A 6-Day-Old Boy Is Brought to the Emergency Department for Inability

question 308

Multiple Choice

A 6-day-old boy is brought to the emergency department for inability to feed for 12 hours.  His parents report that the infant has been unable to open his mouth and has held his hands clenched all day.  The infant was delivered at home by the grandmother.  The mother had no access to prenatal care but says that the pregnancy was uncomplicated.  The mother immigrated to the United States 6 years ago.  Physical examination shows increased muscle tone throughout, arching of the back, and dorsiflexed feet.  The umbilical cord is covered with a clump of soil.  The mother says that it is customary in her village where she grew up to cover the umbilical stump with dung to speed cord separation.  In addition to hygienic umbilical cord care, which of the following is the most effective strategy to prevent this condition?

• A)Early postpartum breastfeeding
• B)Prophylactic antibiotics
• C)Prophylactic immune globulin
• D)Vaccination of infants at birth
• E)Vaccination of pregnant women

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Definitions:

Deception

The act of misleading or misguiding someone by concealing or distorting the truth.

Peripheral-Route Processing

Type of information processing that involves attending to factors not involved in the message, such as the appearance of the source of the message, the length of the message, and other noncontent factors.

Central-Route Processing

Type of information processing that involves attending to the content of the message itself.

Cognitive Component

An aspect of our mental processes and attitudes, involving beliefs, thoughts, and awareness that contribute to our perceptions and reactions.