A woman gives birth to a small infant with a malformed skull. The ...

[ericka1]

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits.
 
  The child also has facial abnormalities that become more striking as it develops. What might you expect to find in the mother's pregnancy history?
  A)
  Folic acid deficiency
  B)
  Chronic alcohol use
  C)
  Chronic cocaine use
  D)
  Active herpes simplex infection

Question 2

When educating the parents of an infant diagnosed with hemochromatosis, the nurse should consider which of the following topics a priority for the parents to know?
 
  A)
  Provide a restricted iron diet to prevent organ damage
  B)
  How to check their infants' stools for blood
  C)
  Where to look for lesion development on the skin
  D)
  How to assess an infant for blood loss and anemia

[johnharpe]

Answer to Question 1

Ans:
B

Feedback:

The infant's signs and symptoms are characteristic of fetal alcohol syndrome. Folic acid deficiency is associated with neural tube defects, such as anencephaly and spina bifida. Cocaine use is associated with some of the same signs and symptoms as alcohol use but does not produce the characteristic facial abnormalities of fetal alcohol syndrome. Herpes simplex infection, although it is associated with microcephaly, hydrocephalus, defects of the eye, and hearing problems, also does not produce characteristic facial abnormalities.

Answer to Question 2

Ans:
A

Feedback:

Postnatal linkage studies have been used in the diagnosis of hemochromatosis, which is closely linked to another HLA type. People with this disorder are unable to metabolize iron, and it accumulates in the liver and other organs. It cannot be diagnosed by conventional means until irreversible damage has been done. Dietary restriction of iron intake may be used to prevent organ damage.

[ericka1]

Gracias!

[nathang24]

Excellent