The nurse is collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?
“Are you breastfeeding or bottle feeding your baby?”
“Did you have a vaginal delivery with this baby?”
“Has your child been treated for any type of infection recently?”
“Does everyone in your house wash their hands often?”
The Correct Answer is C
Choice A reason: Breastfeeding or bottle feeding does not directly relate to a white coating resembling milk curds, which suggests oral thrush. Recent infections or antibiotic use are more relevant to thrush’s etiology, making this less critical and incorrect for the most important question to ask the caregiver.
Choice B reason: Vaginal delivery may increase thrush risk from maternal candida, but it is less immediate than recent infections or antibiotics, which directly predispose to oral thrush. This question is less relevant, making it incorrect compared to assessing recent infection history for the coating’s cause.
Choice C reason: A white coating resembling milk curds suggests oral thrush, often linked to recent antibiotic use or infections disrupting oral flora. Asking about recent infections identifies potential causes, aligning with pediatric infectious disease protocols, making it the most important question for assessing the child’s condition.
Choice D reason: Handwashing is relevant for infection prevention but does not directly address the cause of a white coating like thrush. Recent infections or antibiotics are more pertinent to the etiology, making this less critical and incorrect for the primary question to investigate the oral finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Slightly crooked teeth may complicate oral hygiene but are not a primary cause of cavities, which depend more on brushing and diet. Malocclusions affect chewing efficiency, making this less accurate and incorrect compared to the functional impact of misaligned teeth noted during the assessment.
Choice B reason: Malocclusions do not directly cause infections or tooth loss unless severe and untreated. Slight cross-over primarily impacts chewing and jaw function, not infection risk, making this exaggerated and incorrect for the primary reason to seek orthodontic consultation for the teenager’s teeth.
Choice C reason: Social impacts like dating or hiring are speculative and not the primary clinical concern for slight malocclusions. Chewing and jaw efficiency are direct functional issues, making this psychosocial focus less relevant and incorrect for the orthodontic referral rationale in this clinical scenario.
Choice D reason: Slight malocclusions, like crossed front teeth, can impair chewing and jaw function, leading to inefficient mastication or strain. This functional concern justifies orthodontic evaluation, aligning with dental health principles, making it the correct reason to recommend seeing an orthodontist for the teenager.
Correct Answer is B
Explanation
Choice A reason: Frequent bladder urges relate to bladder size and neurological maturation, not kidney location. Children’s higher kidney position increases trauma risk, making this unrelated and incorrect for the anatomical difference in kidney placement between children and adults in the context of injury risk.
Choice B reason: Children’s kidneys are proportionally larger and higher (near T12-L3) with less protective fat, increasing trauma risk from blunt injury. This anatomical difference aligns with pediatric urology evidence, making it the correct fact related to kidney location in children compared to adults.
Choice C reason: Fluid retention is a physiological process, not directly tied to kidney location. Children’s higher kidney placement increases trauma susceptibility, making this irrelevant and incorrect for the anatomical comparison of kidney position between children and adults in terms of health risks.
Choice D reason: Adults may have less fat, but children’s kidneys are less protected due to higher positioning and thinner fat layers. Trauma risk is the primary concern, making this partially correct but incorrect compared to the direct consequence of kidney trauma in children due to location.
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