A nurse is reinforcing teaching with the parents of a 1-week-old infant who has Down syndrome. Which of the following statements should t nurse include?
"Your baby has an increased risk for a heart defect."
"Expect your baby to need factor replacement therapy every month."
"Expect your baby to grow in height more rapidly than weight."
"Your baby should have no issues with eyesight."
The Correct Answer is A
A. "Your baby has an increased risk for a heart defect.": Infants with Down syndrome have a significantly higher risk for congenital heart defects, such as atrioventricular septal defects (AVSD) and ventricular septal defects (VSD). It is important for the parents to be aware of this risk and have the infant screened by a cardiologist.
B. "Expect your baby to need factor replacement therapy every month.": Factor replacement therapy is typically associated with hemophilia, not Down syndrome. Down syndrome is a genetic condition that affects development, but it is not clotting disorders.
C. "Expect your baby to grow in height more rapidly than weight.": Infants with Down syndrome often experience growth delays, but there is no specific expectation that height will outpace weight.
D. "Your baby should have no issues with eyesight.": Children with Down syndrome are at higher risk for vision problems, including strabismus, refractive errors, and cataracts. Regular eye exams are important for early detection and management of these issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will collect the first drop of blood by wiping it on the test strip." The first drop of blood should be wiped away with a clean cotton ball or gauze. This is because the first drop can contain interstitial fluid that may dilute the sample and lead to an inaccurate reading.
B. "I will stick the side of my finger with the lancet instead of the center." Sticking the side of the fingertip is less painful and allows for better blood flow compared to the center of the fingertip, which is often more sensitive.
C. “I will hold the lancet at a 45-degree angle when piercing my skin.” The lancet should typically be held at a 90-degree angle (straight) when piercing the skin, not at a 45-degree angle. A correct angle ensures proper blood flow and reduces discomfort.
D. “I will place my finger under cool water for a few seconds before the stick.” Using cool water before testing can cause the blood vessels to constrict. Warm water is recommended before testing, as it helps increase blood flow and makes it easier to obtain a sample.
Correct Answer is B
Explanation
A. This area is over the cheek and facial soft tissue. Cephalohematomas do not occur here, as they are confined to the skull bones under the periosteum.
B. This point is positioned over the parietal area of the skull, the typical site for cephalohematoma formation due to birth trauma. Cephalohematoma is a subperiosteal hemorrhage confined to the surface of the skull, most commonly over the parietal bone, and does not cross suture lines. Palpating this area helps determine whether the lesion has resolved or calcified.
C. This region is the lower abdominal or pelvic area, which is not relevant for assessing cranial birth trauma like cephalohematoma.
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