Which of the following would most likely explain this child’s small size?
Selected Answer:
e.
Congenital cytomegalovirus infection
· Question 31
1 out of 1 points
A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile, height about the 10th percentile, and head circumference at the 50th percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances. Which of the following is the most appropriate therapy for this child?
Selected Answer:
d.
Oral supplementation with bicarbonate
· Question 32
1 out of 1 points
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?
Selected Answer:
b.
Flushing the ear with water.
· Question 33