The nurse is assessing a child previously diagnosed with fetal alcohol syndrome. Which of the following statements by the client's adoptive mother are consistent with the child's diagnosis? Standard Text: Select all that apply
1. "It seems as if one of his eyelids is droopy.".
2. "There's a firm little bump on his eyelid but he says it doesn't hurt.".
3. "His eyes almost look cloudy.".
4. "He has required glasses to see well since he was 2 years old.".
5. "His eyelids look they have turned under and he complains that his eyes hurt.".
1,3,4
Rationale 1: "It seems as if one of his eyelids is droopy.". A child with fetal alcohol syndrome may experience ptosis.
Rationale 2: "There's a firm little bump on his eyelid but he says it doesn't hurt.". Chalazions are firm, nontender nodules located on the eyelids that are associated with infection. They are not associated with fetal alcohol syndrome.
Rationale 3: "His eyes almost look cloudy.". Cataracts are associated with children who have been diagnosed with fetal alcohol syndrome.
Rationale 4: "He has required glasses to see well since he was 2 years old.". Structural abnormalities of the eye are associated with fetal alcohol syndrome. These abnormalities may result in reduced visual acuity.
Rationale 5: "His eyelids look like they have turned under and he complains that his eyes hurt.". Entropion is when the eyelids invert and the lashes can scratch the cornea. Entropion is not associated with fetal alcohol syndrome.
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