Ms. J., gravida 2 and 16 GW, comes in for her prenatal appointment. Her 2-year-old daughter is with her and is wearing a sleeveless top. While interacting with her daughter, you note axillary freckling and several café-au-lait spots (>2 cm)

In reviewing her chart, you would assess for documentation of the genetic disease of: 1. Tay-Sachs disease.
2. galactosemia.
3. neurofibromatosis.
4. phenylketonuria.


3
1, 2, 4. Incorrect. These disorders are not associated with café-au-lait spots.
3. Correct. Clinical manifestations of NF may include axillary freckling and café-au-lait spots.

Nursing

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A man has asked the care team to consider the use of benzodiazepines to treat his wife's severe alcoholism. The use of benzodiazepines for this purpose may be contraindicated in what circumstances?

A) The patient is acutely intoxicated. B) The patient denies the severity of her addiction. C) The patient has previously been treated with benzodiazepines. D) The patient is also addicted to nicotine.

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It takes about how long a period of inactivity for muscles to lose contractile strength?

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A patient who has Parkinson's disease is being treated with the anticholinergic medication benztropine (Cogentin). The nurse will tell the patient that this drug will have which effect?

a. Helping the patient to walk faster b. Improving mental function c. Minimizing symptoms of bradykinesia d. Reducing some of the tremors

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