C51: Child with Endocrine/metabolic Alteration

Question 1

New parents ask the nanny , ―Why is it necessary for our baby to have the newborn blood test? The RN explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is:

a. appropriate community referral for affected infants.
b. parental education about raising a special needs child.
c. early identification of serious genetically transmitted metabolic diseases.
d. early identification of electrolyte imbalances.

Answer 1

ANSWER:C
Mandatory genetic screening allows early identification of genetically transmitted metabolic disorders. These disorders can be managed best with early diagnosis and in some cases, early treatment prevents serious physical and cognitive delays. Community referral is appropriate after a diagnosis is made. Parental education will be important, but that is not the goal of screening. Although electrolyte imbalances could occur with some of the inborn errors of metabolism, this is not the priority outcome, nor would the newborn screen detect electrolyte imbalances.

Question 2

What is the priority nursing goal for a 14-year-old with Graves‘ disease?
a. Relieving constipation
b. Allowing the adolescent to make decisions about whether or not to take medication
c. Verbalizing the importance of adherence to the medication regimen
d. Developing alternative educational goals

Answer 2

c. Verbalizing the importance of adherence to the medication regimen