The nurse admits a child to the pediatrician's office for a ...

[nenivikky]

The nurse admits a child to the pediatrician's office for a well-child checkup and finds the child is short with broad hands, hyperactive, microcephalic, and both mentally and growth-retarded.
 
  The nurse reviews the client's chart anticipating a diagnosis of: 1. Down syndrome.
  2. Asperger's disorder.
  3. Fetal alcohol syndrome.
  4. Autism.

Question 2

The nurse has instructed the client on dietary changes required secondary to a diagnosis of hypoparathyroidism, and determines that the client understood when he selects which of the following foods for lunch?
 
  1. Yogurt, cabbage salad with broccoli, and tofu burger
  2. Cheeseburger, french fries, and diet Coke
  3. Milkshake, chicken salad, and gelatin
  4. Spaghetti with meat sauce, lettuce salad, and apple juice

[jsm54321]

Answer to Question 1

3
Rationale: These characteristics describe the child with fetal alcohol syndrome. Children with Asperger's disorder are usually of normal intellect, while those with Down syndrome do not normally have growth retardation. Autistic children often are of normal intellect.

Answer to Question 2

1
Rationale: Dairy products, tofu, soy, cabbage and broccoli are all high in calcium, and reflect that the client understood the nurse's instructions and the need for increased calcium intake.