A nurse is caring for a new mother who is concerned that her newborn has strabismus. Which of the following statements is a therapeutic response by the nurse?
"This is a concern, but strabismus is easily treated with patching."
"I will take your baby to the nursery for further examination."
"This occurs because newborns lack muscle control to regulate eye movement."
"I will call your primary care provider to report your concerns."
The Correct Answer is C
A. While strabismus may be treated with interventions such as patching, it is not always immediately concerning in newborns. The nurse should first provide accurate information about normal development.
B. Taking the baby to the nursery may not be necessary unless the child’s condition worsens or there is a
clear concern. A thorough assessment and explanation by the nurse are more appropriate.
C. Strabismus is common in newborns due to the immaturity of eye muscle control and usually resolves as the child develops. This is the most therapeutic response as it provides reassurance based on developmental norms.
D. Calling the primary care provider might be premature unless the nurse identifies a significant concern beyond normal development.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Educating the child's parents on hand hygiene is important but not specific to airborne precautions.
B. A surgical mask is not required for a child on airborne precautions unless the child is capable of wearing it.
C. Restricting contact to immune individuals helps prevent the spread of airborne infections, especially in vulnerable settings such as healthcare facilities.
D. Antibiotics should not be given prophylactically unless there is a specific bacterial infection, and airborne precautions are typically used for viral infections like tuberculosis or measles.
Correct Answer is B
Explanation
A. Small pieces of banana are soft and typically pose a lower choking risk compared to firmer or rounder foods.
B. Cut-up grapes pose a high choking hazard due to their round shape and firm texture, which can obstruct the airway if not cut into small enough pieces.
C. Baked potato is soft and generally not a high choking risk unless it is served in large chunks.
D. Cut-up pieces of steak can be a choking hazard if not cooked or cut appropriately, but grapes present a more significant risk due to their shape and size.
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