MN 580 MIDTERM EXA 2025 FINAL EXAM OF
PEDIATRICS STUDENTS WITH QUESTIONS AND
CORRECT SOLUTIONS GRADED A+ A
GUARANTEED PASS LATEST UPDATE
Which assessment factors are included in a 5-minute APGAR score? (Select all
that apply.)
D
a. Heart rate
O
b. Respiratory rate
c. Skin color
N
d. Muscle tone
O
e. Crying ANS: A, B, C, D
T
Heart and respiratory rates, skin color and muscle tone are assessed at both the 1
C
and 5 minute APGAR scoring. While crying has a positive affect on
O
respirations, crying is not a focus of the assessment
PY
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 ANS: A
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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?
D
a. Walking
O
b. Speaking in two word phrases
c. Rolls back to stomach and stomach to back
N
d. All of the above ANS: C
O
Rolls back to stomach and stomach to back
T
C
A 5 day old infant comes in for a newborn checkup. On assessment of the
O
newborn, you not that the skin is jaundice in color. The anterior fontanel is
PY
slightly sunken. Per mom, the infant has only had 2 diapers today. The infant is
strictly breastfed and this is moms first child. She stats baby is having trouble
latching on. A bilirubin level is sent and comes back at 18. You identify this
newborn to be dehydrated and is most likely to have great milk jaundice. Which
nursing intervention(s) will be required for this baby?
a. Phototherapy
b. Providing support and education for the lactating mother
c. Strict monitoring of intake and output
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d. All of the above ANS: D
All of the above
Apgar scores measure heart rate, respiratory rate, reflex irritability, color and a.
Rigidity
b. Muscle tone
c. Birth weight
D
d. Capillary refill ANS: B
O
Muscle tone
N
A mother on the postpartum unit asked to have her infant back from the nursery
O
so that she can breastfeed. The nurse brings the newborn to the room and hands
T
the baby to the mother. She asks the mother to let her know how long the baby
feeds. What vital step did the nurse forget to take before giving the baby to the
C
mother?
O
a. The nurse should have made sure that the baby was latching correctly
PY
b. The nurse should have identified the baby's ID band with the mothers
c. The nurse should have the mother speak with a lactation consultant
d. The nurse should have asked the mother how long she planned to feed
ANS: B
The nurse should have identified the baby's ID band with the mothers
Excessive heat loss results in which of these?
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a. RDS
b. Depletion of glucose levels
c. Jaundice
d. Increase in surfactant levels ANS: B
Depletion of glucose levels
Which interventions are recommendations suggested as preventive services for
D
neonates?(Select all that apply.)
O
a. Breastfeeding
b. Screening neonates for sickle hemoglobinopathies
N
c. Newborns screened for phenylketonuria (PKU) before being 24 hours old
O
should be rescreened by 2 weeks old
T
d. Screening for developmental hip dysplasia
C
e. Screening for congenital hyperthyroidism within the first 4 days of life
O
ANS: A, B, C, D
PY
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