ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
Newborn admitted to rule out congenital hypothyroidism.
Question 1 of 5
A newborn is admitted to the pediatric unit to rule out congenital hypothyroidism. Which of the following findings would the nurse expect if this diagnosis is confirmed?
Correct Answer: A
Rationale: The correct answer is A: Bradycardia, constipation, and hypotonia. In congenital hypothyroidism, there is a deficiency of thyroid hormone, leading to decreased metabolic rate. Bradycardia is a common finding due to decreased thyroid hormone affecting the heart rate. Constipation is a result of reduced gut motility caused by hypothyroidism. Hypotonia is seen in infants with hypothyroidism due to impaired muscle function. Elevated serum T3 and T4 (
Choice
B) would be expected in hyperthyroidism, not hypothyroidism. Tachycardia, diarrhea, and tremors (
Choice
C) are symptoms of hyperthyroidism. Decreased TSH (
Choice
D) would actually be seen in hyperthyroidism, not hypothyroidism.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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