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

In infants with asymmetric intrauterine growth restriction (IUGR), not all body parts appear proportionate. Typically, the head is disproportionately larger compared to the rest of the body.
Choice B rationale
While the extremities can be smaller in infants with IUGR, this is not specific to asymmetric IUGR910.
Choice C rationale
In asymmetric IUGR, the head seems large compared with the rest of the body. This is because the body slows its growth to allow the brain to continue growing.
Choice D rationale
One side of the body appearing slightly smaller than the other is not a typical characteristic of asymmetric IUGR910.

A. Prepare for a vaginal delivery:. B. Administer antiviral medication. C. Prepare for a cesarean delivery. D. Discharge the patient:

Correct Answer is C

Explanation

Choice A (Prepare for a vaginal delivery) is incorrect. Vaginal delivery is generally not recommended for women with active genital herpes lesions present during labor due to the high risk of transmitting the virus to the newborn. This risk is especially high when the mother experiences a primary infection (first outbreak) during the third trimester or has visible lesions at the time of delivery.
Choice B (Administer antiviral medication) is partially correct. While antiviral medications can be helpful in managing and potentially shortening outbreaks, they alone are not enough to prevent transmission during delivery. Antiviral medication can be used in combination with cesarean delivery to further reduce the risk of transmission.
Choice C (Prepare for a cesarean delivery) is correct. A cesarean delivery is the preferred method of delivery for women with active genital herpes lesions present during labor because it significantly reduces the risk of the virus being transmitted to the newborn. This risk can be as high as 50% during vaginal delivery with active lesions, while the risk with cesarean delivery is significantly lower, typically around 1% or less.
Choice D (Discharge the patient) is incorrect. Discharging a patient in active labor with active genital herpes lesions is not a safe or appropriate course of action. The patient needs to be carefully monitored and managed in a healthcare setting to minimize the risk of transmission to the newborn and ensure the safety of both mother and 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

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

Correct Answer is C

Explanation

The labor nurse is admitting a patient in active labor who has a history of genital herpes. 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 C

Explanation

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