A newborn is suspected of having fetal alcohol syndrome.
Which finding would the nurse expect to assess?

Bradypnea

Hydrocephaly

Nystagmus and hypoactivity

Small palpebral fissures, missing vertical groove in the median portion of upper lip, thin upper lip

Answer and Explanation

The Correct Answer is D

Choice A rationale
Bradypnea, or abnormally slow breathing, is not a typical symptom of fetal alcohol syndrome. It is more commonly associated with conditions such as sleep apnea, drug overdose, or certain neurological conditions.
Choice B rationale
Hydrocephaly, a condition where there is an accumulation of cerebrospinal fluid within the brain, is not a common symptom of fetal alcohol syndrome. It is typically caused by other conditions such as birth defects, infections, or brain injuries.
Choice C rationale
Nystagmus (involuntary eye movement) and hypoactivity (reduced activity level) are not typical symptoms of fetal alcohol syndrome. These symptoms can be associated with a variety of neurological or eye disorders.
Choice D rationale
Small palpebral fissures (small eye openings), missing vertical groove in the median portion of the upper lip, and a thin upper lip are all characteristic facial features of fetal alcohol syndrome. These features result from prenatal alcohol exposure, which can interfere with normal development.

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Correct Answer is B

Explanation

Choice A rationale
Hyperglycemia, or high blood sugar, is not typically associated with poor feeding and low temperature in infants. It’s more commonly seen in conditions like diabetes.
Choice B rationale
Neonatal infection could cause an infant to feed poorly and have a low temperature. These symptoms could be a sign of sepsis, a serious and potentially life-threatening infection that requires immediate medical attention.
Choice C rationale
Hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made, is not typically associated with poor feeding and low temperature in infants.
Choice D rationale
Prematurity could potentially cause poor feeding and low temperature, but these symptoms would not typically appear suddenly in a well-baby nursery setting.

A. There is a new vaccine available that prevents the infection from returning B. All you need is a dose of penicillin and the infection will be gone C. There is no cure, but drug therapy helps to reduce symptoms and recurrences D. Once you have the infection, you develop an immunity to it

Correct Answer is C

Explanation

Choice A rationale
As of my knowledge cutoff in 2021, there is no vaccine available that prevents genital herpes simplex infection from returning.
Choice B rationale
Penicillin is not effective against viral infections such as genital herpes. Antiviral medications are used to manage symptoms and reduce recurrences.
Choice C rationale
This is the most appropriate response. While there is no cure for genital herpes, antiviral medications can help to reduce symptoms and the frequency of recurrences.
Choice D rationale
Having a genital herpes infection does not lead to immunity. The virus remains in the body and can cause recurrent outbreaks.

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A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?

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A newborn is suspected of having fetal alcohol syndrome.
Which finding would the nurse expect to assess?