Pediatric metabolic syndrome

INSTRUCTIONS Pediatric metabolic syndrome TEST INSTRUCTIONS Read the article. The test for this CE activity is to be taken online at www.nursingcenter.com/CE/NP. Tests can no longer be mailed or faxed. You'll need to create (it's free!) and log in to your personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Professional Development online CE activities for you. There's only one correct answer for each question. A passing score for this test is 13 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost. For questions, contact Lippincott Professional Development: 1-800-787-8985. Registration deadline is June 4, 2021. PROVIDER ACCREDITATION Lippincott Professional Development will award 1.5 contact hours for this continuing nursing education activity. Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states. Payment: The registration fee for this test is $17.95. Pediatric metabolic syndrome General Purpose: To present an overview of metabolic syndrome in the pediatric population with emphasis on guidelines, pathophysiology, associated risk factors, and clinical practice implications. Learning Objectives/Outcomes: After completing this continuing-education activity, you should be able to: 1. Outline the prevalence, risk factors, and manifestations of PMetS and its precursors. 2. Plan the appropriate diagnostic measures and treatment strategies for children who have PMetS. Compared with boys, the rate of pediatric hypertension in girls is higher. lower. the same. In 21% of the children in their study, Nguyen and colleagues reported high total cholesterol. elevated HDL-C. low non-HDL-C. The prevalence of T2DM has shown a lesser pattern of escalation in which of the following racial/ethnic groups? Hispanic White Black A review by Hales and colleagues found that, compared with girls, the prevalence of obesity in boys was higher. lower. the same. In 2017, Flynn and colleagues found an increased prevalence of which of the following in boys (15% to 19%) compared with girls (7% to 12%)? diabetes mellitus hyperlipidemia hypertension Research findings indicate that an excessive amount of weight gain in the first years of life can increase the risk of asthma. thyroid disease. inflammatory bowel disease. According to the IDF, which of the following findings in a 10-year-old child would be an indication of PMetS? HDL-C 55 mg/dL triglycerides 162 mg/dL fasting glucose 95 mg/dL A BMI of 120% of the 95th percentile defines borderline obesity. moderate obesity. severe obesity. A significant contributor to insulin resistance is depletion of FFAs. minimal lipoprotein B binding. obesity-induced inflammation. Which period of development involves a 25% to 50% reduction in insulin sensitivity? prepubertal years puberty pubertal completion The guidelines from AAP include depression screening starting at age 9 years. 12 years. 15 years. The ADA's 2019 criteria for pediatric T2DM screening include overweight and at least two risk factors, one of which is T2DM in a second-degree relative. a high-carbohyrate diet. preterm birth. The AAP recently endorsed recommendations to screen obese children with which blood test starting at ages 9 to 10 years and repeating the test every 2 to 3 years? A1C ALT erythrocyte sedimentation rate Which aspect of monitoring is not included as the first step in the evaluation of a child with obesity? BP A1C BMI If the child's diastolic or SBP is greater than or equal to the 90th percentile, which of the following is recommended? a follow-up visit in 4 to 5 months pharmacologic intervention two additional readings The Dietary Approaches to Stop Hypertension (DASH) diet emphasizes a moderate amount of red meat. an increase in foods containing dietary fiber. a daily sodium consumption between 2,300 mg and 2,500 mg. Exercise recommendations should include how many hours of moderate or vigorous exercise each week? at least 3 about 4 5 or more For children whose lifestyle modifications have not resulted in weight reduction and management, which of the following medications is approved by the U.S. FDA for weight loss in children ages 12 years and older? orlistat lorcaserin metformin