A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?
Soft non tender abdomen.
Normal appearing perineum.
Meconium leakage via the vagina or urethra.
Poor sucking reflex.
The Correct Answer is C
A. A soft, non-tender abdomen would be normal and not suggestive of any specific pathology.
B. A normal appearing perineum would not be expected with an anorectal malformation, which typically presents with a visible defect in the perineum.
C. Meconium leakage via the vagina or urethra is a possible sign of an anorectal malformation. This could occur if there is a fistula connecting the gastrointestinal tract to the urinary or genital tract.
D. Poor sucking reflex is not directly associated with anorectal malformations but may occur in certain other conditions, such as central nervous system issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Genetic testing may be recommended for family members, but it is not a necessity for all siblings unless they are showing symptoms.
B. Early intervention programs are crucial for children with Fragile X syndrome to address developmental delays, speech, and socialization skills.
C. While maintaining family support is important, children with Fragile X syndrome should have social opportunities with others outside the family to help with social development.
D. Children with Fragile X syndrome typically have normal life expectancy, although the condition can lead to intellectual disabilities and developmental delays.
Correct Answer is B
Explanation
A. Administering saline drops may be appropriate if there is a foreign body or irritation, but it is not the priority in a case of blurred vision.
B. The priority is to assess the child's visual acuity to determine the severity and possible cause of the blurred vision. This is essential to guide further diagnostic steps.
C. Cleansing the eyes may be helpful if there is visible debris or infection, but it is not the first priority in assessing blurred vision.
D. Obtaining a history is important but would follow after the visual acuity assessment, as it can help provide context for the symptoms.
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