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PEDIATRIC NURSING FINAL EXAM LATEST UPDATE -2025/2026- 100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST

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PEDIATRIC NURSING FINAL EXAM LATEST UPDATE -2025/2026- 100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST

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PEDIATRIC NURSING FINAL EXAM LATEST UPDATE -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST



What is adrenarche?
onset of adrenal androgen production; acne, pubic hair, adult body odor
What is menarche and what is the average age of onset?
onset of menstruation; around 12 years
What hormones does the anterior pituitary produce?
Follicle-stimulating hormone
Luteinizing hormone
Adrenocorticotropic hormone
Thyroid stimulating hormone
Prolactin
Growth hormone
What is considered the master gland?
anterior pituitary gland
What hormones are stored in the posterior pituitary gland?
antidiuretic hormone (ADH) and oxytocin
Decreased activity/ secretion of a certian hormone in the pituitary gland may
cause:
growth hormone deficiency
What endocrine disorder is characterized by the child being below the 3rd
percentile for height at 1 year?

, 2


growth hormone deficiency (decreased activity in pituitary gland)
What might the following sx be indicative of (endocrine disorder)?
-Hypoglycemic seizures
-Hyponatremia
-Neonatal jaundice
-Micropenis, undescended testes
growth hormone deficiency (along with being below the 3rd percentile in height
at 1 year)
T or F: Children with growth hormone deficiency appear "cherubic" with youthful
facial features
True
Functions of the endocrine system include...
-Sexual differentiation in fetal stage
-Regulates pace of growth and development
-Maintains optimal hormone levels
-Maintains internal homeostasis
-Enables sexual reproduction
Functions of the infant/ child's endocrine system include:
-Sexual __________ in fetal stage
-Regulates pace of ______ and development
-Maintains optimal __________ levels
-Maintains internal _____________
-Enables sexual reproduction
differentiation; growth; hormone; homeostasis

, 3


T or F: growth hormone deficiency affects linear growth, as well as the growth of
all body tissues
true
T or F: growth hormone deficiency causes delayed skeletal maturation, as well as
delayed dentition and higher pitched voices
true
What is a wrist x-ray done for?
to show the bone age of a child (dx growth hormone deficiency)
Provocative growth hormone tests involves various ________ to stimulate the
release of ________ hormone. 2 failures of this test indicate which endocrine
disorder?
medications; growth hormone; growth hormone deficiency
*How long must a child with growth hormone deficiency receive treatment?
for several years (until growth is complete)
What type of treatment is used for growth hormone deficiency?
daily sub-Q injection of growth hormone (for several years until growth is
complete)
T or F: for a child with growth hormone deficiency, dress them as their physical
developmental age
false: dress them as their chronological age
Provide teaching for __________ administration and treat child by their
chronological age, not their size with growth hormone deficiency. Monitor and
plot what?
injection; growth
DM type I and II are disorders of what organ?
pancreas

, 4


T or F: Hispanic children are more susceptible to developing DM
false: caucasians more susceptible
What age range are children most likely to be dx with DM I?
7-8
How will you describe DM 1 to a child and her family?


- DM I is disorder of protein, carb and fat metabolism


- differentiate between the two types (insulin resistant vs insulin dependent)


- insulin production insufficiency


- autoimmune (body attacking itself); destruction of Beta cells of pancreas where
insulin is produced


What is DM I caused by?
autoimmune destruction of insulin-producing beta cells in people who are
genetically predisposed (child inherits susceptibility to the disease, not the disease
itself)
DM I may be caused by an autoimmune response involving...
viral antibodies destroying the Beta islet cellls
What causes ketones in the urine (in diabetes)?
cells use fatty acids or proteins for energy when carbohydrates are not available,
causing ketones (alters acid/ base balance in body)

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