A 16-year-old mother complaining of breast engorgement feels unhappy living with her husband. The MOST appropriate action is

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Question 1 of 5

A 16-year-old mother complaining of breast engorgement feels unhappy living with her husband. The MOST appropriate action is

A. refer her to an obstetrician B. advise her to apply stimulant medications for milk expression C. explain that this is a normal phenomenon D. stop feeding the baby

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 5-year old boy presents with afebrile generalized tonic-clonic seizure lasting for 5 minutes. Previously he was healthy and had no such problem. On examination there is no abnormality. Your plan of management should be:

A. Start anticonvulsant therapy B. Request for an EEG and wait for its report C. Request for an EEG and start anticonvulsant therapy immediately D. Request for EEG and MRI brain

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 16-year-old discusses his recent diagnosis of lupus with the nurse. Which statement best describes adolescent thinking regarding the future?

A. Adolescents are preoccupied with the present. B. Adolescents are beginning to think abstractly and consider future possibilities. C. Adolescents think only in concrete terms. D. Adolescents are overly concerned with past events.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the best response?

A. Don't be hard on yourself; it's easy to miss something growing slowly. B. I understand you're upset; earlier detection might have improved prognosis. C. It takes a trained professional to notice such a lump. D. This tumor grows rapidly and may not have been noticeable just a few days ago.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which manifestation suggests that an infant is developing necrotizing enterocolitis (NEC)?

A. Faster absorption of orogastric feedings. B. Bloody diarrhea. C. Increased bowel sounds. D. Hunger before feeding.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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