MN580 MIDTERM EXAM |COMPLETE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
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
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