A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Hypersomnia

Hypotension

Rapid weight loss

Rounded facial features

Answer and Explanation

The Correct Answer is D

Choice A reason:

Hypersomnia (excessive sleepiness) is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience insomnia or disrupted sleep patterns.

Choice B reason:

Hypotension (low blood pressure) is not a characteristic finding in Cushing's syndrome. Elevated blood pressure is more commonly associated with this condition.

Choice C reason:

Rapid weight loss is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience weight gain, particularly in the face (moon face), abdomen, and upper back.

Choice D reason:

Correct. Rounded facial features, often referred to as "moon face," are a characteristic finding in children with Cushing's syndrome. This is due to the redistribution of fat in the body, particularly in the face and trunk.

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Correct Answer is A

Explanation

A. Being adopted can contribute to various emotional and social challenges for a child, but it is not a direct risk factor for physical maltreatment.

B. Prematurity is identified as a potential risk factor for physical maltreatment. Premature infants may have developmental delays or health issues that can increase stress on caregivers, potentially leading to maltreatment.

C. Myopia does not pose a risk factor for physical maltreatment; it is a common vision issue that does not correlate with maltreatment.

D. Acute otitis media is a common childhood illness and is not associated with an increased risk of physical maltreatment. It may cause discomfort and frustration but does not directly relate to the potential for maltreatment.

A. Uses four words in a sentence B. Ties shoelaces C. Skips on alternate feet D. Names the days of the week

Correct Answer is A

Explanation

Choice A reason:

Using four words in a sentence is an appropriate developmental milestone for a 3-year-old child. By this age, children typically have a vocabulary that allows them to form short sentences and express themselves.

Choice B reason:

Tying shoelaces is a fine motor skill that is typically developed later, around 5-6 years of age.

Choice C reason:

Skipping on alternate feet is a gross motor skill that is typically developed around 4-5 years of age.

Choice D reason:

Naming the days of the week is a cognitive skill that is typically developed later, around 5-6 years of age. It involves not only memory but also an understanding of the concept of days and their order.

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A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

Correct Answer is A

Explanation

A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

Correct Answer is A

Explanation

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