Author Question: The nurse is observing a couple interacting with their 2-day-old child. Which of the mother's ... (Read 143 times)

TVarnum

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The nurse is observing a couple interacting with their 2-day-old child. Which of the mother's statements suggests a potentially abnormal finding in the newborn?
 
  1. She looks like she's a little bit cross-eyed.
  2. There is some white-colored drainage coming from her vagina.
  3. Her belly looks so round.
  4. She has some small white specks on the roof of her mouth.

Question 2

The nurse is preparing new parents to be discharged with their newborn. The mother asks the nurse why the baby's eyelids are so swollen. The best response by the nurse is:
 
  1. Swollen eyelids can happen because of the pressure associated with birth; the swelling should resolve in a few days.
  2. Newborn babies cry a lot and, as with adults, crying can cause our eyelids to be swollen.
  3. It's likely that your baby is developing an infection of the eyelids; I'll report this to the physician.
  4. Swollen eyelids are uncommon in newborns and may be an indication of a more serious disorder; if this does not resolve in one week, you need to visit your pediatrician.



bbburns21

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Answer to Question 1

Correct Answer: 3
Rationale 1: Transient strabismus (pseudostrabismus) or squinting caused by poor neuromuscular control of eye muscles that gradually regresses in 3 to 4 months may be seen in the newborn.
Rationale 2: A vaginal discharge composed of thick whitish mucus may be present during the first week of life.
Rationale 3: Abdominal distention is the first sign of many gastrointestinal abnormalities.
Rationale 4: On the hard palate and gum margins, Epstein's pearls, small glistening white specks (keratin-containing cysts) that feel hard to the touch, are often present. They usually disappear in a few weeks and are of no significance.

Answer to Question 2

Correct Answer: 1
Rationale 1: The eyelids are usually edematous during the first few days of life because of the pressure associated with birth.
Rationale 2: The eyelids are usually edematous during the first few days of life because of the pressure associated with birth.
Rationale 3: The eyelids are usually edematous during the first few days of life because of the pressure associated with birth.
Rationale 4: The eyelids are usually edematous during the first few days of life because of the pressure associated with birth.



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bbburns21

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