A nurse is caring for a full-term newborn diagnosed with persistent/patent ductus arteriosus (PDA). The newborn's caregiver asks the nurse, "What causes a PDA?" How will the nurse answer this question?
This cardiac defect is due to a folic acid deficiency in your diet when you were pregnant.
PDAs are more commonly seen in male newborns.
There is a 25% chance your next baby will also have a PDA.
A risk factor for having a newborn who has a PDA is a family history of heart defects.
The Correct Answer is D
Choice A reason: A folic acid deficiency in the mother's diet during pregnancy is typically associated with neural tube defects, such as spina bifida, rather than causing patent ductus arteriosus (PDA).
Choice B reason: PDAs are not specifically more common in male newborns. This statement does not accurately reflect the risk factors associated with PDA.
Choice C reason: The statement about a 25% chance of having another baby with PDA is not accurate. While having one child with a heart defect may slightly increase the risk for subsequent children, the exact risk percentage varies and is not typically as high as 25%.
Choice D reason: A family history of heart defects is a known risk factor for PDA. Genetic predisposition can play a role in the occurrence of congenital heart defects, making this the correct answer.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While some parents may choose to home school their child, this is a personal decision and not a standard recommendation for all children with Trisomy 21. Educational needs should be tailored to the individual child's abilities and preferences, and many children with Trisomy 21 attend public or private schools with appropriate support.
Choice B reason: Teaching the parents about the need for a high-fibre diet is important for overall health but is not specific to Trisomy 21. While children with Trisomy 21 may benefit from a balanced diet, the need for monthly thyroid testing is more directly related to managing their condition.
Choice C reason: Instructing the parents on the need for yearly dental visits is essential for maintaining oral health, but it is not the most critical aspect specific to Trisomy 21. Regular dental check-ups are recommended for all children, regardless of whether they have Trisomy 21.
Choice D reason: Advising the parents that the child will need monthly thyroid testing is crucial because children with Trisomy 21 are at an increased risk for thyroid disorders. Regular monitoring of thyroid function is essential for early detection and management of hypothyroidism or hyperthyroidism, which can significantly impact growth and development.
Correct Answer is B
Explanation
Choice A reason: A colouring book may not be the best choice for a 12-month-old as it requires fine motor skills that are still developing at this age. Additionally, crayons can pose a choking hazard.
Choice B reason: Large building blocks are appropriate for a 12-month-old toddler. They promote gross motor skills, hand-eye coordination, and cognitive development. These blocks are easy to grasp and safe for young children.
Choice C reason: Hanging crib toys are more suitable for younger infants who are not yet mobile. A 12-month-old is likely more interested in interactive and manipulative toys that they can hold and manipulate.
Choice D reason: Modelling clay is not recommended for a 12-month-old due to the potential choking hazard and the fact that the child may try to put it in their mouth.
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