New parents ask the nurse, Why is it necessary for our baby to ...

[Marty]

New parents ask the nurse, Why is it necessary for our baby to have the newborn blood test? The nurse explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is
 
  a. Appropriate community referral for affected infants
  b. Parental education about raising a special needs child
  c. Early identification of serious genetically transmitted metabolic diseases
  d. Early identification of electrolyte imbalances

Question 2

A pregnant patient from a nondominant culture arrives 2 hours late for a scheduled sonogram. What does this patient's behavior indicate to the nurse?
 
  A) The patient is confused.
  B) The patient does not wear a wrist watch.
  C) Time orientation may be different for the patient's culture.
  D) The patient's culture may focus on the past and not the future.

[cpetit11]

Answer to Question 1

C
Feedback
A Community referral is appropriate after a diagnosis is made.
B With early identification and treatment, serious complications such as
intellectual impairment are prevented.
C Early identification of hypothyroidism is basic to the prevention of intellectual
impairment in the child.
D Although electrolyte imbalances could occur with some of the inborn errors of
metabolism, this is not the priority outcome, nor would the newborn screen
detect electrolyte imbalances.

Answer to Question 2

C
Feedback:
The patient who is from a culture that has a different time orientation than the dominant culture will have difficulty adhering to time expectations. The patient not arriving for the diagnostic test at the scheduled time does not mean that the patient is confused. It is inconsequential if the patient does or does not wear a wrist watch. There is no enough information to determine if the patient is from a culture that focuses on the past and not the future.

[Marty]

Thanks for the timely response, appreciate it

[ktidd]

Excellent