An Infant Has Congenital Adrenal Hyperplasia

question 14

Multiple Choice

An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care pediatric nurse practitioner notes vomiting, poor feeding, lethargy, and mild dehydration. Which action is correct?

• A) Administer an intramuscular stress dose of hydrocortisone succinate.
• B) Administer intravenous fluids in the clinic and reassess hydration status.
• C) Prescribe an oral hydrocortisone in a replacement dose of 8 to 10 mg/M2.
• D) Refer the infant to the emergency department for fluids, dextrose, and steroids.

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Definitions:

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A truck configuration consisting of a towing engine (tractor) attached to a semi-trailer, which supports the weight of the trailer and its cargo.

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A valve used in air brake systems to prevent simultaneous application of the spring brake and the service brake, enhancing safety.

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Forces that act together on an object, combining their effects to produce a single resultant force.

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A device made of elastic material designed to return to its original shape when a force is removed, often used to absorb shock or store potential energy.