What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

Infrequent diaper changes

Impetigo (staph)

Candida albicans (yeast)

Urine and feces

Answer and Explanation

The Correct Answer is C

Choice A reason: Infrequent diaper changes can contribute to diaper rash, but the presence of satellite lesions suggests a yeast infection rather than a simple irritant rash.

Choice B reason: Impetigo, caused by staphylococcal or streptococcal bacteria, typically presents with honey-colored crusts and is not usually associated with satellite lesions.

Choice C reason: The description of bright red scaly plaques and satellite lesions is characteristic of a yeast infection, specifically caused by Candida albicans.

Choice D reason: While urine and feces can irritate the skin and cause diaper rash, the specific clinical findings mentioned point more towards a yeast infection.

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Correct Answer is C

Explanation

Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.

Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.

Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.

Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.

A. Place the infant flat and prone. B. Wrap the infant in a warm blanket and allow the father to hold the infant briefly. C. Cover the defect with warm, moist gauze and plastic. D. Encourage breastfeeding to promote maternal bonding.

Correct Answer is C

Explanation

Choice A reason: Placing the infant flat and prone is not the first priority in the care of an infant with gastroschisis.
Choice B reason: While providing warmth and promoting bonding are important, they are not the immediate priority upon admission for an infant with gastroschisis.
Choice C reason: This is the correct choice. The exposed abdominal organs in gastroschisis must be protected immediately to prevent heat and fluid loss and to reduce the risk of infection.
Choice D reason: Breastfeeding is important for bonding and nutrition but is not the first intervention for an infant with gastroschisis.

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What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

Correct Answer is C

Explanation

An infant has been admitted to the Neonatal Intensive Care Unit (NICU) with congenital gastroschisis. Which intervention should the nurse perform first upon admission to the unit?

Correct Answer is C

Explanation

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