Author Question: A postpartum patient is upset that the baby was born with a congenital port-wine birthmark on the ... (Read 27 times)

jace · **on:** Jun 27, 2018

A postpartum patient is upset that the baby was born with a congenital port-wine birthmark on the skin of the upper part of the right side of the face. What should the nurse explain to the mother about this birthmark?

A) The birthmark is a part of a syndrome that can be cured with medication..
B) The birthmark can be removed surgically so the child will develop normally..
C) The birthmark is a concentration of melanin in the skin and causes cosmetic problems..
D) The baby may have some numbness on the left side of the body because of the birthmark..

Question 2

The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler. What condition is the girl manifesting?

A) Regression
B) Suppression
C) Repression
D) Denial

briezy · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
Sturge-Weber syndrome is characterized by a congenital port-wine birthmark on the skin of the upper part of the face that follows the distribution of the first division of the fifth cranial nerve. Because of involvement of the meningeal blood vessels, blood flow can be sluggish, and anoxia may develop in some portions of the cerebral cortex. The child will develop symptoms of numbness on the side opposite the lesion from destruction of motor neurons. This syndrome cannot be cured with medication. Removing the birthmark with surgery will not correct the long-term effects of the problem. The birthmark is not caused by a concentration of melanin in the skin. This problem has the potential to cause more than cosmetic health problems.

Answer to Question 2

A
Feedback:
Sucking the thumb and changing the speech pattern (such as to baby talk) are signs of regression, a defense mechanism used by children to deal with unpleasant experiences by returning to a previous stage that may be more comfortable to the child. Suppression is a conscious inhibition of an idea or desire. Repression is an unconscious inhibition of an idea or desire. Denial would be exhibited by expressions of resignation instead of true contentment, not thumb sucking or baby talk.