A nurse is caring for a client who is at 20 weeks of gestation and asks what could cause the infant to have a cleft lip. Which of the following responses should the nurse give?
A cleft lip is caused by the Epstein-Barr virus (EBV)."
"A cleft lip is due to an abnormal autoimmune response."
"A cleft lip is due to advanced maternal age.”
"A cleft lip has a genetic component."
The Correct Answer is D
A. Epstein-Barr virus (EBV) is not associated with cleft lip formation.
B. Cleft lip is not caused by an autoimmune response.
C. Advanced maternal age is associated with other congenital anomalies but not specifically with cleft lip.
D. Cleft lip and palate often have a genetic component and can be influenced by environmental factors during early pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Family-centered care focuses on the client and family as a unit, not solely on the caregiver.
B. Family-centered care improves the quality of care, enhances client safety, and leads to better health outcomes by involving the family in the care process.
C. Family-centered care enhances, rather than decreases, collaboration and communication among healthcare providers and families.
D. Family-centered care has been shown to reduce healthcare costs by improving outcomes and reducing hospital stays.
Correct Answer is D
Explanation
A. Infants typically achieve head control around 4 months of age, not 3 months.
B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.
C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.
D. The anterior fontanelle generally closes between 12 and 24 months of age.
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