Exam (elaborations)
Test Bank for Nelson Textbook of Pediatrics 19th Edition by Robert M. Kliegman
- Course
- Institution
Test Bank for Nelson Textbook of Pediatrics 19th Edition by Robert M. Kliegman
[Show more]
Content preview
, Nelson Pediatrics Review(MCQs) 19 Edition e e e e1. Which of the following statements regarding foster care is true?
e e e e e e e e e
□A permanency plan must be made for a child in foster care no later than 12 mo from the child's entry into care
e e e e e e e e e e e e e e e e e e e e e e
□A minority of children in foster care have a history of abuse or neglect
e e e e e e e e e e e e e
□The mission of foster care is to safely care for children while providing services to families to promote reunification
e e e e e e e e e e e e e e e e e e
□Most (>70%) of children in foster care are reunited with their families
e e e e e e e e e e e
■ A and C e e
description The mission of foster care is to provide for the health, safety, and well-being of children while
e e e e e e e e e e e e e e e e e
eassistingtheir families with services to promote reunification. Children entering foster care have frequently
e e e e e e e e e e e e e
eexperienced early childhood trauma. More than 70% have a history of abuse, neglect, or both. Only about
e e e e e e e e e e e e e e e e
e50% of children achieve reunification. In the USA, the Adoption and Safe Families Act (P.L. 105-89) passed in
e e e e e e e e e e e e e e e e e
e1997 requires that a permanency plan be made for each child no later than 12 mo after entry to foster care and
e e e e e e e e e e e e e e e e e e e e e
ethat a petition to terminate parental rights typically must be filedwhen a child has been in foster care for at least
e e e e e e e e e e e e e e e e e e e e
e 15 of the previous22 mo. (See Chapter 35, page 134, and e35-1.)
e e e e e e e e e e e e
2. A 4 yr old girl is admitted to the hospital for her third evaluation for vaginal bleeding. The
e e e e e e e e e e e e e e e e e
mother noted bright red blood on the child's underwear. Previous examinations revealed
e e e e e e e e e e e
eanormal 4 yr old girl, Tanner stage 1, with normal external genitalia. Pelvic ultrasound
e e e e e e e e e e e e e e
resultswere normal, as was the serum estradiol level. The hemoglobin and platelet
e e e e e e e e e e e e
ecounts were normal, as were the bleeding time and coagulation studies. Findings on pelvic
e e e e e e e e e e e e e
examination conducted under anesthesia also were normal. The next step in the examination
e e e e ee e e ee ee e e e e
eis to: e
■ Determine the blood type of the blood on the underwear e e e e e e e e e
□Interrogate the father e e
□Isolate the parents and child e e e e
□Determine von Willebrand factor levels e e e e
, □Measure fibronectin in the vagina e e e e
description Consideration of factitious disorder by proxy should be triggered when the reported symptoms are
e e e e e e e e e e e e e e
erepeatedly noted by only one parent, appropriate testing fails to confirm a diagnosis, and seemingly appropriate
e e e e e e e e e e e e e e e
etreatment is ineffective. At times, the child's symptoms, their course, or the response to treatment may be
e e e e e e e e e e e e e e e e
eincompatible with any recognized disease.Preverbal children are usually involved. Bleeding is a particularly
e e e e e e e e e e e e
e common presentation. This may be caused by adding dyes to samples, adding blood (e.g., from the mother) to the
e e e e e e e e e e e e e e e e e e
echild's sample, or giving the child an anticoagulant (e.g., warfarin). (See Chapter 37, page 146.)
