A newborn is admitted to the pediatric unit to rule out congenital hypothyroidism. Which of the following findings would the nurse expect if this diagnosis is confirmed?

Bradycardia, constipation, and hypotonia

Elevated serum T3 and T4

Tachycardia, diarrhea, and tremors

Decreased thyroid stimulating hormone (TSH)

Answer and Explanation

The Correct Answer is A

A. Bradycardia, constipation, and hypotonia are common symptoms associated with congenital hypothyroidism due to the reduced metabolism that results from decreased thyroid hormone levels.

B. Elevated serum T3 and T4 would not be expected in congenital hypothyroidism; these levels are typically low.

C. Tachycardia, diarrhea, and tremors are more indicative of hyperthyroidism, not hypothyroidism.

D. In congenital hypothyroidism, the thyroid-stimulating hormone (TSH) is typically elevated as the body attempts to stimulate the thyroid gland to produce more hormones.

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Correct Answer is B

Explanation

A. Granola often contains gluten, so this meal would not be suitable for someone with celiac disease.

B. Cheese, banana slices, rice cakes, and whole milk are gluten-free and appropriate for a child with celiac disease.

C. Rye toast contains gluten, which is contraindicated for someone with celiac disease.

D. Flour tortillas generally contain gluten, so this meal is not appropriate for someone with celiac disease.

A. Change the routine of the preschooler often to stimulate initiative. B. Reward the child for initiative in order to build self-esteem. C. As a parent, decide how and with whom the child will play D. Do not set limits on the preschooler's behavior as this results in low self-esteem.

Correct Answer is B

Explanation

A. Changing routines frequently might confuse the child rather than stimulate initiative.

B. Rewarding the child for showing initiative positively reinforces the behavior and encourages further development.

C. Allowing the child to make choices about playmates can foster independence but may not directly stimulate initiative.

D. Setting appropriate limits is important for a child's development, but not setting any limits can lead to behavioral issues rather than promoting initiative.

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A newborn is admitted to the pediatric unit to rule out congenital hypothyroidism. Which of the following findings would the nurse expect if this diagnosis is confirmed?

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Naxlex Comprehensive Predictor Exams

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