Nokea
What should they be instructed to provide special attention to in regard to the generalized hypotonicity of the child?
- A. Preventing hyperthermia
- B. Respiratory care
- C. Prevention of diarrhea
- D. Incontinence care
Correct Answer: B
Rationale: Generalized hypotonicity in Down syndrome causes mucus accumulation, increasing the risk of respiratory problems.
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What is the priority preoperative nursing care of this newborn?
- A. Keep the sac dry.
- B. Diaper snugly.
- C. Position prone in an incubator.
- D. Move from side to side every hour.
Correct Answer: C
Rationale: The infant with meningomyelocele is placed prone in a humidified incubator with the sac covered with sterile saline dressings to protect the lesion.
What is the nurse's best response?
- A. The light increases the infant's metabolism.'
- B. The light stimulates liver function.'
- C. The light dilates blood vessels.'
- D. The light breaks down bilirubin.'
Correct Answer: D
Rationale: Phototherapy breaks down excess bilirubin to prevent kernicterus, allowing it to be excreted.
The nurse explains that what is the optimal time for testing for phenylketonuria?
- A. In the first 24 hours of life
- B. After 2 to 3 days
- C. At 4 to 6 weeks of age
- D. At 2 months of age
Correct Answer: B
Rationale: Testing for phenylketonuria at 48 to 72 hours allows sufficient protein intake to reduce false-negative results.
What assessment madThe nurse is caring for a macrosomic newborn of a woman diagnosed with gestational diabetes immediately after birth.e by the nurse would lead the nurse to suspect hip dysplasia?
- A. Asymmetrical gluteal folds
- B. Limited adduction of the affected side
- C. Foot turned inward
- D. Deep inguinal creases
Correct Answer: A
Rationale: Asymmetrical gluteal folds indicate hip dysplasia due to the femur slipping out of the acetabulum.
The nurse knows that what is the usual treatment for an infant with this diagnosis?
- A. A Pavlik harness
- B. A body spica cast
- C. Traction
- D. Triple-diapering
Correct Answer: A
Rationale: For infants over 2 months with developmental hip dysplasia, a Pavlik harness is used for longer-term immobilization.