An 8-month-old infant is brought to the clinic for evaluation. The mother tells the nurse that she has noticed some white patches on the infant's tongue that look like curdled milk after breastfeeding
The nurse suspects oral candidiasis (thrush). Which question would the nurse use to help confirm this suspicion?
A) "Are you having breast pain when you nurse the baby?"
B) "Has he had any dairy problems recently?"
C) "Is he experiencing any vomiting lately?"
D) "How have his stools been this past week?"
Ans: A
The infant may develop thrush from the mother if the mother has a fungal infection of the breast. Asking the mother about breast pain would be important because this type of infection can cause the mother a great deal of pain with nursing. Dairy products are not associated with oral candidiasis but are associated with the development of infectious diarrhea in infants. Vomiting is unrelated to thrush. The infant also may have candidal diaper rash, but this would be manifested on the skin as a beefy-red rash with satellite lesions, not in his stools.
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