When a 2-week-old infant is seen for irritability, poor appetite, ...

[geoffrey]

When a 2-week-old infant is seen for irritability, poor appetite, and rapid head growth with an observable distended scalp vein, the nurse recognizes these signs as indicative of which condition?
 
  a. Hydrocephalus
  b. SIADH (syndrome of inappropriate antidi-uretic hormone)
  c. Cerebral palsy
  d. Reye's syndrome

Question 2

Which statement is true about the care of the toddler's teeth?
 
  a. Because deciduous teeth are not permanent, they are not important to the child.
  b. Children can be encouraged to brush their teeth after the teeth have been thoroughly cleaned by the parent.
  c. Secondary tooth eruption begins at 4 to 5 years of age.
  d. Fluoride supplements can be discontinued when the secondary teeth erupt.

[perkiness]

Answer to Question 1

A
The combination of signs is strongly suggestive of hydrocephalus. SIADH would not present in this way. The child would have decreased urination, hypertension, weight gain, fluid retention, hyponatremia, and increased urine specific gravity. The manifestations of cerebral palsy vary but may include persistence of primitive reflexes, delayed gross motor development, and lack of progression through developmental milestones. Reye's syndrome is associated with an antecedent viral infection with symptoms of malaise, nausea, and vomiting. Progressive neurological deterioration occurs.

Answer to Question 2

B
Toddlers lack the manual dexterity to remove plaque adequately, so parents must assume this responsibility. Deciduous teeth are important because they maintain spacing and play an important role in the growth and development of the jaws and face and in speech development. Secondary teeth erupt at about 6 years of age. If the family does not live in an area in which fluoride is included in the water supply, fluoride supplements should be continued.

[geoffrey]

Thank you

[perkiness]

No problemo