A 1-Year-Old Child with Cretinism Has Been Receiving 8 Mcg/kg/day

question 4

Multiple Choice

A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of levothyroxine [Synthroid]. The child comes to the clinic for a well-child checkup. The nurse will expect the provider to:

• A) change the dose of levothyroxine to 6 mcg/kg/day.
• B) discontinue the drug if the child's physical and mental development are normal.
• C) increase the dose to accommodate the child's increased growth.
• D) stop the drug for 4 weeks and check the child's TSH level.

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Definitions:

Categorical Self

A classification of the self children use to guide their behavior; based on broad ways in which people differ, such as sex, age, and physical characteristics.

Mirror

An object with a reflective surface that forms an image of whatever stands before it, commonly used for personal grooming or decorative purposes.

Complex Emotions

Emotions that are more nuanced and involve a combination of basic emotions, such as pride, guilt, or embarrassment.

Self-conscious Emotions

Emotions that require self-awareness and reflect on how we perceive others perceiving us, such as embarrassment, pride, shame, and guilt.