A nurse is caring for a client who is at 20 weeks of gestation and asks what could cause the infant to have a cleft lip. Which of the following responses should the nurse give?
A cleft lip is caused by the Epstein-Barr virus (EBV)."
"A cleft lip is due to an abnormal autoimmune response."
"A cleft lip is due to advanced maternal age.”
"A cleft lip has a genetic component."
The Correct Answer is D
A. Epstein-Barr virus (EBV) is not associated with cleft lip formation.
B. Cleft lip is not caused by an autoimmune response.
C. Advanced maternal age is associated with other congenital anomalies but not specifically with cleft lip.
D. Cleft lip and palate often have a genetic component and can be influenced by environmental factors during early pregnancy.
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Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.
B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.
C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.
D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.
E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.
F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.
Correct Answer is C
Explanation
A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.
B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.
C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.
D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.
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