A mother brings her 4-month-old infant to the clinic with ...

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A mother brings her 4-month-old infant to the clinic with concerns regarding a small pad in the middle of the upper lip that has been there since 1 month of age. The infant has no health problems.
 
  On physical examination, the nurse notices a 0.5-cm, fleshy, elevated area in the middle of the upper lip. No evidence of inflammation or drainage is observed. What would the nurse tell this mother?
  a.
  This area of irritation is caused from teething and is nothing to worry about.
  b.
  This finding is abnormal and should be evaluated by another health care provider.
  c.
  This area of irritation is the result of chronic drooling and should resolve within the next month or two.
  d.
  This elevated area is a sucking tubercle caused from the friction of breastfeeding or bottle-feeding and is normal.

Question 2

The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth, the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of:
 
  a. Acquired immunodeficiency syndrome (AIDS).
  b. Measles.
  c. Leukemia. d.
  Carcinoma.

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Answer to Question 1

ANS: D
A normal finding in infants is the sucking tubercle, a small pad in the middle of the upper lip from the friction of breastfeeding or bottle-feeding. This condition is not caused by irritation, teething, or excessive drooling, and evaluation by another health care provider is not warranted.

Answer to Question 2

ANS: A
Oral Kaposi's sarcoma is a bruiselike, dark red or violet, confluent macule that usually occurs on the hard palate. It may appear on the soft palate or gingival margin. Oral lesions may be among the earliest lesions to develop with AIDS.

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