Difficulty: Medium
Average Score: 82%
Simulated
The mother of a 2-month-old infant with a cleft lip and palate calls the clinic. She tells the nurse that the baby has a temperature of 102°F, has been turning her head from side to side, and has been eating poorly. What should the nurse advise?
Correct answer
C
Rationale
Fever, head-turning, and poor feeding suggest a possible infection, especially with a cleft lip/palate, requiring immediate evaluation.