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BIOS 256 PROGENY FINAL EXAM REVIEW 2 VERSIONS Q & A 2024.
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BIOS 256 PROGENY FINAL EXAM REVIEW 2 VERSIONS Q & A 2024.BIOS 256 PROGENY FINAL EXAM REVIEW 2 VERSIONS Q & A 2024.
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BIOS 256Progeny
Final Exam Review
Q&A
2024
,1. A newborn's respiratory rate is considered normal between:
A. 20-30 breaths per minute
B. 30-40 breaths per minute
C. 40-60 breaths per minute
D. 60-80 breaths per minute
Answer: C. 40-60 breaths per minute
Rationale: The normal respiratory rate for a healthy newborn is typically
between 40-60 breaths per minute. Rates below or above this range may
indicate underlying health issues that require further assessment.
2. When assessing the hydration status of a newborn, which of the
following is NOT a common indicator?
A. Sunken fontanelles
B. Dry mucous membranes
C. Frequent urination
D. Poor skin turgor
Answer: C. Frequent urination
Rationale: Frequent urination is typically a sign of adequate hydration.
Sunken fontanelles, dry mucous membranes, and poor skin turgor are
indicators of dehydration in newborns.
3. During a physical examination of a newborn, which finding would be
considered abnormal?
A. Presence of lanugo
B. Blue hands and feet (acrocyanosis)
C. A single palmar crease
D. Red reflex absent in one eye
Answer: D. Red reflex absent in one eye
Rationale: The absence of the red reflex in one eye could indicate an
ocular abnormality such as cataracts or retinoblastoma and warrants
immediate further investigation.
4. Which vital sign is most critical to monitor immediately after birth?
A. Temperature
B. Pulse
C. Respiratory rate
D. Blood pressure
Answer: C. Respiratory rate
, Rationale: Monitoring the respiratory rate is crucial as it can be an early
indicator of respiratory distress, which is a common issue in newborns and
requires prompt intervention.
5. What is the significance of assessing capillary refill time in newborns?
A. To check for jaundice
B. To evaluate hydration status
C. To assess circulatory efficiency
D. To determine sleep patterns
Answer: C. To assess circulatory efficiency
Rationale: Capillary refill time is an important indicator of circulatory
efficiency and perfusion. A prolonged capillary refill time may suggest
poor blood flow or hypovolemia.
6. A term newborn's expected average heart rate should be:
A. 70-90 beats per minute
B. 90-110 beats per minute
C. 110-130 beats per minute
D. 120-160 beats per minute
Answer: D. 120-160 beats per minute
Rationale: The normal heart rate for a term newborn is 120-160 beats
per minute. Rates outside this range may indicate distress or
cardiovascular problems.
7. Which of the following is NOT a part of the initial newborn physical
examination?
A. Assessing Moro reflex
B. Measuring head circumference
C. Checking blood type
D. Observing for hip dysplasia
Answer: C. Checking blood type
Rationale: While important, checking the blood type is not typically part
of the initial physical examination. It is usually done separately if needed
for transfusions or to assess the risk of hemolytic disease of the newborn.
8. In assessing a newborn's vital signs, which temperature measurement
method is preferred?
A. Oral
, B. Axillary
C. Rectal
D. Tympanic
Answer: B. Axillary
Rationale: Axillary temperature measurement is preferred for newborns
due to its safety and reliability. Rectal measurements carry a risk of injury,
and oral and tympanic methods are not suitable for this age group.
9. The presence of which reflex indicates neurological maturity in a
newborn?
A. Sucking reflex
B. Rooting reflex
C. Startle reflex
D. Stepping reflex
Answer: B. Rooting reflex
Rationale: The rooting reflex, where a newborn turns their head towards
a touch on the cheek, is an important indicator of neurological maturity
and feeding readiness.
10. What is the primary purpose of conducting a Ballard Score
assessment?
A. To evaluate a newborn's gestational age
B. To assess a newborn's hearing ability
C. To determine a newborn's weight category
D. To check for congenital heart defects
Answer: A. To evaluate a newborn's gestational age
Rationale: The Ballard Score is used to estimate a newborn's gestational
age through physical and neuromuscular assessments, which is crucial for
identifying preterm infants and planning their care.
11. When examining a newborn's abdomen, which finding would require
immediate medical attention?
A. Umbilical hernia
B. Scaphoid abdomen
C. Visible peristalsis
D. Palpable liver edge
Answer: B. Scaphoid abdomen
Rationale: A scaphoid abdomen may indicate diaphragmatic hernia, a
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