NSG 6435 Week 7 Quiz

1. A newborn is born w/ a cleft lip & palate. The provider understands that the slit in the lip & mouth will introduce specific challenges for the parents & child. How best can a provider manage this condition before its repaired? (SATA) Recommend the use of special nipples for feeding Recommend speech therapy in later years. Recommend dental restoration as often needed. Refer to surgeon when indicated Feedback Surgical repair is indicated, the timing of which is individualized. Special nipples & feeding techniques are used until surgery can be performed. Breastfeeding & bottle feeding may be successful, depending on the severity of the cleft. Speech evaluation & perhaps therapy are necessary in later years. Dental restoration is often needed. Team management is preferred. Middle ear, nasopharyngeal & sinus infections, as well as associated hearing loss can occur. 2. Most young children walk on their toes until they establish the heel-toe pattern. This pattern usually develops w/in the 1st 6 months of walking. Toe walking can be idiopathic or secondary to a neurologic problem. Since it is important for the provider to differentiate between the causes; what should the provider do to accomplish this? (SATA) Look at shoe wear to assess extent of toe walking. Assess the heels for tight cords Conduct a neuro assessment. Measure leg lengths & examine hips. Feedback The PE should include all of the above. 3. An infant client is positive for moist, beefy-red macules & papules w/ sharply marked borders & satellite lesions to the diaper area. KOH-treated scrapings of satellite lesions show pseudohyphae. What is the most likely diagnosis? Tinea Miliaria Erythema toxicum Candidiasis Feedback Candida albicans, a yeast-like fungus, is commonly found on skin & oral, vaginal, & intestinal mucosal tissue. Although Candida is part of the normal flora, overgrowth & penetration of inflamed skin or mucous membranes can occur when there is a localized or systemic alteration in host defenses. Candidiasis is more common in infants, obese children, adolescents, & chronically ill or immunocompromised children. 4. A 15YO client presents to the clinic c/o tenderness to the right side. The pain started gradually & often radiates to the back. On exam the client is positive for Tietze syndrome. The provider diagnosis the client w/ Costochondritis. How should the provider treat this condition? (SATA) Recommend mild analgesics & NSAIDs Recommend avoiding strenuous activity Take cough suppressants Administer cortisone injections