The nurse is assessing a child previously diagnosed with fetal ...

[Arii_bell]

The nurse is assessing a child previously diagnosed with fetal alcohol syndrome. When conducting a health history interview, which statements by the client's mother are consistent with the child's diagnosis?
 
  Select all that apply.
  1. It seems as if one of his eyelids is droopy.
  2. There's a firm little bump on his eyelid but he says it doesn't hurt.
  3. His eyes almost look cloudy.
  4. He has required glasses to see well since he was 2 years old.
  5. His eyelids look they have turned under and he complains that his eyes hurt.

Question 2

The nurse is assessing an African American adult client who is experiencing visual changes. Which question to the client is the priority?
 
  1. Have you or anyone in your family ever been diagnosed with diabetes?
  2. Do you wear sunglasses when you are outside?
  3. Did your mother have a vaginal infection at the time of your delivery?
  4. Do you see any halos around lights?

[yifu223]

Answer to Question 1

Correct Answer: 1, 3, 4
A child with fetal alcohol syndrome may experience ptosis. Cataracts are associated with children who have been diagnosed with fetal alcohol syndrome. Structural abnormalities of the eye are associated with fetal alcohol syndrome. These abnormalities may result in reduced visual acuity. Chalazions are firm, non-tender nodules located on the eyelids that are associated with infection. They are not associated with fetal alcohol syndrome. Entropion is when the eyelids invert and the lashes can scratch the cornea. Entropion is not associated with fetal alcohol syndrome.

Answer to Question 2

Correct Answer: 1
Diabetic retinopathy is the leading cause of blindness in the United States. It is important for the nurse to determine if the client has a personal or family history of diabetes. Type 2 diabetes occurs more frequently in African Americans, Asian Americans, Hispanic Americans, and Native Americans than in Caucasian clients. This will assist the nurse to determine if the client may be suffering visual changes as a result of diabetic retinopathy. The nurse can ask about the client's behaviors to determine his risk of developing problems associated with ultraviolet radiation. When the nurse is assessing an infant, the nurse should inquire about whether the mother of the infant had a vaginal infection at the time of delivery because this can result in eye infections in the newborn. Clients who see halos around lights may be suffering from glaucoma and increased intraocular pressure.

[Arii_bell]

Excellent

[LVPMS]

TYSM