You are meeting with parents of a 12-year-old girl who recently diagnosed with papillary thyroid carcinoma (PTC). The statement that should be included in your discussion is

Correct Answer: C

Rationale: In this scenario, option C, stating that supraphysiologic levothyroxine therapy is required during long-term follow-up, is the most appropriate statement to include in the discussion with the parents of a 12-year-old girl diagnosed with papillary thyroid carcinoma (PTC). The rationale for choosing option C is that children with PTC often require thyroid hormone replacement therapy to suppress thyroid-stimulating hormone (TSH) levels, which can help prevent the recurrence of cancer. Supraphysiologic doses of levothyroxine are often necessary to achieve this goal, making this statement crucial for the long-term management of the condition. Option A is incorrect because PTC, while a serious condition, does not necessarily have a grim overall prognosis, especially with appropriate treatment and follow-up care. Option B is incorrect because radioactive iodine therapy is commonly used in the treatment of differentiated thyroid cancers like PTC. Option D is incorrect because calcitonin/carcinogenic antigen monitoring is more relevant for medullary thyroid carcinoma, not papillary thyroid carcinoma. In an educational context, understanding the specific management strategies and follow-up care for pediatric patients with papillary thyroid carcinoma is essential for healthcare providers working with this population. Providing accurate information to parents and caregivers can help them better understand the treatment plan and support the long-term health and well-being of their child.

Correct Answer: C

Rationale: In this question, the correct answer is C) 36 months. At around 36 months of age, a child typically develops the fine motor skills necessary to make a tower of 9 cubes and imitate a circular stroke. This milestone is an important indicator of a child's fine motor coordination and cognitive development at this age. Option A) 24 months is too early for most children to demonstrate this level of fine motor control and cognitive ability. At 24 months, children are usually still developing basic motor skills and may not have the precision required for tasks like making a tower of 9 cubes or imitating a circular stroke. Option B) 30 months is also too early for most children to achieve this milestone. While some children may start to show progress in fine motor skills by this age, it is less common for them to be able to consistently make a tower of 9 cubes and imitate a circular stroke. Option D) 42 months is too late for this milestone. By 42 months, most children would have already mastered the ability to make a tower of 9 cubes and imitate a circular stroke. Waiting until 42 months to achieve this milestone would suggest a delay in fine motor skill development. Understanding these developmental milestones is crucial for pediatric nurses and healthcare providers working with young children. It helps them assess a child's growth and development accurately, identify any potential delays or concerns early on, and provide appropriate support and interventions when needed.

Correct Answer: D

Rationale: In this question from the Free Pediatric CCRN Practice Questions exam, the correct answer is D) hypothyroidism. Hypothyroidism is not typically associated with peculiar facial anatomy, which is a risk factor for obstructive sleep apnea. A) Hypotonia can contribute to airway obstruction, leading to obstructive sleep apnea in pediatric patients. B) Developmental delay can affect the structural development of the face and airway, increasing the risk of obstructive sleep apnea. C) Central adiposity, or excess fat around the neck and throat area, can put pressure on the airway, contributing to obstructive sleep apnea. Educationally, understanding risk factors for obstructive sleep apnea in pediatric patients is crucial for nurses working in critical care settings. Recognizing these risk factors can aid in early identification and intervention, improving patient outcomes. By knowing which conditions are associated with obstructive sleep apnea, nurses can provide targeted care and support to these vulnerable patients.

Correct Answer: C

Rationale: In the care of low birth weight or premature infants, screening for anemia is crucial due to their increased risk of this condition. The correct answer, C) 6 months, is the appropriate time for re-screening these infants for anemia. At this age, their iron stores from birth begin to deplete, putting them at risk for developing anemia. Option A) 2 months is too early for a re-screening as infants' iron stores are still sufficient at this age. Option B) 4 months is also premature for re-screening as iron supplementation typically starts around this time but re-screening for anemia is usually recommended later. Option D) 8 months is too late for re-screening as anemia in these vulnerable infants should be detected and managed earlier to prevent complications. Educationally, understanding the timing of anemia screening in low birth weight or premature infants is vital for pediatric nurses and other healthcare providers working with this population. It ensures early detection and intervention, promoting optimal health outcomes for these vulnerable infants.

Correct Answer: D

Rationale: In the fetal period of development, various key milestones occur as the baby grows and matures in the womb. In this question, the correct answer is D) 26 weeks - face clearly recognizable. This is incorrect because by 26 weeks, the face is not yet fully developed to be clearly recognizable. While facial features are forming during this time, they are not yet distinct enough to be easily identifiable. Option A) 10 weeks - midgut returns to abdomen is correct as by 10 weeks, the midgut, which initially herniates into the umbilical cord, should have returned to the abdominal cavity. Option B) 12 weeks - external genitalia formed is correct as by 12 weeks, the external genitalia should have developed and can be visualized. Option C) 24 weeks - surfactant production begun is correct as surfactant production in the lungs typically begins around 24 weeks, playing a crucial role in lung maturation and function. Understanding the timeline of fetal development is essential for healthcare professionals working with pediatric patients. This knowledge helps in assessing developmental milestones, identifying potential issues, and providing appropriate care and support for both the child and their family.