Examl 2:l NRl 328/l NR328l (NEWl 2026/l
2027l Update)l Pediatricl Nursingl Review|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-Chamberlain
QUESTION
syndromel ofl inappropriatel ADHl (SIADH)
**l soakedl inside
Answer:
tool muchl ADHl (kidneysl arel retainingl tool muchl urine/water)l
Causes:
-l cancerl inl thel head,l neck,l orl lungsl
Manifestations:l
-l highl urinel specificl gravityl (concentrated;l morel thanl 1.030)
-l lowl seruml labl levelsl (diluted)l
-l s/sl ofl FVEl
Treatment:
-l loopl diuretics
-l fluidl restriction
QUESTION
Whatl doesl thel thyroidl do?
Answer:
inl chargel ofl metabolisml -->l helpsl childrenl withl heatl regulation,l cardiacl output,l andl
overalll growth
,QUESTION
hyperthyroidism
Answer:
lowl TSHl andl elevatedl T4;l rarel inl childrenl butl morel commonl inl girlsl aroundl 9-10;l
oftenl duel tol grave'sl diseasel
Manifestations:
-l cannotl sitl still,l butl whenl theyl runl around,l theyl becomel fatiguedl easilyl
-l emotional
-l flushedl skinl
-l sensitivityl tol heat
-l increasedl appetitel withl weightl loss
-l tremorsl
-l fine,l straightl hair
-l tachycardia
-l bulgingl eyes
-l diarrheal
Treatment:
-l PTUl orl methimazolel (canl causel agranulocytosisl ..l monitorl forl infection)l
-l thyroidectomyl -->l monitorl calciuml levell
-l radioactivel iodine
QUESTION
hypothyroidism
Answer:
elevatedl TSHl andl lowl t4
Congenitall manifestations:
l -l thickl tonguel (inl utero,l thel thyroidl isl apartl ofl thel tongue)l
-l lethargicl
-l sleepingl forl 6-8l hoursl straightl (babiesl shouldl notl bel sleepingl thisl long..l theyl needl tol
wakel upl tol feed)
-l decreasedl appetitel (babiesl losel weightl insteadl ofl gainl weightl likel adults)l
-l dryl skin
-l sensitivityl tol cold
,-l constipationl -->l jaundicel
-l poorl suckl reflex
l Acquiredl manifestationsl (similarl tol anl adult)l -->l happensl withl hashimoto'sl diseasel
-l musclel weakness
-l changel ofl normall growthl patternl (increasedl weight)
-l musclel hypertrophy
-l delayedl onsetl ofl pubertyl
-l delayedl bonel andl dentall agel
-l decreasedl appetite
-l decreasedl deepl tendonl reflexes
-l bradycardia
-l constipation
-l goiter
-l abnormall menses
-l sensitivityl tol coldl
Treatment:
-l levothyroxinel forl lifel
Education:
-l nol soyl products
-l takel medicationl inl thel morning,l anl hourl beforel breakfast
-l monitorl forl s/sl ofl hyperthyroidisml orl hypothyroidisml (dosel mayl needl tol bel changed)l
Nursingl interventions:l
-l recognizel s/sl earlyl tol preventl developmentall delaysl (itl impairsl brainl growth)
QUESTION
neonatall graves'l disease
Answer:
-l neonatall forml ofl hyperthyroidism
-l happensl whenl moml hasl gravesl diseasel andl herl antibodiesl passl thel placental andl
stimulatel thel baby'sl thyroidl gland
-l babyl willl havel tremors
-l willl bel inl hospitall forl longerl untill thel antibodiesl workl itselfl out
, QUESTION
typel 1l diabetes
Answer:
-l autoimmunel disorderl inl whichl thel bodyl cannotl producel enoughl insulin;l usuallyl
happensl afterl al virall infectionl
-l peakl diagnosisl froml 4-6l yearsl oldl andl thenl againl aroundl 10-12
Manifestations:
-l polyurial (kidneysl arel tryingl tol getl ridl ofl excessl sugar
-l polydipsial (thirstyl duel tol urinatingl al lot)
-l polyphagial (sugarl isn'tl goingl intol cellsl sol they'rel notl gettingl thel caloriesl theyl need)
-l hyperglycemia
-l glycosuria
-l fatigue
-l dehydrated
-l vaginitisl (yeastl likel sugar)
-l stomachachel (gutl slowsl downl -->l diabeticl gastroparesis
-l weightl loss
QUESTION
typel 2l diabetes
Answer:
-l insulinl resistancel orl decreasedl insulinl receptorsl
-l seel inl childrenl asl youngl asl 8
-l riskl factors:l sedentaryl lifestyle,l highl fatl diet,l race,l familyl history
-l slowl tol develop
QUESTION
Howl dol youl diagnosel diabetes?
