The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?
Screening for abuse
Screening for congenital defects
Screening for infectious diseases
Screening for childhood illnesses
The Correct Answer is C
A. While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B. Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C. Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D. Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.
Correct Answer is D
Explanation
A. Asphyxia would typically manifest differently on a chest X-ray, possibly showing signs of lung collapse or consolidation.
B. Persistent pulmonary hypertension may present with other radiographic findings, such as enlargement of the heart or signs of pulmonary edema.
C. Transient tachypnea of the newborn might not produce a distinct ground glass pattern on chest X-ray.
D. Ground glass appearance on a chest X-ray is commonly associated with respiratory distress syndrome, a condition characterized by inadequate surfactant production in premature infants.
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