A nurse is collecting data from a newborn who has an infection of Candida albicans.
Which of the following findings should the nurse expect?
Vesicles on the skin, lips, and around the eyes.
White patches on the tongue that cannot be removed.
Edematous red conjunctivae.
Temperature 37.5° C (99.5° F).
The Correct Answer is B
Choice A rationale
Vesicles on the skin, lips, and around the eyes are characteristic findings associated with herpes simplex virus infections, not Candida albicans. Herpes simplex presents with fluid-filled lesions and can be transmitted vertically during birth, manifesting in localized or disseminated forms in the neonate.
Choice B rationale
White patches on the tongue that cannot be removed are a classic sign of oral candidiasis, commonly known as thrush. This fungal infection, caused by *Candida albicans*, involves adhesion and proliferation of yeast on the mucous membranes, forming adherent pseudomembranous plaques.
Choice C rationale
Edematous red conjunctivae are typical manifestations of conjunctivitis, which can be caused by bacterial or viral infections, such as *Chlamydia trachomatis* or *Neisseria gonorrhoeae*, acquired during passage through the birth canal. This finding is not indicative of *Candida albicans* infection.
Choice D rationale
A temperature of 37.5° C (99.5° F) is within the normal range for a newborn, which typically falls between 36.5° C and 37.5° C (97.7° F and 99.5° F). While infections can cause fever, this specific temperature alone does not definitively indicate an infection with *Candida albicans* or any other pathogen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Long-grain rice is primarily a source of carbohydrates, providing energy, but contains negligible amounts of calcium. While it is a healthy staple, it does not contribute significantly to meeting the increased calcium requirements during pregnancy, which are essential for fetal bone development and maintaining maternal bone density.
Choice B rationale
Peanut butter is a good source of protein, healthy fats, and some vitamins and minerals like magnesium and potassium. However, its calcium content is relatively low compared to dairy products or fortified foods. Relying on peanut butter alone would not be an efficient way to address a low calcium level during pregnancy.
Choice C rationale
Avocados are rich in healthy monounsaturated fats, fiber, and various vitamins such as K, C, E, and B-6, as well as folate. While highly nutritious, avocados contain only a modest amount of calcium and are not considered a primary source for addressing calcium deficiency in pregnancy.
Choice D rationale
Yogurt is an excellent source of calcium, providing a bioavailable form of this essential mineral, crucial for bone health and numerous physiological processes. A single serving of plain yogurt can provide approximately 300-450 mg of calcium, making it a highly recommended food to increase dietary calcium intake during pregnancy.
Correct Answer is A
Explanation
Choice A rationale
Iron is essential for the production of hemoglobin, which is the oxygen-carrying protein in red blood cells. During pregnancy, maternal blood volume increases significantly, requiring a greater production of red blood cells to meet the increased oxygen demands of both the mother and the developing fetus. The recommended daily intake for pregnant women is 27 mg.
Choice B rationale
Calcium is crucial for fetal bone and tooth development, as well as for maintaining maternal bone health. While important, it does not directly contribute to the increase in maternal blood volume. The recommended daily intake is 1000 mg for pregnant women.
Choice C rationale
Vitamin E is an antioxidant that plays a role in protecting cells from damage. While it has various physiological functions, it is not directly involved in the process of increasing maternal blood volume.
Choice D rationale
Vitamin D is important for calcium absorption and bone health in both the mother and the fetus. It also plays a role in immune function. However, it does not directly contribute to the increase in maternal blood volume. The recommended daily intake is 600 IU for pregnant women.
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