Author Question: A mother brings into the emergency department a frail-looking infant with blue sclera and arm and ... (Read 54 times)

asmith134 · **on:** Jun 27, 2018

A mother brings into the emergency department a frail-looking infant with blue sclera and arm and leg deformities. The mom said she was changing her diaper and heard a snap.. She put her shirt on and she heard another snap..

She says that the baby has been crying, but eating a little. Mom reports a clavicle fracture in the delivery room, but the doctors told her it was nothing and would heal fine. The nurse notes a small lump on her right clavicle. It is not painful to the touch. The infants' left forearm and right femur appear swollen and deformed. Based on your clinical knowledge of birth defects, your best answer to the mother would be: 1. We will call the doctor to do a skeletal survey..
2. We will call the Child Protective Services team to rule out abuse..
3. We will call Genetics to see if any genetic birth defects run in your family..
4. All of the above.

Question 2

The nurse knows that Kawasaki disease is:

1. Contagious, especially among children in close settings, such as day-care institutions.
2. Mainly due to a cascading process.
3. Diagnosed as an exclusion process.
4. Most prevalent when the signs and symptoms have been present for less than three days.

ecabral0 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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1. Often, children with osteogenesis imperfect (OI) are misdiagnosed; therefore, all children should undergo steps to rule out abuse, then proceed with genetic counseling, testing to verify a genetic disorder. The blue sclera and fractures without severe trauma are signs of OI.
2. Often, children with osteogenesis imperfect (OI) are misdiagnosed; therefore, all children should undergo steps to rule out abuse.
3. Often, children with osteogenesis imperfect (OI) are misdiagnosed; therefore, all children should undergo steps to rule out abuse, then proceed with genetic counseling, testing to verify a genetic disorder.
4. All of the responses are correct. Often, children with osteogenesis imperfect (OI) are misdiagnosed; therefore, all children should undergo steps to rule out abuse, then proceed with genetic counseling, testing to verify a genetic disorder. The blue sclera and fractures without severe trauma are signs of OI.

Answer to Question 2

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1. The disease is not contagious among children, but is seen in certain geographic areas during certain times of the year.
2. This disease is thought to be caused by an infectious organism.
3. Kawasaki disease is diagnosed as a process of exclusion.
4. Symptoms of red lips and a strawberry tongue usually occur following a fever after 5 days.