Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)?
a. Assess for family history of CH.
b. Assess mother for signs of hypothyroidism.
c. Be certain appropriate screening is done prenatally.
d. Be certain appropriate screening is done on newborn.
ANS: D
Early diagnosis and treatment are essential to prevent the complications of CH. Neonatal screening is mandatory in all 50 United States and territories and is usually obtained in the first 24 to 48 hours of birth. A number of different etiologies exist for CH; family history will identify a small percentage only. The screening can be done postnatally on blood obtained via heel stick.
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