An adolescent being seen by the nurse practitioner for a sports ...

[sabina]

An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension. On further testing, it is discovered the child has a cardiac abnormality.
 
  The initial treatment of secondary hypertension initially involves a. Weight control and diet
  b. Treating the underlying disease
  c. Administration of digoxin
  d. Administration of beta-adrenergic receptor blockers

Question 2

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
 
  a. Hypoglycemia
  b. Hypercalcemia
  c. Hypobilirubinemia
  d. Hypoinsulinemia

[underwood14]

Answer to Question 1

B
Feedback
A Weight control and diet is a non-pharmacologic treatment for primary
hypertension.
B Identification of the underlying disease should be the first step in treating
secondary hypertension.
C Digoxin is indicated in the treatment of congestive heart failure.
D Beta-adrenergic receptor blockers are indicated in the treatment of primary
hypertension.

Answer to Question 2

A
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A The neonate is at highest risk for hypoglycemia because fetal insulin production
is accelerated during pregnancy to metabolize excessive glucose from the
mother. At birth, the maternal glucose supply stops and the neonatal insulin
exceeds the available glucose, leading to hypoglycemia.
B Hypocalcemia is associated with preterm birth, birth trauma, and asphyxia, all
common problems of the infant of a diabetic mother.
C Excess erythrocytes are broken down after birth, releasing large amounts of
bilirubin into the neonate's circulation, which results in hyperbilirubinemia.
D Because fetal insulin production is accelerated during pregnancy, the neonate
shows hyperinsulinemia.

[sabina]

Excellent

[sailorcrescent]

TYSM