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Author Question: The nurse is completing the health histories for twin toddlers. Which statement should the nurse ... (Read 128 times)

ashley

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The nurse is completing the health histories for twin toddlers. Which statement should the nurse make to the mother that focuses on the 2020 National Health Goals?
 
  A) Discuss adequate dental care.
  B) Explain the need for the toddlers to have socialization with other children.
  C) Remind the mother that the toddlers need regularly scheduled vaccinations.
  D) Stress the importance of home safety and prevention of accidental poisoning.

Question 2

A neonate is displaying mottled skin, has a large fontanel and tongue, is lethargic, and is having difficulty feeding. The nurse recognizes that this is most suggestive of
 
  a. Hypocalcemia
  b. Hypothyroidism
  c. Hypoglycemia
  d. Phenylketonuria (PKU)



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macmac

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Answer to Question 1

C
Feedback:
The 2020 National Health Goal applicable to this situation is to reduce or eliminate vaccine-preventable diseases such as measles, pertussis, and varicella. Dental care, socialization, and home safety are not 2020 National Health Goals.

Answer to Question 2

B
Feedback
A When hypocalcemia is present, neonates may display twitching, tremors,
irritability, jitteriness, electrocardiographi c changes, and, rarely, seizures.
B An infant with hypothyroidism may exhibit skin mottling, a large fontanel, a
large tongue, hypotonia, slow reflexes, a distended abdomen, prolonged
jaundice, lethargy, constipation, feeding problems, and coldness to touch.
C Hypoglycemia causes the neonate to exhibit jitteriness, poor feeding, lethargy,
seizures, respiratory alterations including apnea, hypotonia, high-pitched cry,
bradycardia, cyanosis, and temperature instability.
D Infants with PKU may initially have digestive problems with vomiting, and they
may have a musty or mousy odor to the urine, infantile eczema, hypertonia, and
hyperactive behavior.




macmac

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