ATI RN
ATI Pediatrics Exam I Questions
Extract:
A neonate is displaying mottled skin, has a large fontanel and tongue, is lethargic, and is having difficulty feeding.
Question 1 of 5
A neonate is displaying mottled skin, has a large fontanel and tongue, is lethargic, and is having difficulty feeding. The nurse recognizes that this is most suggestive of which disorder?
Correct Answer: B
Rationale: The correct answer is B: Hypothyroidism. The neonate's symptoms of mottled skin, large fontanel, large tongue, lethargy, and feeding difficulty are indicative of congenital hypothyroidism. The large fontanel and tongue are characteristic of hypothyroidism, and the mottled skin may be due to poor circulation associated with the condition. Lethargy and feeding difficulties are common in infants with hypothyroidism due to decreased energy levels and metabolism. Hypoglycemia (choice
A) typically presents with jitteriness, sweating, and poor feeding. Hypocalcemia (choice
C) presents with muscle tremors, twitching, and seizures. Phenylketonuria (PKU) (choice
D) presents with a musty odor, intellectual disability, and seizures.
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