The home health nurse is visiting a three-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula and is at the 50th percentile for height and weight

It is important that the mother understands that: 1. Parents may stop the thyroxine as long as the baby remains in the 50th percentile for height and weight.
2. Soy-based formula can interfere with the absorption of thyroxine.
3. Dairy-based formula is contraindicated when an infant is taking thyroxine.
4. As long as the baby is growing along the same growth curve, no interventions are necessary.


2
Rationale 1: To ensure adequate growth and development, the hormone must be taken throughout life.
Rationale 2: Soy-based formula can interfere with the absorption of thyroxine.
Rationale 3: Dairy-based formula does not interfere with thyroxine.
Rationale 4: Frequent checks must be done to assess the baby for inadequate growth.
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After teaching a group of students about the electronic medical record (EMR), the students demonstrate understanding by stating which of the following?

A) The EMR is transportable. B) The data in the EMR are owned by the patient. C) It describes the care rendered during an agency visit. D) The EMR lacks standardized vocabulary.

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