Author Question: Which of the following newborn infants demonstrates the highest risk of presenting with ... (Read 109 times)

TVarnum · **on:** Jun 25, 2018

Which of the following newborn infants demonstrates the highest risk of presenting with developmental dysplasia of the hip (DDH)?

A)
A girl who was born with toeing-in and who was in a breech presentation
B)
A twin girl who required resuscitation after delivery
C)
A boy who was born by caesarian section to a 44-year-old first-time mother
D)
A boy with Down syndrome who was exposed to cocaine in utero

Question 2

A new patient arrives at the clinic. The physician is suspecting that the patient may have systemic lupus erythematosus (SLE) given the clinical manifestations related to joint pain, skin changes, and a history of pleural effusions.

The nurse should anticipate which of the following diagnostic test will be a priority to facilitate with the diagnosis?
A)
Anti-DNA antibody test
B)
Routine hemoglobin
C)
C-reactive protein
D)
B-cell lymphocytes

briezy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A

Feedback:

Female sex, a history of breech presentation, and congenital skeletal abnormalities are all correlated with DDH. Respiratory emergencies, delivery by caesarian section, advanced age of the mother, Down syndrome, and drug exposure are not noted risk factors for DDH.

Answer to Question 2

Ans:
A

Feedback:

Ninety-five percent of people with untreated SLE have high ANA levels. However, ANA is not specific for SLE. The anti-DNA antibody test is more specific for the diagnosis of SLE. Hemoglobin may be low if the patient has severe anemia, but it is not specific for SLE. C-reactive protein will show an inflammatory response but again not specific for SLE.