A 6-month-old male infant was diagnosed with a hydrocele. The nurse practitioner should:
refer the infant to a pediatric urologist as soon as possible.
consider this a normal finding because it is usually self-resolving.
consider this finding unusual and re-evaluate in 3 months; refer if it has not resolved.
consider this finding unusual and re-evaluate in 6 months; refer if it has not resolved.
The Correct Answer is B
Rationale:
A. Immediate referral to a pediatric urologist is not necessary for most infant hydroceles.
B. Hydrocele in infants is typically a normal finding due to fluid accumulation in the scrotum, often related to a patent processus vaginalis. Most hydroceles resolve spontaneously within the first year of life, especially by 12 months.
C. Waiting 3 months may be too short for natural resolution; most guidelines suggest observation until at least 12 months.
D. Waiting 6 months is reasonable, but the standard approach considers hydrocele normal and self-resolving, making routine referral unnecessary unless it persists beyond 12–18 months or becomes symptomatic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. While café-au-lait spots can appear as benign birthmarks, the presence of six or more spots greater than 0.5 cm in prepubertal children is a diagnostic criterion for neurofibromatosis type 1 (NF1). Reassurance alone is inappropriate in this scenario.
B. Topical hydrocortisone is not indicated, as café-au-lait spots are pigmented lesions, not inflammatory or eczematous conditions.
C. Antifungal cream is irrelevant, as café-au-lait spots are not caused by fungal infections.
D. Referral to a neurologist or pediatric geneticist is warranted for further evaluation, as NF1 can be associated with neurologic, skeletal, and ophthalmologic complications. Early identification allows for monitoring and management of potential systemic involvement.
Correct Answer is D
Explanation
Rationale:
A. Cetirizine (Zyrtec) is a second-generation antihistamine considered safe for use in pregnancy, particularly after the first trimester.
B. Diphenhydramine (Benadryl) is a first-generation antihistamine generally regarded as safe in pregnancy.
C. Loratadine (Claritin) is also considered safe during pregnancy and commonly used for allergic rhinitis.
D. Pseudoephedrine (Sudafed) is a decongestant that should be avoided, especially in the first trimester, because it can reduce uteroplacental blood flow and has been associated with a small risk of congenital malformations.
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