TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION - Copy.pdf
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Course
Pediatrics
Institution
Pediatrics
TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION - C
TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION - C
TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION - C
□A lminority lof lchildren lin lfoster lcare lhave la lhistory lof labuse lor lneglect
□The l mission l of l foster l care l is lto l safely l care l for lchildren l while l providing l services l to l families lto l promote l reunification
□Most l (>70%) l of l children l in l foster l care l are l reunited l with ltheir l families
■ A l and l C
description l The lmission lof lfoster lcare lis lto lprovide lfor lthe lhealth, lsafety, land lwell-being lof lchildren l while
l assisting ltheir lfamilies l with l services lto l promote l reunification. l Children l entering l foster lcare l have l frequently
l experienced l early lchildhood ltrauma. l More l than l 70% l have l a l history l of l abuse, l neglect, l or l both. l Only labout
l 50% l of l children l achieve lreunification. l In l the lUSA, lthe lAdoption land lSafe lFamilies lAct l(P.L. l105-89)
lpassed lin l1997 lrequires lthat la lpermanency lplan lbe lmade lfor leach lchild lno llater lthan l12 lmo lafter lentry lto
lfoster lcare l and lthat l a l petition lto lterminate l parental l rights l typically l must l be l filedwhen la lchild lhas lbeen lin
lfoster lcare lfor lat lleast l15 lof lthe lprevious l22 lmo. l(See lChapter l35, lpage l134, land le35-1.)
2. A l 4 l yr l old l girl l is l admitted l to l the l hospital l for l her l third l evaluation l for l vaginal l bleeding. l The
mother l noted l bright l red l blood l on l the l child's l underwear. l Previous l examinations
l revealed l a lnormal l 4 l yr l old l girl, l Tanner l stage l 1, l with l normal l external l genitalia.
l Pelvic l ultrasound lresultswere lnormal, l as l was lthe lserum lestradiol llevel. l The lhemoglobin
l and lplatelet lcounts lwere l normal, l as l were l the l bleeding l time l and l coagulation l studies.
l Findings l on l pelvic lexamination l conducted l under l anesthesia l also l were l normal. l The
l next l step l in lthe lexamination lis lto:
, □Measure lfibronectin lin lthe lvagina
description lConsideration lof lfactitious ldisorder lby lproxy lshould lbe ltriggered lwhen lthe lreported lsymptoms lare
lrepeatedly lnoted l by l only l one l parent, l appropriate l testing l fails l to l confirm l a l diagnosis, l and l seemingly
l appropriate ltreatment l is lineffective. lAt l times, l the l child's l symptoms, l their l course, l or l the l response l to
l treatment l may l be lincompatible l with l any l recognized l disease.Preverbal l children l are l usually l involved.
l Bleeding l is l a l particularly l common lpresentation. l This l may l be l caused l by l adding l dyes lto l samples, l adding
l blood l (e.g., l from l the l mother) l to lthe l child's lsample, l or l giving lthe lchild lan lanticoagulant l (e.g., lwarfarin).
l(See lChapter l37, lpage l146.)
3. Munchausen l syndrome l by l proxy l is l characterized l by l all l of l the l following l EXCEPT:
□Multiple l hospitalizations l and l investigations l without l diagnosis
□Symptoms l on l history l but l not l witnessed l by l medical l team
■ Symptoms l occurring lin lpresence l of l different l caregivers l (e.g., l while l mother lis l out l of ltown)
□Use lof lmedications lor ltoxins
description lSymptoms lin lyoung lchildren lare lmostly lassociated lwith lproximity lof lthe loffending lcaregiver lto lthe
lchild. lThe lmother lmay lpresent las la ldevoted lor leven lmodel lparent lwho lforms lclose lrelationships lwith
lmembers lof lthe lhealth lcare lteam. lWhile lappearing lvery linterested lin lher lchild's lcondition, lshe lmay lbe lrelatively
ldistant lemotionally. l(See lChapter l37, lpage l146.)
4. Which lstatement lis lfalse?
■ Malnutrition l is l the l second l leading l cause l of l acquired l immune l deficiency l worldwide l behind l HIV l infection
□Zinc lis l important l in l immune l function l and l linear l growth
□Kwashiorkor l and l marasmus l are l rare l in l developed l countries
□The l Western l diet l is l associated l with l increased l noncommunicable l disease
description l The l significant l global l burden l of l malnutrition l and l undernutrition l is l the l leading l worldwide l cause l of
l acquired limmunodeficiency land lthe lmajor lunderlying lfactor lfor lmorbidity land l mortality lglobally lfor lchildren l<5 lyr
lof lage. lZinc lis la lmicronutrient lthat lsupports lmultiple lmetabolic lfunctions lin lthe lbody, lis lessential lfor lnormal
limmune lfunctioning, land lis lrequired lto lsupport llinear lgrowth; l zinc l deficiency lis lassociated lwith limpaired
limmune lfunctioning land l poor llinear l growth. l In lparallel l to lthe l risk l for l nutrient l and l energy l deficiencies, l issues
l relating l to l excesses l pose l important lchallenges l because l of l theirjnegative lhealth leffects, lsuch las lobesity lor
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