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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."

Answer and Explanation

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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Correct Answer is D

Explanation

A. Counting backward from 20 to 1 is typically expected around age 8, not age 7.

B. Dressing and grooming independently are typically expected by age 5 to 6, not exclusive to school age.

C. Using tools like a screwdriver is more characteristic of older school-age children, not typical at age 6.

D. By age 6, children develop balance and coordination, allowing them to perform activities like jumping rope.

A. "By washing your children's hands after any contact you can avoid spreading meningitis. B. "Your 2-year-old child should be kept away from the infant, but your 4-year-old can have contact if necessary." C. "Avoid close contact between your infant and any other children until the infection is resolved. D. "Meningitis is not highly transmissible to children if they are not infants.

Correct Answer is C

Explanation

A. While handwashing is important, it alone may not prevent the spread of meningitis.

B. Both children, not just the 2-year-old, should avoid contact with the infected infant.

C. Meningitis, especially bacterial forms, can be contagious, and close contact should be minimized to reduce the risk of transmission.

D. Meningitis can be highly transmissible, especially in young children, through respiratory droplets and close contact.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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