A baby demonstrates asymmetric pathological reflexes and microcephaly at a 9-month checkup. The baby appeared normal at birth. What action by the healthcare professional is best?

a. Determine the baby’s risk for developing an HIV infection since birth.
b. Assess the baby for other signs of child abuse or neglect.
c. Ask the mother if she uses drugs or alcohol in excess.
d. Perform spinal cord imaging and other diagnostic studies


Ans: a. Determine the baby’s risk for developing an HIV infection since birth.

Nursing

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The nurse is performing an assessment on a 13-year–old adolescent. Which of the following findings would be unexpected?

1. Apical heart rate of 110 beats per minute 2. Respiratory rate of 14 breaths per minute 3. Blood pressure of 98/58 4. Temperature of 98.8 degrees Fahrenheit

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Impairment or perversion of gustatory sense wherein normal tastes are perceived as unpleasant is:

1. Dysgeusia 2. Parotitis 3. Stomatitis 4. Xerostomia

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A nurse is educating a student nurse on African American culture. The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)

a. "have extended family that has a great influence on the patient.". b. "honor and respect older family mem-bers.". c. "have the oldest woman as the decision maker.". d. "do not disagree with health care recom-mendations.". e. "don't always follow up with health care recommendations.".

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Which of the following statements is not true of the vasodilator hydralazine (Apresoline)?

A. It is an arteriolar dilator used in moderate to severe hypertension in combination with both diuretics and beta-blockers (triple therapy). B. The main adverse effects are GI disturbances such as dyspepsia, abdominal pain, and diarrhea. C. Long-term use may produce rheumatoid arthritis or a systemic lupus erythematosus-like syndrome. D. None of these are correct.

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