A nurse is referring a mother and her infant to specialized care for severe diseases or complications related to nutrition and feeding.
Which of the following conditions would warrant such a referral?
Phenylketonuria (PKU) in the infant.
Gestational diabetes mellitus (GDM) in the mother.
Cleft lip or palate in the infant.
Any of the above.
The Correct Answer is D
All of these conditions would warrant a referral to specialized care for severe diseases or complications related to nutrition and feeding.
Choice A is wrong because phenylketonuria (PKU) in the infant is a genetic disorder that causes an amino acid called phenylalanine to build up in the body. This can lead to intellectual disability, seizures, and other neurological problems if not treated with a special diet that limits phenylalanine.
Choice B is wrong because gestational diabetes mellitus (GDM) in the mother is a condition where the mother has high blood sugar levels during pregnancy. This can increase the risk of complications for both the mother and the baby, such as preeclampsia, macrosomia, birth injuries, and neonatal hypoglycemia.
Choice C is wrong because cleft lip or palate in the infant is a birth defect where the upper lip or roof of the mouth does not form properly. This can affect the infant’s ability to feed, speak, and breathe, and may require surgery and other interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Honey should be limited or avoided to prevent dental caries in infants.
Honey is a type of sugar that can feed the bacteria that cause cavities, especially if it is left on the teeth for a long time.Honey can also contain spores of a bacterium that can cause botulism, a serious illness, in infants.
Choice B is wrong because cheese is not a risk factor for dental caries in infants.Cheese can actually help prevent cavities by stimulating saliva production and neutralizing acids in the mouth.
Choice C is wrong because avocado is not a risk factor for dental caries in infants.Avocado is a healthy fat that does not contain sugars that can feed cavity-causing bacteria.
Choice D is wrong because green leafy vegetables are not a risk factor for dental caries in infants.Green leafy vegetables are rich in vitamins and minerals that can support oral health and general health.
Correct Answer is A
Explanation
Hemoglobin level of 11 g/dL.This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.
Hemoglobin is the oxygen-carrying protein in red blood cells.
Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.
Calcium is important for bone health and muscle function.
Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.
Bilirubin is a waste product from the breakdown of red blood cells.
High levels can cause jaundice, a yellowing of the skin and eyes.
Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.
Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.
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