e e e e e e e e e e e e e e
3. Munchausen syndrome by proxy is characterized by all of the following EXCEPT: e e e e e e e e e e e
□Mother who appears devoted and wins over members of care team
e e e e e e e e e e
□Multiple hospitalizations e e and investigations without diagnosis
e e e
□Symptoms on history but not witnessed by medical team e e e e e e e e
■ Symptoms occurring in presence of different caregivers (e.g., while mother is out of town)
e e e e e e e e e e e e e
□Use of medications or toxins
e e e e
description Symptoms in young children are mostly associated with proximity of the offending caregiver to the
e e e e e e e e e e e e e e e
echild.The mother may present as a devoted or even model parent who forms close relationships with members
e e e e e e e e e e e e e e e e e
eof the health care team. While appearing very interested in her child's condition, she may be relatively distant
e e e e e e e e e e e e e e e e e
eemotionally. (See Chapter 37, page 146.) e e e e e
4. Which statement is false? e e e
■ Malnutrition is the second leading cause of acquired immune deficiency worldwide behind HIV infection
e e e e e e e e e e e e e
□Zinc is important in immune function
e e e e e e and linear growth e e
□Kwashiorkor and marasmus are rare in developed countries e e e e e e e
□The e Western diet is associated with increased noncommunicable disease
e e e e e e e
description The significant global burden of malnutrition and undernutrition is the leading worldwide cause of
e e e e e e e e e e e e e e
eacquiredimmunodeficiency and the major underlying factor for morbidity and mortality globally for children <5 yr of
e e e e e e e e e e e e e e e e
eage. Zinc is a micronutrient that supports multiple metabolic functions in the body, is essential for normal immune
e e e e e e e e e e e e e e e e e
efunctioning, and is required to support linear growth; zinc deficiency is associated with impaired immune
e e e e e e e e e e e e e e
efunctioning and poor linear growth. In parallel to the risk for nutrient and energy deficiencies, issues relating to
e e e e e e e e e e e e e e e e e
eexcesses pose important challenges because of theirjnegative health effects, such as obesity or cardiovascular disease
e e e e e e e e e e e e e e
erisk factors. The nutrition transition under way in the
e e e e e e e e
, developing world from traditional diets to the Western diet has been associated with increases in noncommunicable
e e e e e e e e e e e e e e e
diseases, often coexisting with undernutrition and malnutrition, observed sometimes in the same communities or even
e e e e e e e e e e e e e e e
thesame families. (See e41-1.)
e e e e
5. Components of energy expenditure in children include: e e e e e e
□Thermal effect of food e e e
□Basal metabolic rate e e
□Energy e for physical activity e e
□Energy to support growth e e e
■ All of the abovee e e
description The 3 components of energy expenditure in adults are the basal metabolic rate, the thermal effect
e e e e e e e e e e e e e e e e
of food (energy required for digestion and absorption), and energy for physical activity. Additional energy intake and
e e e e e e e e e e e e e e e e e
expenditure are required to support growth and development for children. (See e41-4.)
e e e e e e e e e e e e
6. Which of the following clinical scenarios increases the risk of vitamin A deficiency?
e e e e e e e e e e e e
□Vegetarian e diet
□Chronic intestinal disorders e e
□Zinc deficiency e
■ B and C e e
□All of the above e e e
description Vitamin A is an essential micronutrient because it cannot be biogenerated de novo by animals. It
e e e e e e e e e e e e e e e e
must be obtained from plants in the form of provitamin-A carotenoids. In the USA, grains and vegetables
e e e e e e e e e e e e e e e e e
supplyapproximately 55% and dairy and meat products supply approximately 30% of vitamin A intake from
e e e e e e e e e e e e e e e e
food.
e
Vitamin A and the provitamins-A are fat soluble, and their absorption depends on the presence of adequate
e e e e e e e e e e e e e e e e
lipidand protein within the meal.Chronic intestinal disorders or lipid malabsorption syndromes can result in
e e e e e e e e e e e e e e e
vitamin A deficiency. In developing countries, subclinical or clinical zinc deficiency can increase the risk of
e e e e e e e e e e e e e e e e
vitamin A deficiency. There is also some evidence of marginal zinc intakes in children in the USA. (See Chapter
e e e e e e e e e e e e e e e e e e e
45, page
e e
188.)
e
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LucieLucky. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81298 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now