NUR 6541 EXAM/ NUR 6541 MIDTERM AND FINAL EXAM
2025/2026 COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS (A NEW
UPDATED VERSION) A NEW UPDATED VERSION
|GUARANTEED SUCCESS| WALDEN UNIVERSITY NUR6541
EXAM
Newborns- what type of vitamin deficiencies might cause
certain problems in a newborn
Answer- Vitamins A, B1, C, D, & K
What kinds of problems occur in newborns from Vitamin A
deficiency?
Answer- Common in resource limited countries, associated with
exophthalmia and other ocular signs. Earliest symptom is night
blindness, followed by neurosis (dryness of conjunctive and
cornea-image). Progression leads to ulcerations, perforation and
scarring of cornea. Other symptoms may include hyperkeratosis,
pruritus, growth retardation and increased risk to infection.
Vitamin B1 deficiency in newborns cause what?
Answer- o Involved in cellular metabolic activities, and nerve
impulses.
,o Causes:
1. Clinical beriberi= typically between 2-3 months, typically
breast fed by women with thiamine deficiency.
SS=cardiomegaly, techy, loud piercing cry, cyanosis, dyspnea,
and vomiting
2. Wernicke-korsakoff syndrome=complication of thiamine def.
acute syndrome requiring emergent care=two syndrome: 1.
Wernicke's encephalopathy- nystagmus, ophthalmoplegia, ataxia
and confusion (seen in alcoholics) 2. Korsakoff
syndrome=chronic neuro condition as consequence of WE.
Foods high in: yeast, legumes, pork, brown rice, cereals with
whole grains.
Vat C deficiency in newborn/infants
· Vitamin C
o Ascorbic acid or scurvy=Prominent cutaneous signs: petechial,
perifollicular hemorrhage, and bruising, gingivitis, arthralgia’s,
and impaired wound healing. Typically appears within few
months of being deficient. Foods: Citrus fruits, tomatoes,
potatoes, Brussel sprouts, cauliflower, broccoli strawberries,
cabbage and spinach. Breast milk typically provides adequate
source of Vat C!
,Vat D deficiency in newborns/infants
Vitamin D
o Dietary deficiency and inadequate exposure to sunlight
causing hypocalcemia, hippos and rickets. This will cause
defective bone growths, poorly supported tissue and skeletal
abnormalities- enlargement and delayed closure of anterior
fontanelle, frontal bossing of skull, delayed eruption of teeth,
beading of ribs, bowlegs in older infants, and green stick
fractures in long bones.
Vat K deficiency in newborn/infants
o Bleeding diathesis. Skin, GI tract, GU, gingiva, lungs, joints or
CNS Appropriate advice for a mother of a 2-week-old child here
for a "well child" visit includes which of the following?
Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is
symmetrically less than the 5th percentile for height, weight and
head circumference. He was born at 30 weeks' gestation and
weighed 1000g. He was a planned pregnancy, and his mother's
, prenatal course was uneventful until an automobile accident
initiated the labor. He was ventilated for 3 days in the intensive
care unit but otherwise did well without ongoing problems. He
was discharged at 8 weeks of life. Which of the following is the
most likely explanation for his small size?
Normal ex-preemie infant growth
A Monteux test in a child with no risk factors is considered
positive with a reaction of
at least 15 mm induration
A 4-year-old believes there is more juice in a tall, thin glass than
a shorter, wider one. The child has not yet achieved which of the
principles of Piaget?
Conservation
I can roll over, grasp a rattle, and reach for things and have
begun feeding myself finger foods, but I can't wave bye-bye yet.
How old am I?
6 months
2025/2026 COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS (A NEW
UPDATED VERSION) A NEW UPDATED VERSION
|GUARANTEED SUCCESS| WALDEN UNIVERSITY NUR6541
EXAM
Newborns- what type of vitamin deficiencies might cause
certain problems in a newborn
Answer- Vitamins A, B1, C, D, & K
What kinds of problems occur in newborns from Vitamin A
deficiency?
Answer- Common in resource limited countries, associated with
exophthalmia and other ocular signs. Earliest symptom is night
blindness, followed by neurosis (dryness of conjunctive and
cornea-image). Progression leads to ulcerations, perforation and
scarring of cornea. Other symptoms may include hyperkeratosis,
pruritus, growth retardation and increased risk to infection.
Vitamin B1 deficiency in newborns cause what?
Answer- o Involved in cellular metabolic activities, and nerve
impulses.
,o Causes:
1. Clinical beriberi= typically between 2-3 months, typically
breast fed by women with thiamine deficiency.
SS=cardiomegaly, techy, loud piercing cry, cyanosis, dyspnea,
and vomiting
2. Wernicke-korsakoff syndrome=complication of thiamine def.
acute syndrome requiring emergent care=two syndrome: 1.
Wernicke's encephalopathy- nystagmus, ophthalmoplegia, ataxia
and confusion (seen in alcoholics) 2. Korsakoff
syndrome=chronic neuro condition as consequence of WE.
Foods high in: yeast, legumes, pork, brown rice, cereals with
whole grains.
Vat C deficiency in newborn/infants
· Vitamin C
o Ascorbic acid or scurvy=Prominent cutaneous signs: petechial,
perifollicular hemorrhage, and bruising, gingivitis, arthralgia’s,
and impaired wound healing. Typically appears within few
months of being deficient. Foods: Citrus fruits, tomatoes,
potatoes, Brussel sprouts, cauliflower, broccoli strawberries,
cabbage and spinach. Breast milk typically provides adequate
source of Vat C!
,Vat D deficiency in newborns/infants
Vitamin D
o Dietary deficiency and inadequate exposure to sunlight
causing hypocalcemia, hippos and rickets. This will cause
defective bone growths, poorly supported tissue and skeletal
abnormalities- enlargement and delayed closure of anterior
fontanelle, frontal bossing of skull, delayed eruption of teeth,
beading of ribs, bowlegs in older infants, and green stick
fractures in long bones.
Vat K deficiency in newborn/infants
o Bleeding diathesis. Skin, GI tract, GU, gingiva, lungs, joints or
CNS Appropriate advice for a mother of a 2-week-old child here
for a "well child" visit includes which of the following?
Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is
symmetrically less than the 5th percentile for height, weight and
head circumference. He was born at 30 weeks' gestation and
weighed 1000g. He was a planned pregnancy, and his mother's
, prenatal course was uneventful until an automobile accident
initiated the labor. He was ventilated for 3 days in the intensive
care unit but otherwise did well without ongoing problems. He
was discharged at 8 weeks of life. Which of the following is the
most likely explanation for his small size?
Normal ex-preemie infant growth
A Monteux test in a child with no risk factors is considered
positive with a reaction of
at least 15 mm induration
A 4-year-old believes there is more juice in a tall, thin glass than
a shorter, wider one. The child has not yet achieved which of the
principles of Piaget?
Conservation
I can roll over, grasp a rattle, and reach for things and have
begun feeding myself finger foods, but I can't wave bye-bye yet.
How old am I?
6 months
