The nurse is teaching family members of a child newly diagnosed with muscular dystrophy about early signs.
The nurse knows that teaching was successful when a parent states that which of the following signs may indicate the condition early?
High fevers and tiredness.
Increased muscle strength.
Respiratory infections and obesity.
Difficulty climbing stairs.
The Correct Answer is D
Difficulty climbing stairs is an early sign of muscular dystrophy.
This is because the condition causes progressive muscle weakness, which can make it difficult for the child to perform physical activities that require muscle strength.
Choice A is not the best answer because high fevers and tiredness are not specific to muscular dystrophy and can be caused by many other conditions.
Choice B is not the best answer because muscular dystrophy causes muscle weakness, not increased muscle strength.
Choice C is not the best answer because respiratory infections and obesity are not specific to muscular dystrophy and can be caused by many other conditions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lateral incisors are present:At 6 months, infants typically begin teething, but the lateral incisors usually do not appear until around 9 to 13 months. The first teeth to emerge are usually the lower central incisors.
B. Posterior fontanel is closed:The posterior fontanel, or the soft spot at the back of the baby's head, typically closes by 2 to 3 months of age. Therefore, it is expected to be closed by the time the infant is 6 months old.
C. Infant's birth weight is tripled:By 6 months, infants generally double their birth weight. Tripling of birth weight is more commonly expected by the end of the first year.
D. Infant sits well without support:Most infants begin to sit without support around 7 to 9 months. At 6 months, they may sit with some support but are not yet expected to sit well independently.
Correct Answer is A
Explanation
This is a variation of the side-lying position, which is recommended for pregnant women in the third trimester to improve blood flow to the uterus and the baby12.
Sleeping on the right side with a pillow under the hip can also help relieve pressure on the inferior vena cava, a large vein that carries blood from the lower body to the heart.
Sleeping on the back can cause lightheadedness and dizziness because of this pressure, as well as increase the risk of stillbirth1.
Choice B.
Without a pillow is incorrect, as this can make sleeping on the side uncomfortable and cause back pain or leg cramps.
Choice C.
with a pillow under her shoulders is incorrect, as this can elevate the upper body and worsen heartburn, a common problem in pregnancy.
Choice D.
with a pillow under both hips is incorrect, as this can make sleeping on the back more likely, which is not advised for pregnant women in the third trimester1.
Therefore, choice A is the best answer.
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