The new mother of a 2-day-old neonate who weighed 8 pounds at ...

[MirandaLo]

The new mother of a 2-day-old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse's response is one of:
 
  a. Alarm as this is a drastic weight loss
  b. Concern as this may be an indicator of inadequate nutrition
  c. Reassurance as this is a normal weight loss
  d. Alertness as such weight loss is not expected

Question 2

The mother of a 4-year-old girl brings her daughter in to be evaluated for a fever of 101 degrees and a headache that has lasted for the past three days.
 
  The mother was concerned this morning when the child woke up and had reddened cheeks that looked like she had been slapped. The nurse suspects the child has: 1. Impetigo.
   2. Fifth's disease.
   3. German measles.
   4. Hand-Foot-Mouth Disease

[leahm14]

Answer to Question 1

C
Neonates generally lose 7 to 10 of their birth weight in the first 3 to 5 days. The weight loss is usually gained back in 10 days. The loss of one-half pound is within 10.

Answer to Question 2

2
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1. Crustations develop and serous drainage is present
2. The prodromal signs and symptoms of Fifth's disease include fever, aching, and a headache. The child will also have erythema of the cheeks, giving the appearance of slapped cheeks..
3. Swelling of the glands and a rash occur
4. The hands and feet become very red, and a fever is usually present.