A nurse is caring for a new mother who is concerned that her newborns eyes cross. Which of the following statements is a therapeutic response by the nurse?
This occurs because newborns lack muscle control to regulate eye movements
This is a concern, but strabismus is easily treated with patching
I will take your baby to the nursery for further examination
I will call your primary care provider to report your concerns
The Correct Answer is A
A. “This occurs because newborns lack muscle control to regulate eye movements”: This is the correct answer. Newborns often have uncoordinated eye movements because the muscles that control their eyes are not fully developed yet. This is normal and usually resolves by the time the baby is about 3 months old.
B. “This is a concern, but strabismus is easily treated with patching”: This response is not entirely accurate. While strabismus can be treated with patching, it’s important to note that crossing of the eyes in newborns is usually normal and does not necessarily indicate strabismus.
C. “I will take your baby to the nursery for further examination”: This response may cause unnecessary worry for the mother. It’s better to reassure the mother that this is a normal occurrence in newborns.
D. “I will call your primary care provider to report your concerns”: This response may also cause unnecessary worry for the mother. The nurse should first reassure the mother that this is a normal occurrence in newborns.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increase intake of iron-rich foods: While iron is important during pregnancy for the production of hemoglobin and prevention of anemia, it does not specifically reduce the risk of neural tube defects.
B. Limit alcohol consumption: While limiting alcohol consumption is crucial during pregnancy to prevent fetal alcohol syndrome, it does not specifically reduce the risk of neural tube defects.
C. Consume foods fortified with folic acid: This is the correct choice. Folic acid is vital in the early stages of pregnancy to help form the neural tube. It can help prevent major birth defects of the baby’s brain and spine.
D. Avoid foods containing aspartame: While it’s generally a good idea to limit consumption of artificial sweeteners during pregnancy, aspartame does not specifically contribute to neural tube defects. However, women with a rare genetic disorder called phenylketonuria (PKU) should avoid aspartame during pregnancy. PKU is a rare condition in which a baby is born without the ability to properly break down an amino acid called phenylalanine. Phenylalanine can cause brain damage. But aspartame does not specifically reduce the risk of neural tube defects
Correct Answer is B
Explanation
A. Nervousness: While terbutaline can cause nervousness, it is a common side effect and not typically a reason to stop the medication. However, if the nervousness is severe or accompanied by other symptoms, it should be reported to the provider.
B. Dyspnea: This is the correct choice. Dyspnea, or difficulty breathing, can be a sign of serious side effects such as pulmonary edema. This should be reported to the provider immediately.
C. Tremors: Tremors are a common side effect of terbutaline due to its stimulant effect on the nervous system. While they can be uncomfortable, they are not typically a reason to stop the medication. However, if the tremors are severe or accompanied by other symptoms, they should be reported to the provider.
D. Headaches: Headaches can occur with terbutaline use, but they are not typically a reason to stop the medication. However, if the headaches are severe, persistent, or accompanied by other symptoms, they should be reported to the provider.
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