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peds final - student presentations
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A patient at an OBGYN clinic asks about the potential risk factors for having a child with down syndrome. Which of the following are known risk factors associated with down syndrome? (Select all that apply.)
a. Advanced maternal age
b. African-american mothers
c. Previous child with down syndrome
d. Being a genetic carrier
e. History of congenital heart defects
a, c, d
Which congenital heart defect is most commonly seen in infants with Down Syndrome?
a. Atrial Septal Defect
b. Tetralogy of Fallot
c. Atrioventricular Septal Defect
d. Ventricular Septal Defect
c
Which of the following is a method of confirming a diagnosis of down syndrome? (Select all that apply.)
a. Chorionic villus sampling
b. Physical manifestations
c. Chromosomal karyotype blood test
d. Amniocentesis
a, c, d
Kawasaki disease is the leading cause of childhood _______.
a. deaths
b. heart disease
c. lung disease
d. pneumonia
b
What is considered a sign/symptom of Kawasaki disease? (select all that apply)
a. strawberry tongue
b. heart palpitations
c. swollen cervical lymph nodes
d. red, bloodshot eyes with exudate
e. swollen, red palms of hands and soles of feet
a, c, e
Within how many days should you start treatment for Kawasaki disease?
a. 5
b. 2
c. 7
d. 10
d
Which of the following should the nurse identify as pathogens that may cause Lyme Disease? Select all that apply.
A. bacterium bartonella bacilliformis
B. bacterium borrelia burgdorferi
C. bacterium borrelia mayonii
D. bacterium brucella melitensis
b, c
Which of the following are effective measures in preventing Lyme disease? Select all that apply.
A. Checking for ticks
B. Getting vaccinated as an infant
C. Wearing long pants and socks
D. Staying in the middle of the path during a hike
E. Eating limes
a, c, d
What is the most distinguishable characteristic of Lyme disease?
A. Intermittent muscle and joint pain
B. Severe headache and neck stiffness
C. Bullseye rash (erythema migrans)
D. Fever, chills, and fatigue
c
which statement by a parent indicates a need for further education on the pathophysiology of atopic dermatitis?
A. "My child should also be screened for asthma and allergic rhinosinusitis.
B. "I will take my child out of daycare to prevent spread to other children."
C. "This condition has no cure"
D. "Flare ups generally result from being reexposed to the particular allergen."
b
which of the following is not a recommended lifestyle modification for a person with atopic dermatitis?
A. Take frequent hot, steamy showers
B. Avoid perfumes/colognes & products with added fragrances
C. Moisturize daily
D. Cleanse and bandage any breaks in the skin
a
Your patient recently presented with contact dermatitis. Which of the following should the nurse include in this patient's education?
A. It is important to avoid playing with others, as contact dermatitis is contagious
B. Wear latex gloves when handling substances which may trigger a reaction
C. If contact with a potential trigger occurs, wash the affected area vigorously with soap and water within 10 minutes of initial contact
D. Take frequent, hot baths
c
TRUE or FALSE: Seborrhea is commonly treated with antifungals
true
A nurse is educating the family on the common signs and symptoms involved with GH deficiency. Which of the following are the hallmark signs of this disorder? Select all that apply.
A. Short stature for biological age.
B. Increased body fat, especially around the waist.
C. Decreased hair growth
D. Younger looking appearance
a, b, d
A nurse is caring for a child who has short stature. Which of the following diagnostic tests should be completed to confirm growth hormone deficiency? Select all that apply
a. CT scan of the head
b. DNA testing
c. GH stimulation test
d. Skeletal X rays
a, c, d
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