Chapter. 47. Maternal child 2024
Edition 2024-2025. All Questions &
Answers. Already Graded A+
Chronic adrenocortical insufficiency is also referred to as:
a. Graves disease.
b. Addisons disease.
c. Cushings syndrome.
d. Hashimotos disease. - ANSANS: B
Addisons disease is chronic adrenocortical insufficiency. Graves and Hashimotos
diseases involve the thyroid
gland. Cushings syndrome is a result of excessive circulation of free cortisol.
. The nurse is caring for a school-age child with hyperthyroidism (Graves disease).
Which clinical
manifestations should the nurse monitor that may indicate a thyroid storm (Select all
that apply)?
a. Constipation
b. Hypotension
c. Hyperthermia
d. Tachycardia
e. Vomiting - ANSANS: C, D, E
A child with a thyroid storm will have severe irritability and restlessness, vomiting,
diarrhea, hyperthermia, hypertension, severe tachycardia, and prostration
. The parents of a child who has just been diagnosed with type 1 diabetes ask about
exercise. The nurse
should explain that:
a. Exercise will increase blood glucose.
b. Exercise should be restricted.
c. Extra snacks are needed before exercise.
d. Extra insulin is required during exercise. - ANSANS: C
Exercise lowers blood glucose levels, which can be compensated for by extra snacks.
Exercise is encouraged
and not restricted unless indicated by other health conditions. Extra insulin is
contraindicated because exercise
decreases blood glucose levels.
A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This
rapid-releasing sugar
should be followed by:
a. Saturated and unsaturated fat.
b. Fruit juice.
, c. Several glasses of water.
d. Complex carbohydrate and protein. - ANSANS: D
Symptoms of hypoglycemia are treated with a rapid-releasing sugar source followed by
a complex
carbohydrate and protein. Saturated and unsaturated fat, fruit juice, and several glasses
of water do not provide
the child with complex carbohydrate and protein necessary to stabilize the blood sugar.
A child is diagnosed with hypothyroidism. The nurse should expect to assess which
symptoms associated
with hypothyroidism (Select all that apply)?
a. Weight loss
b. Fatigue
c. Diarrhea
d. Dry, thick skin
e. Cold intolerance - ANSANS: B, D, E
A child with hypothyroidism will display fatigue; dry, thick skin; and cold intolerance.
Weight loss and
diarrhea are signs of hyperthyroidism
A child will start treatment for precocious puberty. This involves injections of synthetic:
a. Thyrotropin.
b. Gonadotropins.
c. Somatotropic hormone.
d. Luteinizing hormonereleasing hormone. - ANSANS: D
Precocious puberty of central origin is treated with monthly subcutaneous injections of
luteinizing
hormonereleasing hormone. Thyrotropin, gonadotropin, and somatotropic hormone are
not appropriate
therapies for precocious puberty
A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for
the GH to be
administered is:
a. At bedtime.
b. After meals.
c. Before meals.
d. On arising in the morning. - ANSANS: A
Injections are best given at bedtime to more closely approximate the physiologic release
of GH. Before or after
meals and on arising in the morning are times that do not mimic the physiologic release
of the hormone.
A child with hypoparathyroidism is receiving vitamin D therapy. The parents should be
advised to watch
for which sign of vitamin D toxicity?
Edition 2024-2025. All Questions &
Answers. Already Graded A+
Chronic adrenocortical insufficiency is also referred to as:
a. Graves disease.
b. Addisons disease.
c. Cushings syndrome.
d. Hashimotos disease. - ANSANS: B
Addisons disease is chronic adrenocortical insufficiency. Graves and Hashimotos
diseases involve the thyroid
gland. Cushings syndrome is a result of excessive circulation of free cortisol.
. The nurse is caring for a school-age child with hyperthyroidism (Graves disease).
Which clinical
manifestations should the nurse monitor that may indicate a thyroid storm (Select all
that apply)?
a. Constipation
b. Hypotension
c. Hyperthermia
d. Tachycardia
e. Vomiting - ANSANS: C, D, E
A child with a thyroid storm will have severe irritability and restlessness, vomiting,
diarrhea, hyperthermia, hypertension, severe tachycardia, and prostration
. The parents of a child who has just been diagnosed with type 1 diabetes ask about
exercise. The nurse
should explain that:
a. Exercise will increase blood glucose.
b. Exercise should be restricted.
c. Extra snacks are needed before exercise.
d. Extra insulin is required during exercise. - ANSANS: C
Exercise lowers blood glucose levels, which can be compensated for by extra snacks.
Exercise is encouraged
and not restricted unless indicated by other health conditions. Extra insulin is
contraindicated because exercise
decreases blood glucose levels.
A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This
rapid-releasing sugar
should be followed by:
a. Saturated and unsaturated fat.
b. Fruit juice.
, c. Several glasses of water.
d. Complex carbohydrate and protein. - ANSANS: D
Symptoms of hypoglycemia are treated with a rapid-releasing sugar source followed by
a complex
carbohydrate and protein. Saturated and unsaturated fat, fruit juice, and several glasses
of water do not provide
the child with complex carbohydrate and protein necessary to stabilize the blood sugar.
A child is diagnosed with hypothyroidism. The nurse should expect to assess which
symptoms associated
with hypothyroidism (Select all that apply)?
a. Weight loss
b. Fatigue
c. Diarrhea
d. Dry, thick skin
e. Cold intolerance - ANSANS: B, D, E
A child with hypothyroidism will display fatigue; dry, thick skin; and cold intolerance.
Weight loss and
diarrhea are signs of hyperthyroidism
A child will start treatment for precocious puberty. This involves injections of synthetic:
a. Thyrotropin.
b. Gonadotropins.
c. Somatotropic hormone.
d. Luteinizing hormonereleasing hormone. - ANSANS: D
Precocious puberty of central origin is treated with monthly subcutaneous injections of
luteinizing
hormonereleasing hormone. Thyrotropin, gonadotropin, and somatotropic hormone are
not appropriate
therapies for precocious puberty
A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for
the GH to be
administered is:
a. At bedtime.
b. After meals.
c. Before meals.
d. On arising in the morning. - ANSANS: A
Injections are best given at bedtime to more closely approximate the physiologic release
of GH. Before or after
meals and on arising in the morning are times that do not mimic the physiologic release
of the hormone.
A child with hypoparathyroidism is receiving vitamin D therapy. The parents should be
advised to watch
for which sign of vitamin D toxicity?
