A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?
Clubbed fingers
Meconium ileus
Barrel chest
Steatorrheic stools
The Correct Answer is B
Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Feeding the toddler is a basic need and should be ensured, but it does not specifically address developmental appropriateness or encourage independence.
Choice B reason: Dressing the toddler is also a basic need, but it does not actively involve the toddler in the process, which is important for development.
Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of autonomy and contributing to developmental milestones.
Choice D reason: Asking the toddler if he would like to take his medicine is important for involving the child in their care; however, it does not offer the same level of developmental engagement as making choices about personal preferences like clothing.
Correct Answer is D
Explanation
Choice A reason: Pulselessness is not a sign of normal AV fistula function; a palpable pulse should be present.
Choice B reason: An ecchymotic area suggests bruising and is not indicative of normal function.
Choice C reason: Redness may indicate inflammation or infection, not normal function.
Choice D reason: This is the correct choice. An enlarged vein is typical for an AV fistula and indicates good blood flow through the fistula.
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