A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?

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Question 1 of 4

A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?

Correct Answer: A

Rationale: Hirschsprung’s disease (A) causes delayed meconium passage due to absent intestinal motility. Celiac (B) affects absorption later, abdominal defects (C) are structural, and intussusception (D) occurs postnatally. Document: 'Failure to pass meconium… may be an indication of Hirschsprung disease.'

Question 2 of 4

A parent comments that her adolescent daughter seems to be daydreaming a lot. The nurse understands that this behavior indicates she is:

Correct Answer: D

Rationale: Daydreaming (D) helps adolescents mentally rehearse situations, aiding coping. Boredom (A), fatigue (B), or stress (C) are less specific. Document: 'Daydreaming allows adolescents to act out… [to] prepare for… interactions.'

Question 3 of 4

Which of the following statements made by the parent of a 3 week old infant that would alert the nurse about the presence of a congenital heart condition?

Correct Answer: B

Rationale: Fatigue during feeding (B) suggests congenital heart defects due to poor oxygenation. Sleeping (A), hunger (C), and fussiness (D) are normal or nonspecific. Document: 'Fatigue during feeding… is common to most infants with congenital cardiac problems.'

Question 4 of 4

A child appears apathetic and weak. His growth is below normal for his age. There is white streak in the child's hair. The nurse recognizes these signs as characteristic of:

Correct Answer: D

Rationale: Kwashiorkor (D), protein malnutrition, causes apathy, weakness, stunted growth, and white hair streaks from melanin loss. Rickets (A) affects bones, scurvy (B) gums, GERD (C) reflux. Document: 'The earliest sign… is a white streak in the hair… apathetic and weak.'

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