Answer:
-l fastingl bloodl glucosel greaterl thanl 126
-l mostl kidsl arel diagnosedl firstl whenl theyl startl tol gol intol DKAl
2027l Update)l Pediatricl Nursingl Review|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-Chamberlain
QUESTION
syndromel ofl inappropriatel ADHl (SIADH)
**l soakedl inside
Answer:
tool muchl ADHl (kidneysl arel retainingl tool muchl urine/water)l
Causes:
-l cancerl inl thel head,l neck,l orl lungsl
Manifestations:l
-l highl urinel specificl gravityl (concentrated;l morel thanl 1.030)
-l lowl seruml labl levelsl (diluted)l
-l s/sl ofl FVEl
Treatment:
-l loopl diuretics
-l fluidl restriction
QUESTION
Whatl doesl thel thyroidl do?
Answer:
inl chargel ofl metabolisml -->l helpsl childrenl withl heatl regulation,l cardiacl output,l andl
overalll growth
,QUESTION
hyperthyroidism
Answer:
lowl TSHl andl elevatedl T4;l rarel inl childrenl butl morel commonl inl girlsl aroundl 9-10;l
oftenl duel tol grave'sl diseasel
Manifestations:
-l cannotl sitl still,l butl whenl theyl runl around,l theyl becomel fatiguedl easilyl
-l emotional
-l flushedl skinl
-l sensitivityl tol heat
-l increasedl appetitel withl weightl loss
-l tremorsl
-l fine,l straightl hair
-l tachycardia
-l bulgingl eyes
-l diarrheal
Treatment:
-l PTUl orl methimazolel (canl causel agranulocytosisl ..l monitorl forl infection)l
-l thyroidectomyl -->l monitorl calciuml levell
-l radioactivel iodine
QUESTION
hypothyroidism
Answer:
elevatedl TSHl andl lowl t4
Congenitall manifestations:
l -l thickl tonguel (inl utero,l thel thyroidl isl apartl ofl thel tongue)l
-l lethargicl
-l sleepingl forl 6-8l hoursl straightl (babiesl shouldl notl bel sleepingl thisl long..l theyl needl tol
wakel upl tol feed)
-l decreasedl appetitel (babiesl losel weightl insteadl ofl gainl weightl likel adults)l
-l dryl skin
-l sensitivityl tol cold
,-l constipationl -->l jaundicel
-l poorl suckl reflex
l Acquiredl manifestationsl (similarl tol anl adult)l -->l happensl withl hashimoto'sl diseasel
-l musclel weakness
-l changel ofl normall growthl patternl (increasedl weight)
-l musclel hypertrophy
-l delayedl onsetl ofl pubertyl
-l delayedl bonel andl dentall agel
-l decreasedl appetite
-l decreasedl deepl tendonl reflexes
-l bradycardia
-l constipation
-l goiter
-l abnormall menses
-l sensitivityl tol coldl
Treatment:
-l levothyroxinel forl lifel
Education:
-l nol soyl products
-l takel medicationl inl thel morning,l anl hourl beforel breakfast
-l monitorl forl s/sl ofl hyperthyroidisml orl hypothyroidisml (dosel mayl needl tol bel changed)l
Nursingl interventions:l
-l recognizel s/sl earlyl tol preventl developmentall delaysl (itl impairsl brainl growth)
QUESTION
neonatall graves'l disease
Answer:
-l neonatall forml ofl hyperthyroidism
-l happensl whenl moml hasl gravesl diseasel andl herl antibodiesl passl thel placental andl
stimulatel thel baby'sl thyroidl gland
-l babyl willl havel tremors
-l willl bel inl hospitall forl longerl untill thel antibodiesl workl itselfl out
, QUESTION
typel 1l diabetes
Answer:
-l autoimmunel disorderl inl whichl thel bodyl cannotl producel enoughl insulin;l usuallyl
happensl afterl al virall infectionl
-l peakl diagnosisl froml 4-6l yearsl oldl andl thenl againl aroundl 10-12
Manifestations:
-l polyurial (kidneysl arel tryingl tol getl ridl ofl excessl sugar
-l polydipsial (thirstyl duel tol urinatingl al lot)
-l polyphagial (sugarl isn'tl goingl intol cellsl sol they'rel notl gettingl thel caloriesl theyl need)
-l hyperglycemia
-l glycosuria
-l fatigue
-l dehydrated
-l vaginitisl (yeastl likel sugar)
-l stomachachel (gutl slowsl downl -->l diabeticl gastroparesis
-l weightl loss
QUESTION
typel 2l diabetes
Answer:
-l insulinl resistancel orl decreasedl insulinl receptorsl
-l seel inl childrenl asl youngl asl 8
-l riskl factors:l sedentaryl lifestyle,l highl fatl diet,l race,l familyl history
-l slowl tol develop
QUESTION
Howl dol youl diagnosel diabetes?
Answer:
-l fastingl bloodl glucosel greaterl thanl 126
-l mostl kidsl arel diagnosedl firstl whenl theyl startl tol gol intol DKAl
