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NSG 548/ NSG548 Exam 1 – FNP Role Children & Families Guide| Wilkes (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NSG 548/ NSG548 Exam 1 – FNP Role Children & Families Guide| Wilkes (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Blood glucose checks for newborns Answer: are not required for healthy, term infants -necessary for preterm, SGA, LGA, diabetic mothers, other comorbidities -check at 2 hours of age and prior to feeding QUESTION CHD (congenital heart dz) screening Answer: pulse ox measurement on right hand and 1 foot -anytime after 24 hours of age or prior to d/c from hospital -not a definitive dx, requires further testing QUESTION Pulse ox 95% or greater in right hand and foot AND 3% difference between hand and foot Answer: Pass CHD screening - proceed with d/c QUESTION Pulse ox less than 90% in right hand or foot OR Pulse ox less than 95% in right hand or foot on two occasions OR Greater than 3% difference in 02 sat between right hand and foot on 2 occasions Answer: Fail CHD screening - requires further evaluation QUESTION Pulse ox between 90-95% or greater than 3% difference between right hand and foot 1x Answer: repeat CHD screen QUESTION Measuring head circumference Answer: - birth to 36mo - non-stretchable measuring tape - broadest part of head - for greatest accuracy: 3x--take measurement at rt and lt side of head and at mid-forehead - tape pulled to compress hair - should be measured at each visit -identifies microcephaly and macrocephaly QUESTION Underlying causes of microcephaly Answer: -genetic syndrome -Zika virus -fetal alcohol spectrum disorder QUESTION Underlying causes of macrocephaly Answer: -can be normal -intracranial hemorrhage -tumor -hydrocephalus QUESTION Mongolian spots -blue/gray pigmented macules -more common on darker skinned infants -usually fade and/or disappear entirely by 4 weeks to 4 months of age -spots not receding by 1 year of age or that are extensive may be associated with inborn errors of metabolism and other rare genetic disorders -f/u for large/increasing spots, spots located near mouth, persisting beyond 1 year of age

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NSGl 548/l NSG548l Examl 1l –l FNPl Rolel
Childrenl &l Familiesl Guide|l Wilkesl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A

Q:l Bloodl glucosel checksl forl newborns

Answer:
arel notl requiredl forl healthy,l terml infants
-necessaryl forl preterm,l SGA,l LGA,l diabeticl mothers,l otherl comorbidities
-checkl atl 2l hoursl ofl agel andl priorl tol feeding




Q:l CHDl (congenitall heartl dz)l screening

Answer:
pulsel oxl measurementl onl rightl handl andl 1l footl
-anytimel afterl 24l hoursl ofl agel orl priorl tol d/cl froml hospital
-notl al definitivel dx,l requiresl furtherl testing




Q:l Pulsel oxl 95%l orl greaterl inl rightl handl andl footl ANDl <3%l differencel betweenl
handl andl foot



Answer:
Passl CHDl screeningl -l proceedl withl d/c

,Q:l Pulsel oxl lessl thanl 90%l inl rightl handl orl foot
OR
Pulsel oxl lessl thanl 95%l inl rightl handl orl footl onl twol occasions
OR
Greaterl thanl 3%l differencel inl 02l satl betweenl rightl handl andl footl onl 2l occasions


Answer:
Faill CHDl screeningl -l requiresl furtherl evaluation




Q:l Pulsel oxl betweenl 90-95%l orl greaterl thanl 3%l differencel betweenl rightl handl andl
footl 1x



Answer:
repeatl CHDl screen




Q:l Measuringl headl circumference

Answer:
-l birthl tol 36mo
-l non-stretchablel measuringl tape
-l broadestl partl ofl head
-l forl greatestl accuracy:l 3x--takel measurementl atl rtl andl ltl sidel ofl headl andl atl mid-
forehead
-l tapel pulledl tol compressl hairl
-l shouldl bel measuredl atl eachl visit
-identifiesl microcephalyl andl macrocephaly




Q:l Underlyingl causesl ofl microcephaly

, Answer:
-geneticl syndrome
-Zikal virus
-fetall alcoholl spectruml disorder




Q:l Underlyingl causesl ofl macrocephaly

Answer:
-canl bel normal
-intracraniall hemorrhage
-tumor
-hydrocephalus




Q:l Mongolianl spots

Answer:
-blue/grayl pigmentedl macules
-morel commonl onl darkerl skinnedl infants
-usuallyl fadel and/orl disappearl entirelyl byl 4l weeksl tol 4l monthsl ofl age
-spotsl notl recedingl byl 1l yearl ofl agel orl thatl arel extensivel mayl bel associatedl withl
inbornl errorsl ofl metabolisml andl otherl rarel geneticl disorders
-f/ul forl large/increasingl spots,l spotsl locatedl nearl mouth,l persistingl beyondl 1l yearl ofl age




Q:l Mongolianl spots

Answer:
Blue-grayl macules,l upl tol 10-cml diameter,l morel commonl in
black,l Nativel American,l andl Hispanicl populations;l usually

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