A newborn is suspected of having fetal alcohol syndrome.
Which finding would the nurse expect to assess?

Bradypnea

Hydrocephaly

Nystagmus and hypoactivity

Small palpebral fissures, missing vertical groove in the median portion of upper lip, thin upper lip

Answer and Explanation

The Correct Answer is D

Choice A rationale
Bradypnea, or abnormally slow breathing, is not a typical symptom of fetal alcohol syndrome. It is more commonly associated with conditions such as sleep apnea, drug overdose, or certain neurological conditions.
Choice B rationale
Hydrocephaly, a condition where there is an accumulation of cerebrospinal fluid within the brain, is not a common symptom of fetal alcohol syndrome. It is typically caused by other conditions such as birth defects, infections, or brain injuries.
Choice C rationale
Nystagmus (involuntary eye movement) and hypoactivity (reduced activity level) are not typical symptoms of fetal alcohol syndrome. These symptoms can be associated with a variety of neurological or eye disorders.
Choice D rationale
Small palpebral fissures (small eye openings), missing vertical groove in the median portion of the upper lip, and a thin upper lip are all characteristic facial features of fetal alcohol syndrome. These features result from prenatal alcohol exposure, which can interfere with normal development.

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Correct Answer is C

Explanation

Choice A rationale
Hypothermia is not a typical response to phototherapy in an isolette. The heat from the phototherapy lights would typically prevent hypothermia.
Choice B rationale
Bradycardia, or a slow heart rate, is not a typical response to phototherapy in an isolette. If bradycardia occurs, it could be a sign of a serious condition that needs immediate medical attention.
Choice C rationale
Dehydration is a possible response to phototherapy in an isolette. The lights used in phototherapy can cause an infant to lose more water through their skin, leading to dehydration.
Choice D rationale
Decreased muscle tone is not a typical response to phototherapy in an isolette. If decreased muscle tone is observed, it could be a sign of a serious condition that needs immediate medical attention.

A. Prepare the patient for a cesarean delivery B. Take a culture of the lesions to verify the involved organism C. Ask the patient if she has had unprotected sex since her outbreak D. Use internal electronic fetal surveillance to determine a baseline fetal heart rate

Correct Answer is A

Explanation

Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.

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A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which newborn response could be related to a newborn infant receiving phototherapy in an isolette?

Correct Answer is C

Explanation

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Correct Answer is A

Explanation

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A newborn is suspected of having fetal alcohol syndrome.
Which finding would the nurse expect to assess?