For the same child weighing 36 kg in moderate dehydration, now calculate the volume of ORS they should receive every 15 minutes. (Do not enter units)
Which foods should a child with celiac disease include in their diet?

Rye and oats

Wheat and corn

Rice and soy

Barley and millet grain

Answer and Explanation

The Correct Answer is C

Choice A reason:

Rye and oats: Rye contains gluten, which must be avoided by individuals with celiac disease. Oats, while naturally gluten-free, can often be contaminated with gluten during processing. Therefore, they should be introduced cautiously and only if labeled gluten-free.

Choice B Reason:

Wheat and corn: Wheat is a major source of gluten and must be strictly avoided by those with celiac disease. Corn, on the other hand, is naturally gluten-free and safe for consumption. However, since wheat is included in this option, it is not suitable for a gluten-free diet.

Choice C Reason:

Rice and soy: Both rice and soy are naturally gluten-free and safe for individuals with celiac disease. They are excellent alternatives to gluten-containing grains and provide essential nutrients.

Choice D Reason:

Barley and millet grain: Barley contains gluten and must be avoided by those with celiac disease. Millet is naturally gluten-free and safe for consumption. However, since barley is included in this option, it is not suitable for a gluten-free diet.

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Correct Answer is ["A","B","C","D","E"]

Explanation

The correct answer is

A. Waddling gait

B. Kyphosis

C. Lordosis

D. Scoliosis

E. Gower sign

Choice A reason

Waddling gait: Children with Duchenne muscular dystrophy (DMD) often exhibit a waddling gait due to progressive muscle weakness, particularly in the pelvic girdle muscles. This gait pattern is a compensatory mechanism to maintain balance and mobility despite weakened muscles. The waddling gait is one of the early signs of DMD and typically becomes noticeable between the ages of 2 and 6 years.

Choice B Reason

Kyphosis: Kyphosis, an excessive outward curvature of the spine, can develop in children with DMD as the disease progresses. Muscle weakness and imbalance, particularly in the back muscles, contribute to this spinal deformity. Kyphosis can lead to discomfort, respiratory issues, and further mobility challenges, necessitating close monitoring and intervention.

Choice C Reason

Lordosis: Lordosis, an exaggerated inward curvature of the lower spine, is another common finding in children with DMD. This condition often develops as a compensatory mechanism to maintain an upright posture despite weakened hip and thigh muscles. Lordosis can cause lower back pain and impact overall posture and gait.

Choice D Reason

Scoliosis: Scoliosis, a lateral curvature of the spine, frequently occurs in children with DMD due to progressive muscle weakness and imbalance. As the disease advances, scoliosis can become more pronounced, leading to discomfort, respiratory complications, and further functional limitations. Early detection and management are crucial to mitigate these effects.

Choice E Reason

Gower sign: The Gower sign is a classic clinical indicator of DMD. It refers to the maneuver children with DMD use to rise from the floor, involving the use of their hands to “walk” up their legs due to proximal muscle weakness. This sign is typically observed in early childhood and is a key diagnostic feature of DMD1.

A. Weight loss despite increased eating B. Pale, moist skin C. Weight gain and fluid overload D. Poor sleep with frequent awakening

Correct Answer is A

Explanation

Choice A reason:

Weight loss despite increased eating is a classic symptom of type 1 diabetes mellitus in children. This occurs because the body is unable to use glucose for energy due to a lack of insulin. As a result, the body starts breaking down fat and muscle for energy, leading to weight loss even though the child may have an increased appetite.

Choice B Reason:

Pale, moist skin is not typically associated with type 1 diabetes mellitus. This symptom is more commonly related to conditions such as anemia or infections. In type 1 diabetes, the skin may actually appear dry due to dehydration caused by high blood sugar levels.

Choice C Reason:

Weight gain and fluid overload are not characteristic of type 1 diabetes mellitus. In fact, children with type 1 diabetes often experience weight loss. Fluid overload is more commonly seen in conditions such as heart failure or kidney disease.

Choice D Reason:

Poor sleep with frequent awakening is not a specific symptom of type 1 diabetes mellitus. While children with diabetes may experience nocturia (frequent urination at night) due to high blood sugar levels, this is not the primary clinical manifestation. The main symptoms are related to hyperglycemia and the body’s inability to use glucose for energy.

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For the same child weighing 36 kg in moderate dehydration, now calculate the volume of ORS they should receive every 15 minutes. (Do not enter units)Which foods should a child with celiac disease include in their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

Type 1 diabetes mellitus is suspected in a child. Which clinical manifestation may be present?

Correct Answer is A

Explanation

A neonate born with ambiguous genitalia is diagnosed with congenital adrenal hyperplasia (CAH). This is an autosomal recessive disorder which causes an overproduction of:

The parents state that he has not voided in several hours. Inspection of the penis reveals edema, redness, and the foreskin is behind the glans penis. Based on this assessment, what would the nurse anticipate as the priority action?

You are preparing a child with sickle cell anemia for discharge after an acute crisis episode. Which of the following instructions is appropriate advice for the care of a child with sickle cell anemia?

A neonate is born with bilateral mild talipes equinovarus (club foot). When the parents ask the nurse how this will be corrected, the nurse should give which explanation?

A child weighing 36 kg is in moderate dehydration. Calculate the amount of ORS this child will need within 4 hours in mL. (Do not enter units)

Parents of a school-age child with hemophilia ask the nurse, “What sport is recommended for children with hemophilia?” Which sport should the nurse recommend?

A school nurse is conducting a staff in-service for other school nurses on idiopathic scoliosis. During which period of child development does idiopathic scoliosis become most noticeable?

A 15 kg child has a urine output of 360 mL during the past 12 hours. Calculate the child’s urine output in mL/kg/hour for this period of time. (Do not enter units).

For the same child weighing 36 kg in moderate dehydration, now calculate the volume of ORS they should receive every 15 minutes. (Do not enter units)
Which foods should a child with celiac disease include in their diet?