A nurse is providing teaching to the parent of an infant who has been diagnosed with osteogenesis imperfecta type 1. Which of the following statements made by the parent shows that the nurse's teaching has been effective?
"I will handle my baby gently and avoid pay activities that could cause fractures."
"It is likely with this type of the disorder that my child will not survive to adulthood."
"My child will be very small compared to their peers."
"My child's joints did not properly develop, which will cause problems with dislocated joints."
The Correct Answer is A
A. "I will handle my baby gently and avoid play activities that could cause fractures.": Osteogenesis imperfecta type 1 is the mildest form, characterized by fragile bones and an increased risk of fractures. Gentle handling and careful planning of activities are key preventive measures to protect the infant from injury, reflecting effective understanding of care.
B. "It is likely with this type of the disorder that my child will not survive to adulthood.": Type 1 is the mildest form, and affected individuals typically have a normal life expectancy. Believing survival is severely limited indicates a misunderstanding.
C. "My child will be very small compared to their peers.": While some mild stature reduction may occur, significant short stature is more characteristic of moderate to severe forms, not type 1.
D. "My child's joints did not properly develop, which will cause problems with dislocated joints.": Joint malformations and dislocations are not a hallmark of type 1 OI; bone fragility is the primary concern.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limiting social interactions to reduce overstimulation during early infancy: While minimizing overstimulation is sometimes necessary, limiting social interaction can hinder the development of trust and attachment, which are critical psychosocial milestones at 4 months.
B. Responding promptly and calmly when the infant cries to foster trust and security: At 4 months, infants are developing a sense of trust versus mistrust. Consistent, sensitive responses to the infant’s needs help establish secure attachment and a foundation for healthy psychosocial development.
C. Encouraging the infant to explore objects independently without interaction: Independent exploration is limited at this age, and social interaction is crucial for developing attachment and communication skills, so this does not support expected psychosocial milestones.
D. Allowing the infant to cry for extended periods to encourage self-soothing: Infants this young are not developmentally capable of self-soothing for long periods. Ignoring their cries can undermine trust and security, which are central at this stage.
Correct Answer is C
Explanation
A. The child has taken phenytoin medication for seizures: Phenytoin use is not associated with the development of arteriovenous malformations. Anticonvulsants do not increase AVM risk; they are prescribed to manage seizure activity, which may occur if an AVM is already present.
B. The child is a 6-year-old female: Age and sex alone are not considered risk factors for AVMs. While AVMs can present in childhood, there is no significant predilection based solely on being female or the child’s age.
C. The child has a genetic history of Hippel-Lindau disease: Genetic disorders such as Hippel-Lindau disease are associated with increased risk of vascular malformations, including AVMs. Recognizing a family or personal history of these conditions is essential in assessing risk.
D. The client smoked while they were pregnant with the child: Maternal smoking is linked to low birth weight and certain congenital defects, but it is not a known risk factor for the development of arteriovenous malformations.
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