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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.
Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.
B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.
C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.
D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.
Correct Answer is D
Explanation
A. Uses thumb and index fingers in a pincer grasp: The pincer grasp typically develops around 9 to 12 months of age, not at 6 months.
B. Sitting steadily without support: Most infants begin to sit steadily without support between 6 and 8 months of age, so this would be considered a developmental milestone for a 6-month-old.
C. Closed posterior fontanel: The posterior fontanel typically closes by 2 months of age. By 6 months, the posterior fontanel should be closed, so this finding would not be expected.
D. Lateral incisors: By 6 months of age, most infants will have erupted their lower central
incisors. The eruption of the lateral incisors typically occurs around 9 to 13 months of age, so this would be a normal finding for a 6-month-old infant.
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