A newborn female has a ventricular septal defect, cleft lip and palate, and imperforate anus All of the following laboratory tests would be appropriate EXCEPT

Correct Answer: C

Rationale: The correct answer is C) Renal ultrasonography. In this case, the patient presents with multiple congenital anomalies including a ventricular septal defect, cleft lip and palate, and imperforate anus. Renal ultrasonography is not necessary in the initial workup of these specific conditions. A) A karyotype analysis would be appropriate to check for any chromosomal abnormalities that may be associated with multiple congenital anomalies. B) TORCH titer is important to rule out infections such as toxoplasmosis, rubella, cytomegalovirus, and herpes simplex virus which can cause congenital defects. D) Ultrasonography of the brain can help in assessing for any structural abnormalities in the brain that could be associated with the other congenital anomalies present. Educationally, understanding the rationale behind selecting appropriate laboratory tests based on the clinical presentation is crucial in pediatric nursing practice. It helps in providing comprehensive care and early interventions for newborns with complex medical conditions.

Correct Answer: D

Rationale: In this question from a Pediatric NCLEX Practice Quiz, the correct answer is D) Graft-versus-host disease. Late complications of Rhesus sensitization hyperbilirubinemia include transient aregenerative anemia, direct-reacting hyperbilirubinemia, and hypoglycemia. Graft-versus-host disease is not typically associated with Rhesus sensitization hyperbilirubinemia and its treatment. Educationally, understanding the late complications of Rhesus sensitization hyperbilirubinemia is crucial for pediatric healthcare providers. This knowledge helps in recognizing and managing potential complications in infants with this condition, ensuring optimal care and outcomes. By knowing which complications are commonly associated and which are not, healthcare professionals can provide more effective and targeted care to pediatric patients.

Correct Answer: D

Rationale: In this question, the correct answer is D) Risperidone - Tricyclic Antidepressants. Risperidone belongs to the atypical antipsychotic class, not tricyclic antidepressants. A) Methylphenidate is correctly matched with stimulant medications commonly used to treat ADHD in children. B) Atomoxetine is correctly matched with serotonin-norepinephrine reuptake inhibitors, also used for ADHD. C) Fluoxetine is a Selective Serotonin Reuptake Inhibitor (SSRI) used for treating depression and other mental health disorders in children. Educationally, understanding the classifications of medications is crucial for safe prescribing and effective treatment. For pediatric patients, this knowledge is especially vital due to their unique physiology and vulnerability to adverse effects. By grasping the pharmacological groups of medications commonly used in pediatrics, nurses and healthcare providers can ensure accurate administration and monitor for potential side effects, promoting optimal patient outcomes.

Correct Answer: D

Rationale: Rationale: The correct answer is D) Not reported in children above 8 years of age. Separation anxiety disorder is a condition where individuals, typically children, experience excessive anxiety when separated from a person to whom they are emotionally attached. This disorder is characterized by unrealistic and persistent worry about being separated from the attachment figure. Option A, "Not manifested below 3 years of age," is incorrect as separation anxiety disorder can be seen in children as young as 6-7 months old, although it typically peaks around 18 months to 3 years. Option B, "Common up to 5% of children," is incorrect as separation anxiety disorder is one of the most common anxiety disorders in children, affecting around 4-5% of children. Option C, "Girls are more affected than boys," is incorrect as separation anxiety disorder is slightly more prevalent in girls during childhood, but the gender difference is not as pronounced as suggested in the statement. Understanding separation anxiety disorder is crucial for pediatric nurses as they often encounter children exhibiting these symptoms. Recognizing the characteristics, age of onset, prevalence, and gender differences associated with this disorder can aid nurses in providing appropriate care and support to both the child and their family.

Correct Answer: B

Rationale: In this question, the correct answer is B) Superior intellectual deficits. Autistic Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by persistent deficits in social communication and interaction, as well as restricted, repetitive patterns of behavior, interests, or activities. Individuals with ASD may have a range of intellectual abilities, but it is not characteristic for them to have superior intellectual deficits. Option A) "3 grades of severity" is consistent with ASD as the disorder can present with varying degrees of severity, from mild to severe. Option C) "Deficits in select areas" is also consistent with ASD, as individuals with the disorder often exhibit deficits in areas such as social communication and interaction skills. Option D) "Motor functioning" can also be affected in individuals with ASD, as some may experience challenges with motor coordination or repetitive motor movements. Educationally, understanding the key characteristics of ASD is crucial for healthcare professionals working with pediatric populations. Identifying the core features of the disorder, such as social communication deficits and restricted interests, can aid in early detection and intervention. Recognizing atypical presentations, like superior intellectual deficits in ASD, is essential for accurate diagnosis and appropriate support for individuals with the disorder.