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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Hypothermia, decreased muscle tone, and a weak sucking reflex are not typically exhibited by newborns whose mothers are substance abusers. These symptoms could be indicative of other medical conditions.
Choice B rationale
Excessive sleep, a weak cry, and a diminished grasp reflex are not the most common behaviors exhibited by newborns of substance-abusing mothers.
Choice C rationale
Circumoral cyanosis, a hyperactive Babinski reflex, and constipation are not typically seen in newborns of substance-abusing mothers. These symptoms could be indicative of other medical conditions.
Choice D rationale
Newborns of substance-abusing mothers often exhibit decreased amounts of sleep, a hyperactive Moro reflex, and difficulty feeding. These symptoms are related to withdrawal from the substances the mother was using during pregnancy.
Correct Answer is B
Explanation
Choice A rationale
CA-125 testing is a blood test used to monitor certain types of cancer, including ovarian cancer. However, it is not the primary diagnostic test for endometrial cancer.
Choice B rationale
Transvaginal ultrasound is often one of the first tests used to look at the uterus in women with possible gynecologic problems. It provides images of the uterus and can help doctors look for signs of endometrial cancer.
Choice C rationale
A Papanicolaou test, also known as a Pap smear, is used to detect cervical cancer. While it’s an important part of women’s health screening, it’s not the primary test used to diagnose endometrial cancer.
Choice D rationale
Mammography is a specific type of imaging that uses a low-dose x-ray system to see inside the breasts. It is used to aid in the early detection and diagnosis of breast diseases in women. It is not used for diagnosing endometrial cancer.
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