MN 580 MIDTERM EXAM REVIEW QUESTIONS AND ANSWERS
LATEST 2024/2025 UPDATE 100% CORRECT; Purdue Global
University
Which interventions are recommendations suggested
as preventive services for neonates?(Select all that
apply.)
a. Breastfeeding
b. Screening neonates for sickle hemoglobinopathies
c. Newborns screened for phenylketonuria (PKU)
before being 24 hours old should be rescreened by 2
weeks old
d. Screening for developmental hip dysplasia
e. Screening for congenital hyperthyroidism within
the first 4 days of life - ANSWER-ANS: A, B, C, D
Options related to breastfeeding and screening for
sickle hemogplobinopathies, PKU, and hip dysplasia
are recommended. Screening for hypothyroidism is
recommended.
,When providing post delivery information regarding
her infant, the nurse will confirm to the mother that
which fetal cardiac structures have no function after
her child is born? (Select all that apply.)
a. Mitral valve
b. Foramen ovale
c. Cardiac septum
d. Ductus arteriosus
e. Pulmonary vein - ANSWER-ANS: B, D
The foramen ovale and ductus arteriosus are no
longer necessary and close.
The nurse will contribute which neonate
characteristics noted in the first period of reactivity
to sympathetic system changes? (Select all that
apply.)
a. Transient rales
b. Tachycardia
c. Presence of oral mucus
d. Passage of meconium
e. Alertness - ANSWER-ANS: A, B, E
,The first period of reactivity includes sympathetic
system changes, such as tachycardia, rapid
respirations, transient rales, grunting, flaring and
retractions, a falling body temperature,
hypertonus, and alertness. Parasympathetic system
changes during the first period of reactivity include
the initiation of bowel sounds and the production of
oral mucus. After an interval of sleep, the newborn
enters the second period of reactivity. During this
time, the oral mucus production again becomes
evident, the heart rate becomes labile, the newborn
becomes more responsive to endogenous and
exogenous stimuli, and meconium is often passed.
Which assessment factors are included in a 5-minute
APGAR score? (Select all that apply.)
a. Heart rate
b. Respiratory rate
c. Skin color
d. Muscle tone
e. Crying - ANSWER-ANS: A, B, C, D
Heart and respiratory rates, skin color and muscle
tone are assessed at both the 1 and 5 minute APGAR
, scoring. While crying has a positive affect on
respirations, crying is not a focus of the assessment
Which assessment findings suggest that the neonate
is demonstrating stabilization of physiological
functions?
a. Temperature: 97.7° F
b. Heart rate: 200 bpm
c. Systolic pressure: 100 mm Hg
d. Respiratory rate: 28 breaths/minute - ANSWER-
ANS: A
Temperature is considered stable when between
(97.7° to 99.3° F [36.5° to 37.4° C]) in open crib after
birth. Heart rate is normally 100 to 190 bpm. Systolic
blood pressures greater than 96 mm Hg are
considered significant hypertension in the newborn.
Unlabored respirations at a rate of 30 to 60
breaths/minute is considered normal.
A mother brings her 9 month infant in for a routine
visit. What milestone would be appropriate for the
doctor to ask if the infant is meeting?
a. Walking
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