A 7 year old boy came to OPD with history of difficulty in rising up from sitting position. Examination reveals hypertrophy of calf muscles with trendelenburg gait. The most likely diagnosis is:

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Certified Pediatric Nurse Exam Practice Questions Questions

Question 1 of 5

A 7 year old boy came to OPD with history of difficulty in rising up from sitting position. Examination reveals hypertrophy of calf muscles with trendelenburg gait. The most likely diagnosis is:

Correct Answer: B

Rationale: Duchenne muscular dystrophy typically presents in early childhood with difficulty rising from a seated position (Gower's sign), calf muscle hypertrophy, and Trendelenburg gait.

Question 2 of 5

Which finding would you expect in a 4-week-old with biliary atresia?

Correct Answer: A

Rationale: Biliary atresia typically presents with hepatosplenomegaly, pale stools, and dark urine due to impaired bile excretion.

Question 3 of 5

The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is

Correct Answer: D

Rationale: Sleep-onset association disorder involves reliance on specific conditions to fall asleep.

Question 4 of 5

What should a nursing intervention to promote parent-newborn attachment include?

Correct Answer: B

Rationale: A nursing intervention to promote parent-newborn attachment should include explaining individual differences among newborns to the parents. This is important because understanding a newborn's unique characteristics, behaviors, and needs can help parents feel more confident and responsive in caring for their baby. By educating parents about individual differences, nurses can empower them to create a strong bond with their newborn and provide appropriate care based on the baby's specific cues and signals. This can lead to a positive and nurturing parent-newborn relationship, which is crucial for the baby's development and well-being.

Question 5 of 5

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Correct Answer: D

Rationale: One of the most important nursing responsibilities when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS) is to provide ongoing support and care to the grieving parents. Making a follow-up home visit as soon as possible after the child's death allows the nurse to offer emotional support, assess the parents' well-being, provide information on coping strategies, and refer them to appropriate resources such as counseling services or support groups. This visit also enables the nurse to address any questions or concerns the parents may have, validate their feelings of grief, and help them navigate the difficult grieving process. By being present and available to the family during this challenging time, the nurse can help them feel supported and cared for as they cope with the tragic loss of their infant.

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