Chapter 18 NR 509 Final Questions and
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During the delivery of a male infant, you are there to assess the
Apgar score. He was born through an intact pelvis and had no
complications during labor or delivery. At 1 minute he is pink all over
and grimaces. He is flexing his arms and legs occasionally. He is
breathing well and his heart rate is 110. At 5 minutes he is still pink all
over but now is crying vigorously, with active movement. His
respiratory effort is good and his heart rate is 130.
What is his Apgar score?
A) 8 at 1 minute, 10 at 5 minutes
B) 7 at 1 minute, 9 at 5 minutes
C) 9 at 1 minute, 10 at 5 minutes
D) 8 at 1 minute, 9 at 5 minutes
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Ans: A) 8 at 1 minute, 10 at 5 minutes
A 24-year-old mother who is a smoker and cocaine addict gave
birth at 39 weeks to a 2,000-gram female infant who is in the
neonatal intensive care unit. Using the Intrauterine Growth Curve
chart, you determine whether the infant's weight is appropriate for
her gestational age.
In which category does the infant best fit?
A) Large for gestational age
B) Normal for gestational age
C) Small for gestational age
Ans: C) Small for gestational age
A mother brings her 16-month-old son in for an evaluation. She is
afraid he is not meeting his developmental milestones and wants to
know if he should be sent to therapy. He was the product of an
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uneventful pregnancy and a spontaneous vaginal delivery. His
Apgar scores were 7 and 9. Until reaching a year old the mother
believes he was hitting his milestones appropriately. You decide to
administer the Denver Developmental Screening Test. You find that
he is using a spoon to eat with and can take off his own shoes and
shirt. He can build a tower of two cubes and dump raisins. His
vocabulary consists of at least 10 words. He can stand alone and
stoop and recover, but he is unable to walk without holding onto
someone's hand.
What type of developmental delay does he have?
A) Personal/social
B) Fine motor
C) Language
D) Gross motor
Ans: D) Gross motor