The nurse assessing the newborn will most often note which of the following signs in a child with congenital hypothyroidism?
a. recessed jaw, delayed eruption of teeth, and difficulty swallowing at times
b. low-set ears, wide-set eyes, a particularly wide face, and occasionally polydactylism
c. exophthalmia, rapid pulse, elevated blood pressure, diarrhea, jitteriness, and difficulty sleeping at night
d. facial puffiness, swollen eyelids, enlarged tongue, low anterior hairline, flattened nasal bridge, and dull expression
D
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A Incorrect. Clinical manifestations of congenital hypothyroidism do not include recessed jaw or delayed eruption of teeth, but may include feeding difficulties.
B Incorrect. Clinical manifestations of congenital hypothyroidism do not include low-set ears, wide-set eyes, a particularly wide face, and occasionally polydactylism.
C Incorrect. Clinical manifestations of congenital hypothyroidism do not include exophthalmia, rapid pulse, elevated blood pressure, diarrhea, jitteriness, and difficulty sleeping at night.
D Correct. Congenital hypothyroidism, a disorder present at birth, is a reduced rate of metabolism caused by a low concentration of circulating thyroid hormones. Clinical manifestations may include pallor, hypothermia, enlarged tongue, hypotonia, hypoactivity, feeding difficulties, delayed mental responsiveness or dull expression, cool, dry, scaly skin and swollen eyelids.
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