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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.
B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.
C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.
D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.
Correct Answer is D
Explanation
A. Cough and respiratory symptoms are not primary features of Kawasaki disease.
B. Joint pain and swelling are more common in juvenile idiopathic arthritis, not Kawasaki disease.
C. Abdominal pain and diarrhea are not defining characteristics of Kawasaki disease.
D. Kawasaki disease is characterized by a persistent high fever lasting more than 5 days, along with symptoms such as conjunctivitis, rash, and swollen lymph nodes.
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