A breastfednewborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:

Stop breastfeeding

Add amino acids to the breast milk

Substitute a lactose-containing formula for breast milk

Give the appropriate enzyme along with breast milk.

Answer and Explanation

The Correct Answer is A

Choice A reason:

All milk- and lactose-containing formulas, including breast milk, must be stopped during infancy. Soy protein is the formula of choice for newborns and infants with galactosemia. Breast milk should not be used in newborns and infants with galactosemia because it contains galactose, which they cannot metabolize properly.

Choice B reason:

Adding amino acids to the breast milk will not help the newborn with galactosemia, because the problem is not a lack of amino acids, but a deficiency of the enzyme that breaks down galactose. Amino acids are the building blocks of proteins, not sugars.

Choice C reason:

Substituting a lactose-containing formula for breast milk will worsen the condition of the newborn with galactosemia because lactose is composed of glucose and galactose. The newborns will still be exposed to galactose, which will accumulate in the blood and tissues and cause damage.

Choice D reason:

Giving the appropriate enzyme along with breast milk is not a feasible option for the newborn with galactosemia, because there is no oral enzyme replacement therapy available for this condition. The only treatment is dietary restriction of galactose.

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Correct Answer is C

Explanation

Choice A reason:

Intermittent abdominal pain following passage of bloody mucus is not a sign of placenta previa, but rather of bloody show, which is a normal occurrence in late pregnancy as the cervix begins to dilate and efface.

Choice B reason:

Abdominal pain with minimal red vaginal bleeding is not a sign of placenta previa, but rather of abruptio placentae, which is a serious complication where the placenta detaches from the uterine wall before delivery.

Choice C reason:

A large amount of bright red vaginal bleeding without pain is a sign of placenta previa, which is a condition where the placenta covers part or all of the cervical opening. This can cause bleeding when the cervix dilates or contracts, especially in the third trimester. This is a medical emergency that requires immediate attention.

Choice D reason:

Severe abdominal pain with increasing fundal height is not a sign of placenta previa, but rather of uterine rupture, which is a rare but life-threatening complication where the uterus tears open along the scar line from a previous cesarean delivery or other uterine surgery. This can cause severe bleeding, fetal distress, and shock.

A. FAS is caused by alcohol, and NAS is caused by opioids. B. FAS and NAS are both incurable. C. FAS and NAS are both curable. D. FAS is caused by analgesics and NAS is caused by NSAIDs. Full screen mode is in effect during your proctored testing.

Correct Answer is A

Explanation

Choice A reason:

FAS is caused by alcohol, and NAS is caused by opioids. This is the correct answer because FAS stands for fetal alcohol syndrome, which is a group of physical and mental defects that can occur in a baby when a woman drinks alcohol during pregnancy. NAS stands for neonatal abstinence syndrome, which is a group of problems that can happen when a baby is exposed to opioid drugs for a length of time while in their mother's womb.

Choice B reason:

FAS and NAS are both incurable. This is incorrect because FAS and NAS have different outcomes. FAS is incurable because the effects of alcohol on the developing brain and body are permanent. NAS, however, can be treated with medication and supportive care to help the baby cope with withdrawal symptoms and prevent complications.

Choice C reason:

FAS and NAS are both curable. This is incorrect because FAS is not curable, as explained above. NAS can be treated, but not cured, because some babies may have long-term problems such as developmental delays, behavioral issues, or learning difficulties.

Choice D reason:

FAS is caused by analgesics and NAS is caused by NSAIDs. This is incorrect because FAS is caused by alcohol, not analgesics, which are painkillers. NAS is caused by opioids, not NSAIDs, which are anti-inflammatory drugs. Analgesics and NSAIDs do not cause the same type of damage to the fetus or the newborn as alcohol and opioids do.

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A breastfednewborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?

Correct Answer is C

Explanation

What is true about FAS and NAS?

Correct Answer is A

Explanation

A nurse is assisting with the care of a newborn 1 hr following birth. Exhibits Select the 5 findings that the nurse should report to the provider.

A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan?

The names of the newborn reflexes are? Select all that apply. (Select All that Apply.)

A nurse is assisting in the care of a newborn who is 72 hours old and is receiving treatment for neonatal abstinence syndrome. Exhibits Which of the following data collection findings should the nurse identify as requiring immediate follow-up? (Select all that apply.).

What should be included in teaching for bottle-feeding parents? (Select all that apply.)

A breastfed newborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:

A breastfednewborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to: