The nurse is interviewing the parents of a 4-month-old boy ...

[formula1]

The nurse is interviewing the parents of a 4-month-old boy brought to the hospital emergency department. The infant is dead, and no attempt at resuscitation is made. The parents state that the baby was found in his crib with a blanket over his head, lying
 
  a. Suffocation
  b. Child abuse
  c. Infantile apnea
  d. Sudden infant death syndrome (SIDS)

Question 2

Selective cholesterol screening is recommended for children older than the age of 2 years with which risk factor?
 
  a. Body mass index (BMI) = 95th percentile
  b. Blood pressure = 50th percentile
  c. Parent with a blood cholesterol level of 200 mg/dl
  d. Recently diagnosed cardiovascular disease in a 75-year-old grandparent

[Jevvish]

Answer to Question 1

ANS: D
The description of how the child was found in the crib is suggestive of SIDS. The nurse is careful to tell the parents that a diagnosis cannot be confirmed until an autopsy is performed.

Answer to Question 2

ANS: A
Obesity is an indication for cholesterol screening in children. A BMI in the 95th percentile or higher is considered obese. Children who are hypertensive meet the criteria for screening, but blood pressure in the 50th percentile is within the normal range. A parent or grandparent with a cholesterol level of 240 mg/dl or higher places the child at risk. Early cardiovascular disease in a first- or second-degree relative is a risk factor. Age 75 years is not considered early.

[formula1]

TYSM

[sailorcrescent]

Excellent