Would you respect the cultural practice and not inform a patient about the prognosis?

Question

1. A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:

“Perhaps that could be a result of your dietary intake during pregnancy.”
“Your baby may have craniosynostosis, a disease of the sutures of the brain.”
“That ‘soft spot’ may be an indication of cretinism or congenital hypothyroidism.”
“That ‘soft spot’ is normal, and actually allows for growth of the brain during the first year of your baby’s life.”

2. During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:

shallow breathing.
normal lung tissue.
decreased adipose tissue.
increased density of lung tissue.

3. The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:

Bell palsy.
Damage to the trigeminal nerve.
Frostbite with resultant paresthesia to the cheeks.
Scleroderma.

4. When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands

Occipital;

jugulodigastric

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