The nervous parent asks when the big "soft spot" (anterior fontanel) will be closed. The nurse's most informative response would be

That big soft spot will be covered in bone by the end of the second month

"The big soft spot will close at around 24 months of age

"The big soft spot is usually closed between 12 and 18 months of age

"Babies' saft spots close at different times depending on their growth rate

Answer and Explanation

The Correct Answer is C

A. "That big soft spot will be covered in bone by the end of the second month" is not accurate. The closure usually occurs later than the second month.

B. "The big soft spot will close at around 24 months of age" is an overestimation of the typical closure time. It is usually closed earlier than 24 months.

C. "The big soft spot is usually closed between 12 and 18 months of age."

The anterior fontanel is the soft spot located on the baby's head, and its closure is a natural part of an infant's development. The timing of closure can vary from one child to another. However, the typical range for the closure of the anterior fontanel is between 12 and 18 months of age. This information provides a general guideline for parents while acknowledging the natural variability in child development.

D. "Babies' soft spots close at different times depending on their growth rate" is true to some extent, but providing a general range (option C) is more informative for parents.

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Correct Answer is D

Explanation

Option A, "Fatigue," is a symptom of anemia but is not a long-term complication associated with Thalassemia major.

Option B, "Deferoxamine usage," is a treatment to manage iron overload and not a complication associated with Thalassemia major.

Option C, "Immunosuppressive therapy," is not typically used to manage Thalassemia major and is not a long-term complication but rather a potential treatment for certain cases of thalassemia.

Option D. Hemochromatosis/Hemosiderosis

Thalassemia major is a genetic disorder that results in the body's inability to produce enough hemoglobin, leading to severe anemia.

To manage this condition, frequent blood transfusions are required, which can lead to iron overload in the body. Excess iron gets deposited in various organs and tissues, causing damage.

Hemochromatosis or hemosiderosis is a condition characterized by the accumulation of iron in organs like the liver, heart, and endocrine glands, which can result from repeated blood transfusions.

The complications associated with iron overload include liver damage, heart problems, diabetes, and more. Treatment with iron chelating agents like deferoxamine is often necessary to remove excess iron from the body.

A. Growth of that leg may be affected. B. Risk for infection at this location is increased C. Long bones contain marrow, which increases the risk for anemia D. Fracture repair will necessitate prolonged traction

Correct Answer is A

Explanation

A.Growth of that leg may be affected.

When a fracture occurs near the epiphyseal plate of a long bone, such as the femur, there is a risk of damage to the growth plate. The growth plate (epiphyseal plate) is responsible for longitudinal bone growth in children. If the growth plate is injured or damaged during the fracture, it can potentially lead to growth disturbances and affect the growth of that leg.

B. Risk for infection at this location is increased: While any fracture has a risk of infection, the proximity to the epiphyseal plate doesn't necessarily increase the risk of infection.

C. Long bones contain marrow, which increases the risk for anemia: The presence of bone marrow in long bones is unrelated to the potential effects on bone growth after a fracture near the epiphyseal plate.

D. Fracture repair will necessitate prolonged traction: The use of traction for fracture repair can vary depending on the type and location of the fracture. However, the primary concern with a fracture near the epiphyseal plate is its potential impact on bone growth.

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The nervous parent asks when the big "soft spot" (anterior fontanel) will be closed. The nurse's most informative response would be

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Naxlex Comprehensive Predictor Exams

A long-term complication sees in Thalassemia major are associated to which of the following?

Correct Answer is D

Explanation

A school-aged child with a fracture of the femur near the epiphyseal plate is admitted to the hospital. The parents ask if there will be any after effects when the bone heals. Which physiological characteristic of the femur should the nurse consider when preparing to respond?

Correct Answer is A

Explanation

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