parents of a 6 month old child diagnosed with iron deficiency anemia ask why it was not diagnosed earlier what should the nurse say

HESI LPN

Nutrition Final Exam Quizlet

1. Parents of a 6-month-old child, diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What should the nurse say?

A. Are you sure your child has iron deficiency anemia?
B. Maternal stores of iron are depleted at about 6 months.
C. This anemia is caused by blood loss.
D. The child may not have had it for a long time.

Correct answer: B

Rationale: The correct answer is B: 'Maternal stores of iron are depleted at about 6 months.' Iron deficiency anemia becomes apparent around 6 months of age when the infant's iron stores, primarily received from the mother during pregnancy, are depleted. This timing coincides with the introduction of solid foods, which may lack sufficient iron. Choices A, C, and D are incorrect because they do not address the specific reason why iron deficiency anemia is typically diagnosed around 6 months of age.

2. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?

A. Promote weight maintenance
B. Encourage joint mobility exercises
C. Avoid physical inactivity
D. Ensure a balanced diet

Correct answer: B

Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.

3. Which individual is making a food choice based on negative association?

A. A tourist from China who rejects a hamburger due to unfamiliarity
B. A child who spits out his mashed potatoes because they taste too salty
C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.

4. What is a common complication of untreated asthma in children?

A. Delayed puberty
B. Growth retardation
C. Chronic sinusitis
D. Frequent headaches

Correct answer: C

Rationale: The correct answer is C: Chronic sinusitis. Untreated asthma can lead to chronic sinusitis in children due to prolonged inflammation and infection of the respiratory tract. Choices A, B, and D are incorrect. Delayed puberty and growth retardation are not common complications of untreated asthma in children. Frequent headaches may be associated with asthma exacerbations but are not typical long-term complications.

5. What is a common sign of hypothyroidism in children?

A. Weight loss
B. Increased heart rate
C. Dry skin and constipation
D. Elevated blood pressure

Correct answer: C

Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.