A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?
Asking the mother to leave the room after obtaining the history.
Reviewing health promotion and maintenance activities.
Obtaining a comprehensive history, including sociodemographic data.
Focusing exclusively on the reported illness.
The Correct Answer is D
Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.
Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.
Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.
Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Hypopituitarism often results in short stature due to a deficiency in growth hormone.
Choice B reason: Precocious puberty is not typically associated with hypopituitarism; it is more often related to excess hormone production.
Choice C reason: Progressive linear growth retardation after normal growth in the first five years is not characteristic of hypopituitarism.
Choice D reason: While stunted growth can occur, hypopituitarism specifically affects height due to growth hormone deficiency, and weight may not be equally affected.
Correct Answer is A
Explanation
Choice A reason: This response is the most appropriate as it correctly identifies Down syndrome as a genetic condition caused by an extra chromosome and acknowledges that the exact cause of the chromosomal abnormality is unknown.
Choice B reason: This choice is incorrect because Down syndrome is not carried on the X chromosome nor is it inherited from the mother alone.
Choice C reason: This statement is false; Down syndrome is not caused by birth trauma but is a genetic disorder.
Choice D reason: This choice is misleading; while genetics play a role in Down syndrome, it is not typically inherited from both parents in the way this choice suggests.
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