A new mother is receiving information about the newborn hearing ...

[wrbasek0]

A new mother is receiving information about the newborn hearing screens for her baby girl. The nurse knows that the mother understands the reason for the screening when she states:
 
  1. My daughter will need this screen, and then a follow-up in three months..
   2. My daughter will need the screen done now. It should be repeated if we note she is not meeting developmental milestones..
   3. It is my decision to participate in this hearing screen, so I am going to decline the screening because I do not know if my insurance will cover it..
   4. I should have a hearing screen done again when she enters school..

Question 2

The nurse is assessing a child with a history of Hirschsprung's Disease. The nurse should expect to have assessment findings of:
 
  1. Frequent bloody stools.
   2. Abdominal cramping and fecal soiling in the child's underwear.
   3. A low hematocrit.
   4. Thin, ribbon-like, foul smelling stool and a distended abdomen

[vickybb89]

Answer to Question 1

2
Feedback
1. Follow-up screens are done only if an abnormality is noted.
2. It is important to assess all the ways the communication and comprehension of a child are not meeting developmental milestones.
3. Hearing screens are done on all newborn infants.
4. A hearing screen may be done when entering school, but that does not address this question.

Answer to Question 2

4
Feedback
1. Few stools occur with a child with this disease.
2. Abdominal cramping may occur, but the child is able to use the toilet.
3. There is no bleeding involved in the disease process, so a low hematocrit is rare.
4. The thin, ribbon-like stools occur because of the small passageway for stool to move through the affected area. The abdomen is distended because of the gas and fecal buildup in the affected area.

[wrbasek0]

Excellent

[Kedrick2014]

TYSM