions. While social development may be indirectly affected by hypothyroidism due to lethargy, poor responsiveness, or developmental delays, it is not as critical as cognitive delays, which can lead to permanent intellectual disability.
C. Delayed language development. Language delays are common in hypothyroidism but often stem from underlying cognitive impairment. Early treatment with thyroid hormone replacement can improve language development over time.
D. Delayed motor skills. Hypothyroidism can cause hypotonia (low muscle tone), leading to motor skill delays. However, motor delays are less concerning than irreversible cognitive impairment, which has the most significant long-term impact on the child's quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
Calculate the total drops needed:
Total drops (gtt) = Total volume (mL) x Drop factor (gtt/mL)
=100 mL x 15 gtt/mL
= 1500 gtt
Calculate the infusion time in minutes:
1 hour x 60 minutes/hour = 60 minutes
Calculate the drops per minute (gtt/min)
Total drops per min (gtt/min) = Total drops (gtt) / Total minutes (min)
=1500 gtt / 60 min
= 25 gtt/min
The nurse should set the manual IV infusion to deliver 25 gtt/min.
Correct Answer is B
Explanation
A. Intrauterine device (IUD). While IUDs are highly effective, they require a pelvic exam for insertion and periodic monitoring, which may be challenging for an adolescent with motor difficulties and decreased memory. Additionally, IUDs do not protect against sexually transmitted infections (STIs).
B. Depot medroxyprogesterone acetate injection. This is the best option because the injection is given every 3 months, making it easier for an adolescent with memory and motor impairments to maintain consistent contraceptive use. It also does not require daily adherence like oral contraceptives.
C. Contraceptive patches. The patch requires weekly changes, which may be difficult for someone with decreased memory and coordination issues, leading to potential gaps in contraceptive coverage.
D. Combined oral contraceptives. Oral contraceptives require daily adherence, which may not be reliable for an adolescent with memory impairments. Missing doses can reduce effectiveness, making them a less suitable option.
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