A nurse notes a blue sclera during a newborn assessment. The ...

[formula1]

A nurse notes a blue sclera during a newborn assessment. The infant should be checked for:
 
  1. Marfan syndrome.
  2. Achondroplasia.
  3. Osteogenesis imperfecta.
  4. Muscular dystrophy.

Question 2

The nurse is working with a family of a child during the diagnostic phase for cognitive alteration. The nurse develops which of the following expected outcomes?
 
  1. The family will state understanding of the child's special needs.
  2. The family will assist the child to perform adaptive skills.
  3. The family will demonstrate effective communication with the child.
  4. The family will coordinate the child's care.

[GCabra]

Answer to Question 1

3
Rationale:
1. Blue sclera is not present in Marfan syndrome.
2. Blue sclera is not present in achondroplasia.
3. Clinical manifestations of osteogenesis imperfecta include a blue sclera.
4. Blue sclera is not present in muscular dystrophy.

Answer to Question 2

1
Rationale:
1. The expected outcome of nursing care in the early diagnostic phase involves the family's un-derstanding of the diagnosis and the child's special needs.
2. This outcome will be appropriate for later on, but not in this early diagnostic phase.
3. This outcome will be appropriate for later on, but not in this early diagnostic phase.
4. This outcome will be appropriate for later on, but not in this early diagnostic phase.