During a well-child physical,a 16-year-old girl has a normal ...

[Anajune7]

During a well-child physical,a 16-year-old girl has a normal history and physical except for an excessive amount of tooth enamel erosion,
 
  a greater-than-normal number of filled cavities,and calluses on the back of her hand.Her body mass index is in the 50th to 75th percentile for her age. The nurse would be most concerned about
  1. anorexia nervosa.
  2. kwashiorkor.
  3. bulimia nervosa.
  4. marasmus.

Question 2

You are instructing parent of a newborn on the foods that are to be started as the child ages. You know that the first food given to a newborn is rice cereal.
 
  What would you teach the parent regarding the second food to be introduced?
  1. Chicken can be given next.
  2. Eggs can be given next.
  3. Fruits should be given next.
  4. Whole milk should be started.

[joewallace]

Answer to Question 1

Answer:3
Rationale: The erosion of tooth enamel,dental caries,and calluses on the back of her hand all most likely are due to frequent vomiting of gastric acids,which is common with this disorder as part of a bingepurgecycle. Anorexia nervosa is an eating disorder where adolescents literally starve themselves to prevent weight gain,also exercising excessively and using laxatives and diuretics to lose weight. Anorexia usually manifests as extreme weight loss and an obsession with food.Kwashiorkor is a protein deficiency,usually from malnutrition,that manifests as generalized edema.Marasmus is a lack of energy-producing calories that can be seen in anorexia,and this causes emaciation,decreased energy levels, and retarded development.

Answer to Question 2

Answer:3
Rationale:Chicken is not given until 810 months,eggs are not given until 12 months,whole milk is given at 12 months.Fruits are given after rice cereal.