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 ["4"]
Explanation
Formula:
Volume to administer (mL) = (Desired dose (mg) / Available concentration (mg/mL))
Desired dose = 320 mg
Available concentration = 400 mg / 5 mL
Calculate the concentration per mL:
400mg / 5mL
= 80 mg/mL
Apply the formula:
Volume to administer = 320 mg / 80 mg/mL
=4ml
The nurse should administer 4 mL per dose.
Correct Answer is D
Explanation
A. Pyloric stenosis. Pyloric stenosis is a condition that affects infants, causing projectile vomiting due to the narrowing of the pyloric sphincter. It is not a complication of appendicitis and is unrelated to this child's condition.
B. Celiac disease. Celiac disease is an autoimmune disorder triggered by gluten consumption, leading to malabsorption and gastrointestinal symptoms. It is a chronic condition and is not associated with appendicitis or its complications.
C. Gastroenteritis. Gastroenteritis involves inflammation of the stomach and intestines, usually due to viral or bacterial infection. While it can cause abdominal pain, it is not a direct complication of appendicitis but rather a separate condition with similar symptoms.
D. Peritonitis. Peritonitis is the most serious complication of appendicitis and occurs when the inflamed appendix ruptures, leading to infection of the peritoneal cavity. It presents with severe abdominal pain, fever, rigidity, and signs of systemic infection, requiring urgent medical intervention.
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