The initial neurological symptom of Guilain-Barre Syndrome is:

Correct Answer: B

Rationale: The initial neurological symptom of Guillain-Barre Syndrome (GBS) is typically paresthesia, which is a tingling or numbness sensation in the legs. GBS is an autoimmune disorder that affects the peripheral nervous system, leading to muscle weakness and paralysis. As the condition progresses, symptoms may worsen and may include absent tendon reflexes, weakness in the arms and legs, and difficulty breathing. However, paresthesia is often one of the earliest and most common symptoms of GBS.

Correct Answer: B

Rationale: Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis instead of the tip. If a child is born with hypospadias, circumcision should be avoided. Circumcision involves removing part of the foreskin, which can cause complications for children with hypospadias, such as affecting future surgical repair procedures or worsening the hypospadias itself. Therefore, it is recommended to avoid circumcision in children with hypospadias.

Correct Answer: C

Rationale: Infants born to mothers with diabetes, especially uncontrolled diabetes, are at risk for hypoglycemia due to exposure to high glucose levels in utero. The infant's pancreas may have been producing high levels of insulin in response to the mother's high blood glucose levels, leading to hypoglycemia after birth. Additionally, these infants are typically smaller for gestational age (SGA) due to the effects of high blood sugar levels on fetal growth. Therefore, the nurse should expect the newborn of a mother with diabetes to exhibit signs of hypoglycemia and be small for gestational age.

Correct Answer: B

Rationale: Option B is descriptive of attention deficit hyperactivity disorder (ADHD). Manifestations of ADHD can significantly impact the child's life, but are most noticeable in the classroom setting. Children with ADHD may struggle with paying attention, staying organized, controlling impulsive behavior, and following instructions in the school environment. While symptoms can also affect other areas of life, such as social interactions and familial relationships, they are typically most prominently displayed in the structured school setting, making it easier to recognize and diagnose the disorder.

Correct Answer: D

Rationale: Egocentric thinking is characteristic of preschool-age children.