Author Question: A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what ... (Read 32 times)

audie · **on:** Jun 27, 2018

A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what should the nurse focus when assessing this patient?

A) Dehydration
B) Hypoglycemia
C) Bleeding tendency
D) Excessive cortisone secretion

Question 2

The nurse is conducting a routine health assessment of a 3-month-old boy and notices a flat occiput. The nurse provides teaching and emphasizes the importance of tummy time.

Which of the following responses by the mother indicates a need for further teaching? A) He must be positioned on his tummy as much as possible..
B) I need to watch him during his tummy time..
C) I need to change his head position while he is in an upright chair..
D) His head has flattened due to the pressure of his head position..

rleezy04 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
If there is a complete blockage of cortisol formation, aldosterone production will also be deficient. Without adequate aldosterone, salt is not retained by the body, so fluid is not retained. Almost immediately after birth, affected infants begin to have vomiting, diarrhea, anorexia, loss of weight, and extreme dehydration. If these symptoms remain untreated, the extreme loss of salt and fluid can lead to collapse and death as early as 48 to 72 hours after birth. The salt-losing form must be detected before an infant reaches an irreversible point of salt depletion. This disorder does not cause hypoglycemia, excessive bleeding, or excessive cortisone secretion.

Answer to Question 2

A
Feedback:
The nurse needs to emphasize that the boy must have tummy time while he is observed and awake, and to remind the mother that the baby should still sleep on his back. The other statements are correct.