A newborn is suspected of having fetal alcohol syndrome. Which of ...

[abern]

A newborn is suspected of having fetal alcohol syndrome. Which of the following would the nurse expect to find?
 
  A) Bradypnea
  B) Hydrocephaly
  C) Flattened maxilla
  D) Hypoactivity

Question 2

The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breast-feeding the baby after surgery and wonders if it will be possible.
 
  Which response by the nurse would be most appropriate? A) There is a good chance that you will be able to breast-feed almost immediately.
  B) Breast-feeding is likely to be possible, but check with your surgeon.
  C) After the suture line heals, breast-feeding can resume.
  D) We will have to wait and see what happens after the surgery.

[Ksh22]

Answer to Question 1

C
Response:
A newborn with fetal alcohol syndrome exhibits characteristic facial features such as microcephaly (not hydrocephaly), small palpebral fissures, and abnormally small eyes, a flattened or absent maxilla, epicanthal folds, a thin upper lip, and missing vertical groove in the median portion of the upper lip. Bradypnea is not typically associated with fetal alcohol syndrome. Fine and gross motor development is delayed and the newborn shows poor handeye coordination but not hypoactivity.

Answer to Question 2

B
Response:
Postoperatively, some surgeons allow breast-feeding to be resumed almost immediately. The nurse should advise the woman to check with the surgeon. Telling the mother that she has to wait until the suture line heals may be inaccurate. Telling her to wait and see does not answer her question.