A parent asks the school nurse to explain there children usually ...

[altibaby]

A parent asks the school nurse to explain there children usually feel growing pains. The nurse explains that the discomfort is usually in the:
 
  a. toes, feet, and ankles c. hip and pelvis
  b. knees, calves, and thigh d. fingers, wrists, and elbows

Question 2

If not diagnosed at birth, a newborn with 21-hydroxylase (21-OH) deficiency and salt wasting will develop which of the following problems by days 10 to 14 of life?
 
  a. seizures c. thyroid storm
  b. coma d. adrenal crisis

[softEldritch]

Answer to Question 1

B

Feedback
A Incorrect: Growing pains are not typically experienced in the toes, feet, and ankles.
B Correct: The discomfort of growing pains is typically located in the knees, calves, and thighs.
C Incorrect: Growing pains are not typically experienced in the hip and pelvis.
D Incorrect: Growing pains are not typically experienced in the fingers, wrists, or elbows.

Answer to Question 2

D

Feedback
A Incorrect. If not diagnosed at birth, a newborn with 21-hydroxylase (21-OH) deficiency and salt wasting will have lower sodium level, higher potassium level and a lower volume of blood circulation, not subject to seizures.
B Incorrect. If not diagnosed at birth, a newborn with 21-hydroxylase (21-OH) deficiency and salt wasting will have lower sodium level, higher potassium level and a lower volume of blood circulation, with coma as a potential; but, greater risks possible.
C Incorrect. If not diagnosed at birth, a newborn with 21-hydroxylase (21-OH) deficiency and salt wasting will develop a life-threatening hyponatremia, hyperkalemia, and hypovolemia by day 10-14 of life. This is not known as a thyroid storm.
D Correct. If not diagnosed at birth, a newborn with 21-hydroxylase (21-OH) deficiency and salt wasting will develop a life-threatening hyponatremia, hyperkalemia, and hypovolemia by day 10-14 of life. This is known as adrenal crisis.