eedback A Root surfaces of the teeth are exposed to caries formation because of gingival recession. B Ulcers are not an expected finding. C Collection of debris at the gingival margins is not an ex... pected finding. D This is not an expected finding; leukoplakia is a white patch or plaque that cannot be scraped off and often represents a premalignant lesion. A mother who sees her newborn just after vaginal delivery is distraught because the child's he ad is elongated. Which response is most appropriate by the nurse? a. "This is due to a small area of bleeding that will go away in 1 to 2 months." b. "This may indicate a congenital deformity; the pediatrician will evaluate this." c. "This will require surgery to prevent hydrocephalus from developing." d. "This is not unusual after a vaginal delivery and will go away in about a week." {{Ans- ANS: D Feedback A This response refers to cephalohematoma, which is not described here. B The newborn has molding that will resolve in a week. C The newborn has molding that will resolve in a week. D This is molding, which occurs when cranial bones override each other. Molding is secondary to the head passing through the birth canal and generally lasts less than a week. What finding does a nurse expect when assessing a one-month old's eyes and vision? a. The newborn distinguishes most colors b. Tears when the newborn cries c. The newborn following a bright toy or light d. The newborn's blink reflex is present {{Ans- ANS: C Feedback A Testing for color vision occurs between ages 4 and 8 years. B There are no tears until about 2 to 3 months of age. C This is an accurate statement. D The blink reflex is present in normal newborns and infants before one month. Which behavior would be most indicative of hearing impairment in a 1-year-old child? a. Failure to respond to mother's voice b. Crying when a loud noise occurs unexpectedly c. Saying only single-syllable words d. Disinterest in playing with musical toys {{Ans- ANS: A Feedback A By age 4 to 6 months, an infant should turn the head toward the source of the sound and should respond to the parent's voice. 100% CORRECTLY ANSWERED B This behavior indicates an ability to hear loud noises. C This is an expected finding for a child this age. D Although an infant by age 4 to 6 months should respond to music toys, a disinterest does not indicate a hearing problem. Which finding during inspection of the mouth of a 1-month-old infant requires further investigation? a. A small loose tooth in the lower jaw b. Tongue overlapping the floor of the mouth c. Whitish epithelial cells on the roof of the mouth d. White patches on the tongue that scrape off easily {{Ans- ANS: B Feedback A This is not an abnormal finding; occasionally, a natal loose tooth may be found. B The infant's tongue should be appropriate to the size of the mouth and fit well into the floor of the mouth. C These small, white epithelial cells on the palate or gums are called Bohn nodules or Epstein pearls and are an expected finding. D Whitish patches seen along the mucosa that scrape off easily are milk deposits. White patches that scrape off but leave a red area that may bleed indicate candidiasis lesions. Which assessment finding of older adult patients indicates expected respiratory function? a. Increased elasticity of the alveoli b. Flaccidity of the chest wall c. Reduced inspiratory and expiratory effort d. Decreased anteroposterior diameter {{Ans- ANS [Show More]
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