A nurse is caring for a new mother who is concerned that her newborn has strabismus. Which of the following statements is a therapeutic response by the nurse?
"This is a concern, but strabismus is easily treated with patching."
"I will take your baby to the nursery for further examination."
"This occurs because newborns lack muscle control to regulate eye movement."
"I will call your primary care provider to report your concerns."
The Correct Answer is C
A. While strabismus may be treated with interventions such as patching, it is not always immediately concerning in newborns. The nurse should first provide accurate information about normal development.
B. Taking the baby to the nursery may not be necessary unless the child’s condition worsens or there is a
clear concern. A thorough assessment and explanation by the nurse are more appropriate.
C. Strabismus is common in newborns due to the immaturity of eye muscle control and usually resolves as the child develops. This is the most therapeutic response as it provides reassurance based on developmental norms.
D. Calling the primary care provider might be premature unless the nurse identifies a significant concern beyond normal development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Children with dysmorphic syndromes and congenital anomalies often have multiple medical needs that require frequent hospitalizations for treatment or monitoring.
B. Weight loss is not necessarily a primary concern unless there is a feeding issue or metabolic disorder.
C. Cognitive impairment may be a concern depending on the specific syndrome, but it is not as immediate a concern as potential frequent hospitalizations.
D. Dependence on caregivers is expected, but the primary concern is frequent medical interventions, not the dependency itself.
Correct Answer is B
Explanation
A. Sleeping through the night without waking up is normal for a 15-month-old and indicates a healthy sleep pattern.
B. Lack of eye contact or social interaction is a concern as it may indicate developmental delays or social- emotional issues. Toddlers typically engage in social behaviors like eye contact and playing with others.
C. Pointing to body parts when asked is a positive developmental milestone and indicates appropriate cognitive development for a 15-month-old.
D. Drinking from a sippy cup is a typical developmental skill for a 15-month-old, indicating progress in motor skills and self-feeding.
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