Infants or children receiving antibiotics may develop oral candidiasis (thrush). Which finding suggests that an infant has thrush?
Diffuse buccal erythema without discharge
Oral pruritus
Mucopurulent sputum
Presence of a white membrane on tongue
The Correct Answer is D
A. Diffuse buccal erythema without discharge: Diffuse erythema in the mouth is a common symptom of irritation or inflammation but is not characteristic of oral candidiasis (thrush). Thrush typically presents with white, curd-like lesions rather than just erythema.
B. Oral pruritus: Oral itching or pruritus is not typically associated with oral candidiasis in infants. Thrush is usually more painful or uncomfortable for the infant rather than itchy, and the hallmark symptom is the presence of white patches.
C. Mucopurulent sputum: Mucopurulent sputum may suggest a respiratory infection or another illness but is not associated with oral candidiasis. Thrush primarily affects the mouth and does not cause mucous or purulent sputum.
D. Presence of a white membrane on tongue: The most characteristic sign of oral candidiasis (thrush) in infants is the presence of white, cottage cheese-like lesions or a white membrane on the tongue, gums, or inside of the cheeks. These lesions are caused by the overgrowth of the yeast Candida albicans.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Be able to turn over onto the back: At around 4 months of age, many infants develop the ability to roll over, typically from the front to the back. This is a key developmental milestone that occurs around this time.
B. Have many "blue" or moody periods: While infants can experience some moodiness especially during growth spurts or teething, this is not a key milestone at 4 months. "Blue" periods are more characteristic of later stages when infants develop more complex emotions.
C. Insist on things being done the infant's way: At 4 months, infants are still in the early stages of development and do not yet exhibit behaviors like insisting on things being done their way. Such behaviors typically develop much later, around the toddler years.
D. Develop a fear of strangers: Fear of strangers typically develops later, around 6 to 8 months of age, as part of the infant's attachment process. It is not generally expected at 4 months.
Correct Answer is D
Explanation
A. Abdominal discomfort: While burping can help relieve some discomfort after feeding, the primary concern following pyloric stenosis surgery is avoiding pressure on the incision line, rather than just abdominal discomfort.
B. Intestinal obstruction: Burping after feedings can help reduce the buildup of air in the stomach, but it is not directly aimed at preventing intestinal obstruction. Obstruction is more related to the surgical site and healing process, not the burping.
C. Contaminating flatulence: Flatulence is not a concern related to burping after pyloric stenosis surgery. Burping is done to release air swallowed during feeding, not to manage flatulence.
D. Pressure on the incision line: Burping helps to release any air swallowed during feeding, reducing abdominal distention and minimizing pressure on the surgical site. This is important to ensure proper healing and comfort after the procedure.
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