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Extract:

The incidence of Sickle Cell Anemia is higher among black American babies.


Question 1 of 5

The symptoms of sickle cell anemia are not evident until later during infancy because

Correct Answer: C

Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.

Extract:

Which of the following is considered a sequela of a staphylococcal infection that may result to glomerulonephritis?


Question 2 of 5

Infected burn wound

Correct Answer: B

Rationale: Impetigo is a bacterial infection of the skin caused by streptococci or staphylococci. Group A hemolytic streptococci can cause rheumatic fever and glomerulonephritis.

Extract:

Hirschprung's Disease is somewhat similar to cystic fibrosis. In both diseases, the newborn does not pass out meconium.


Question 3 of 5

Pathophysiologically, in Hirschprung's Disease, the child's affected organ is:

Correct Answer: B

Rationale: Hirschprung's disease involves aganglionic segments of the large intestine, causing obstruction.

Extract:


Question 4 of 5

A 4-year-old child with Down syndrome is admitted to the hospital with pneumonia. She has a heart murmur and appears to be in respiratory distress. Her mother asks why her child has a heart murmur. What is the best nursing response?

Correct Answer: D

Rationale: Congenital heart defects, like ventricular septal defects, are common in Down syndrome, and pneumonia may amplify a murmur due to increased cardiac workload.

Question 5 of 5

Signs of impaired breathing in infants and children include all of the following except:

Correct Answer: D

Rationale: Nasal flaring, grunting, and seesaw breathing are signs of respiratory distress in infants and children. Quivering lips are not a recognized indicator of impaired breathing. Physiological Adaptation

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