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What is the priority patient problem for the parents of a newborn born with cleft lip and palate?
- A. Parental role conflict
- B. Risk for delayed growth and development
- C. Risk for impaired attachment
- D. Anticipatory grieving
Correct Answer: C
Rationale: Parents of a child with cleft lip and palate may have difficulty bonding with their child due to the appearance of the child. The priority patient problem is risk for impaired attachment. A goal is to promote bonding between parents and infant.
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A newborn has talipes and is wearing casts. How often should the casts be changed?
- A. Daily
- B. Weekly
- C. Biweekly
- D. Monthly
Correct Answer: B
Rationale: Treatment of talipes consists of manipulation and the application of a series of short leg casts. The foot is gently manipulated into a more normal position and then placed in a cast to maintain the correction. Casts are changed weekly to allow for further manipulation and to accommodate the rapidly growing infant.
Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance. What is an appropriate suggestion by the nurse?
- A. Take the child to the health care provider for testing.
- B. Be firm and insist the child go to school.
- C. Allow the child to stay home and rest.
- D. Consult with the teacher at school.
Correct Answer: B
Rationale: Parents should be firm and insist the child go to school.
Which statement correctly explains the etiology of Down syndrome?
- A. There is an extra chromosome on the 21st pair.
- B. There is a missing chromosome on the 21st pair.
- C. There are two pairs of the 21st chromosome.
- D. The chromosome's 21st pair is missing.
Correct Answer: A
Rationale: Down syndrome is attributed to an extra chromosome on the 21st pair.
What assessment findings should lead the nurse to suspect Down syndrome in a newborn?
- A. Hypertonia and dark skin
- B. Low-set ears and a simian crease
- C. Inner epicanthal folds and a high, domed forehead
- D. Long, thin fingers and excessive hair
Correct Answer: B
Rationale: Manifestations of the Down syndrome infant include low-set ears, simian crease, protruding tongue, and hypotonic extremities.
What should the therapeutic management of iron deficiency anemia include?
- A. Multivitamins
- B. Calcium
- C. Ferrous sulfate
- D. Iodine
Correct Answer: C
Rationale: Therapeutic management of iron deficiency anemia is iron (ferrous sulfate) supplementation, nutritional counseling, and treatment of any underlying condition.