Pediatric Endocrine & Skin Disorders
The nurse is interviewing the parent of a 9-year-old girl. The parent expresses concern because the daughter already has pubic hair and is starting to develop breasts. Which of the following statements would be most appropriate?
"Your daughter is experiencing body changes that are appropriate for her age.
The medication for the child in the previous problem comes in a vial of 5 mg of somatropin (rDNA) and is mixed with a diluent of 5 mL. There is 5 mL of solution in each vial. What amount of the solution should the nurse draw up to give the appropriate dose each time?
0.675 mL
A 6-year-old is diagnosed with growth hormone deficiency. A prescription is written for a dose of 0.025 mg/kg of somatotropin subcutaneously three times weekly. The child weighs 27 kg (59.4 lb). What dose of medication should the nurse administer three times weekly?
0.675 mg
An infant is born with ambiguous genitalia. Genetic testing and an ultrasound are ordered. The infant has a large clitoris, but there is no vaginal orifice. The labia appear to be sac-like darkened tissue. No testes are located. What suggestion should the nurse offer the family?
3. Give the baby a neutral name that fits either a boy or a girl.
A nurse is caring for an adolescent female who is going to be treated with isotretinoin (Accutane) for acne. Which of the following does the nurse know is true about the medication?
pregnancy test before
A 7-year-old is diagnosed with head lice. The physician has ordered lindane (G-Well) shampoo to be used once to treat the lice. The nurse knows that the shampoo is used only once for which of the following reasons?
seizures
What key information should be explained to the family of a 3-year-old who has short stature and abnormal laboratory test results?
4. Growth hormone levels in children are so low that stimulation testing must be done.
A 6-month-old is prescribed 2.5% hydrocortisone for topical treatment of eczema. The nurse instructs the parent not to use the cream for more than a week. What is the primary reason for this instruction?
Adverse effects, such as skin atrophy and fragility, can occur with long-term treatment
The nurse informs a parent of a teenager that the most effective treatment of acne is with which of the following medications?
Benzoyl peroxide
The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?
Characterized mainly by insulin deficiency
The nurse is caring for a child who complains of constant hunger, constant thirst, frequent urination, and recent weight loss without dieting. The nurse can expect that care for this child will include which of the following?
Frequent blood glucose testing
An 8-year-old with type I DM is complaining of a headache and dizziness and is visibly perspiring. The nurse caring for the child should do which of the following?
Give an 8 oz glass of milk Milk is best to give for mild hypoglycemia, which would present with the symptoms described
Which of the following hormones does the anterior pituitary secrete? Select all that apply. 1. Thyroxine. 2. Luteinizing hormone. 3. Prolactin (luteotropic hormone). 4. ACTH. 5. Epinephrine. 6. Cortisol.
Luteinizing hormone, prolactin, and ACTH are secreted by the anterior pituitary.
Which of the following children may need extra fluids to prevent dehydration? Select all that apply. 1. A 7-day-old receiving phototherapy. 2. A 6-month-old with newly diagnosed pyloric stenosis. 3. A 2-year-old with pneumonia. 4. A 13-year-old who has just started her menses. 5. A 2-year-old with full-thickness burns to the chest, back, and abdomen.
1, 2, 3, 5
A teacher has a pupil with head lice (pediculosis capitis). The nurse should see what to diagnose the infestation? Select all that apply. 1. Crawling insects. 2. White flakes in the hair. 3. Nits attached close to scalp. 4. Inflammatory papules. 5. Dark brown hair.
1, 3, 4.
The school nurse is talking to a 14-year-old about managing type I DM. Which of the following statements indicates the student's understanding of the disease?
1. "It really does not matter what type of carbohydrate I eat as long as I take the right amount of insulin."
A 6-year-old white girl comes with her mother for evaluation of her acne, breast buds, axillary hair, and body odor. What information should the nurse explain to them?
2. Encourage the girl to dress and act appropriately for her chronological age.
A 12-year-old with type II DM presents with a fever and a 2-day history of vomiting. The nurse obtaining the history observes that the child's breath has a fruity odor and breathing that is deep and rapid. The nurse should do which of the following?
3. Prepare the child for an IV infusion *needs replacement fluids stat*