The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race?

Jaundice

Iron deficiency

Gastroesophageal reflux disease (GERD)

Lactose intolerance

Answer and Explanation

The Correct Answer is B

A. JaundicE. Jaundice is not specifically related to race and can occur in infants of any ethnicity. It is characterized by yellowing of the skin and eyes due to elevated bilirubin levels and can have various underlying causes.

B. Iron deficiency: Iron deficiency anemia is more prevalent in African-American infants compared to other racial groups. Therefore, African-American infants should be monitored for iron deficiency and receive appropriate iron supplementation as recommended by healthcare providers.

C. Gastroesophageal reflux disease (GERD): GERD is not specifically related to race and can occur in infants of any ethnicity. It is characterized by reflux of stomach contents into the esophagus and can cause symptoms such as spitting up, irritability, and feeding difficulties.

D. Lactose intolerancE. Lactose intolerance is not typically a concern in infants, as they are usually able to digest lactose-containing milk without difficulty. It is more commonly diagnosed later in childhood or adulthood.

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Correct Answer is A

Explanation

A. A premature newborn: Premature infants are at higher risk for iron deficiency anemia because they have lower iron stores at birth compared to full-term infants. Additionally, premature infants may not have had sufficient time in utero to accumulate adequate iron stores from maternal

transfusions.

B. A postterm newborn: Postterm infants, born after 42 weeks of gestation, are not typically at increased risk for iron deficiency anemia solely based on gestational age.

C. A newborn born to a diabetic mother: While infants born to diabetic mothers may have other health risks, they are not inherently at higher risk for iron deficiency anemia unless there are other complicating factors such as prematurity or inadequate iron intake.

D. A term newborn with jaundicE. Jaundice in a term newborn is typically caused by elevated

levels of bilirubin and is not directly associated with an increased risk of iron deficiency anemia.

A. Significant increase in brain size B. Ossification completed later in girls C. Decrease in heart rate D. Decrease in activity of sebaceous glands

Correct Answer is B

Explanation

A. Significant increase in brain sizE. While brain development continues during adolescence, the most significant increase in brain size occurs during early childhood rather than adolescence.

B. Ossification completed later in girls: Ossification, the process of bone formation, typically continues into late adolescence or early adulthood, and completion may occur later in girls compared to boys. This process contributes to changes in height and bone density during adolescence.

C. Decrease in heart ratE. During adolescence, there may be some changes in heart rate due to

the influence of hormones and physical growth, but a decrease in heart rate is not a consistent or universal characteristic of this developmental stage.

D. Decrease in activity of sebaceous glands: Adolescence is typically associated with an increase rather than a decrease in the activity of sebaceous glands, leading to increased oil production and the potential for acne development. Hormonal changes during puberty stimulate the sebaceous

glands, contributing to changes in skin texture and appearance.

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The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race?

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Naxlex Comprehensive Predictor Exams

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