Pediatric endocrine and metabolic disorders Flashcards
Determine which is correct when managing patients presenting with precocious puberty.
Therapy is not recommended because of the associated stress involved for the patient and the family.
Initiate GnRH agonist therapy for a girl presenting with progressive central precocious puberty before the age of 12.
Initiate GnRH agonist therapy for all girls presenting with central precocious puberty.
Not all patients require treatment.
Not all patients require treatment.
The nurse practitioner is educating a mother on the management of an obese child. Determine the accurate statement.
The child should be placed on a low-fat diet.
Premature infants experience a higher incidence of obesity.
Early recognition of rapid weight gain is essential to prevention and management.
Screening for hypertension and hyperlipidemia is not recommended for children under 14 years old.
Early recognition of rapid weight gain is essential to prevention and management.
The nurse practitioner is providing anticipatory guidance to a child during a routine visit. Determine the statement regarding childhood obesity that is accurate.
Almost all obesity in children is strongly influenced by genetics.
Obesity has become a common, important public health problem in the United States.
Obesity is decreasing worldwide yet increasing in the United States.
The prevalence of obesity is higher in people who live in urban areas.
Obesity has become a common, important public health problem in the United States.
When evaluating a child for ketoacidosis, conclude what the nurse practitioner recognizes as a presentation of diabetic ketoacidosis.
Candidiasis
Weight gain
Vomiting
Hyperactivity
Vomiting
The nurse practitioner is educating a mother on the management of her child with congenital hypothyroidism. Conclude what effective management of congenital hypothyroidism includes.
Initiation of levothyroxine for all suspected cases of hypothyroidism
Hold breastfeeding and start a soy diet until thyroid level normalized
Oral levothyroxine
Insulin therapy until thyroid level is stable
Oral levothyroxine
Propose a characteristic of children presenting with type 2 diabetes.
Children with type 2 diabetes usually present with anorexia.
Insulin therapy is not recommended.
Up to 10% of patients with T2DM have an affected close relative.
Children with type 2 diabetes often present with ketoacidosis.
Insulin therapy is not recommended.
The nurse practitioner educated a group of students on precocious puberty. Determine the statement regarding the classification of precocious puberty that is accurate.
Benign clinical pubertal variants include polycystic ovarian syndrome.
Ovarian tumors are a common cause of central precocious puberty in girls.
Benign clinical pubertal variants include isolated premature thelarche in girls.
Peripheral precocity is idiopathic in up to 90 percent of girls and 60 percent of boys.
Benign clinical pubertal variants include isolated premature thelarche in girls.
Determine which is correct when managing patients presenting with precocious puberty.
The goal of therapy is to prevent pregnancy.
Initiate GnRH agonist therapy for a girl presenting with progressive central precocious puberty before the age of 12.
Initiate GnRH agonist therapy for all girls presenting with central precocious puberty.
No treatment is indicated in slowly progressing precocious puberty.
No treatment is indicated in slowly progressing precocious puberty.
A nursing student is completing a presentation on diabetes mellitus. Predict which is consistent with patients presenting with type 1 diabetes.
Weight loss
Acanthosis nigricans
Developmental delays
Hypertension
Weight loss
P.J. presents to the clinic for her annual evaluation. The mother is concerned about precocious puberty. Predict a finding that is consistent with precocious puberty.
Caucasian female who starts menarche at age 12 years
Child presenting with secondary sexual characteristics after the age of 10 years
A female who presents with thelarche at age 13 years
Onset of secondary sexual characteristics that occur in African-American girls before age seven years
Onset of secondary sexual characteristics that occur in African-American girls before age seven years
The nurse practitioner is providing anticipatory guidance to a child during a routine visit. Determine the statement regarding childhood obesity that is accurate.
Sleeping for 8–10 hours per night increases the risk for obesity.
Obesity is decreasing worldwide yet increasing in the United States.
Almost all obesity in children is strongly influenced by genetics.
The prevalence of comorbidities associated with obesity has increased.
The prevalence of comorbidities associated with obesity has increased.
The nurse practitioner is educating a group of students on patients presenting with congenital hypothyroidism. Determine the accurate statement.
Blood screening for congenital hypothyroidism is routinely completed within 30 days of birth.
Congenital hypothyroidism has a higher incidence in males.
Common causes of congenital hypothyroidism include dysgenesis.
The shortage of iodine in the diet is the most common cause of congenital hypothyroidism in the United States.
Common causes of congenital hypothyroidism include dysgenesis.
A mother presents to the clinic with questions regarding the management of a child with diabetes. Conclude what the nurse practitioner recognizes as a need for further parental education.
The mother chose not to use continuous glucose monitoring because that device is constantly poking him to check his blood glucose level.
The mother needs to check his blood glucose level before he eats.
He usually has a higher incidence of diabetic ketoacidosis when he is stressed or sick.
They have been working to keep his target glucose level under 7.
The mother chose not to use continuous glucose monitoring because that device is constantly poking him to check his blood glucose level.
Propose a common comorbidity associated with obese children.
Developmental dysplasia of the hip
Cardiovascular problems
Intussusception
Osgood–Schlatter disease
Cardiovascular problems
The nurse practitioner is evaluating an infant for congenital hypothyroidism. Establish the clinical manifestation of patients presenting with congenital hypothyroidism.
Pleural effusion
Symmetrical thyroid enlargement
Gluten intolerance
Polyurea
Symmetrical thyroid enlargement
