The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race?

Jaundice

Iron deficiency

Gastroesophageal reflux disease (GERD)

Lactose intolerance

Answer and Explanation

The Correct Answer is B

A. JaundicE. Jaundice is not specifically related to race and can occur in infants of any ethnicity. It is characterized by yellowing of the skin and eyes due to elevated bilirubin levels and can have various underlying causes.

B. Iron deficiency: Iron deficiency anemia is more prevalent in African-American infants compared to other racial groups. Therefore, African-American infants should be monitored for iron deficiency and receive appropriate iron supplementation as recommended by healthcare providers.

C. Gastroesophageal reflux disease (GERD): GERD is not specifically related to race and can occur in infants of any ethnicity. It is characterized by reflux of stomach contents into the esophagus and can cause symptoms such as spitting up, irritability, and feeding difficulties.

D. Lactose intolerancE. Lactose intolerance is not typically a concern in infants, as they are usually able to digest lactose-containing milk without difficulty. It is more commonly diagnosed later in childhood or adulthood.

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Correct Answer is D

Explanation

A. At the beginning: It is not necessary to examine the tympanic membrane at the very beginning of the physical examination.

B. Before auscultating the chest and abdomen: While the tympanic membrane examination may precede auscultation of the chest and abdomen, it is not typically performed before all other components of the physical examination.

C. Before examining the head and neck: Examination of the tympanic membrane is usually part of the head and neck assessment, so it would not occur before examining these areas.

D. At the enD. Examination of the tympanic membrane is typically performed towards the end of the physical examination, after other components such as inspection, palpation, and auscultation have been completed. This sequence allows the nurse to maintain the flow of the examination and ensures a thorough assessment of all body systems.

A. Controls impulsive feelings B. Expresses need for privacy C. Builds a collection of cards D. Participates in imaginary play

Correct Answer is D

Explanation

A. Controls impulsive feelings: Preschoolers are still developing their ability to control impulses. While they may begin to understand the concept of rules and consequences, complete control over impulsive feelings is not typically expected at this stage.

B. Expresses need for privacy: Preschoolers may begin to show a growing awareness of privacy but may not consistently express this need or fully understand its implications. This is more commonly seen in older children and adolescents.

C. Builds a collection of cards: Building a collection of cards is not a typical developmental task for preschoolers. While they may engage in collecting objects, the items they collect are often related to their interests and may vary widely.

D. Participates in imaginary play: Imaginary play is a significant aspect of preschoolers' development. They often engage in make-believe scenarios, role-playing, and using objects symbolically to represent other objects. This type of play fosters creativity, social skills, and cognitive development in preschool-aged children.

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The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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