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6 years ago
The nurse assessing a baby finds that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue. What method will the nurse normally use to see if this is thrush or residual milk curds?
 
  a. Send a sample of the plaques to the lab for a thrush test.
  b. Scrape a sample of the plaques, and look at it under the microscope.
  c. Give the baby something acidic to drink such as sweetened lemonade.
  d. Do a simple scraping; milk curds will scrape away and thrush will not.
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6 years ago
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A Incorrect. Finding that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue, the nurse will not send a sample of the plaques to the lab for a thrush test.
B Incorrect. Finding that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue, the nurse will not scrape a sample of the plaques, and look at it under the microscope.
C Incorrect. Finding that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue, the nurse will not give the baby something acidic to drink such as sweetened lemonade.
D Correct. Thrush is characterized by the development of creamy-white plaques on the buccal mucosa and lateral borders of the tongue. Lesions gradually become confluent and may cover the entire oral cavity. The plaques associated with thrush can be distinguished from residual milk curds by their inability to be removed from the buccal mucosa. The nurse will do a simple scraping; milk curds will scrape away and thrush will not.
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