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 B
Explanation
A. Family-centered care focuses on both the client and family, not just the caregiver.
B. Family-centered care enhances the quality of care, improves safety, and results in better outcomes by involving families in the decision-making process.
C. Family-centered care increases collaboration and communication, leading to more effective care.
D. Family-centered care can help reduce healthcare costs by improving outcomes and reducing hospital stays.
Correct Answer is B
Explanation
A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.
B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.
C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.
D. Keeping a log may be helpful, but it is not sufficient as a primary action.
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