MN 580 Midterm Exam Questions With
Correct 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 |- |CORRECT |
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 |- |CORRECT |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 |- |CORRECT |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 |- |CORRECT |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 |positive |affect |on |respirations, |crying |is |not |a |focus |
of |the |assessment
Which |assessment |findings |suggest |that |the |neonate |is |demonstrating |stabilization |of |
physiological |functions?
a. |Temperature: |97.7° |F
Correct 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 |- |CORRECT |
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 |- |CORRECT |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 |- |CORRECT |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 |- |CORRECT |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 |positive |affect |on |respirations, |crying |is |not |a |focus |
of |the |assessment
Which |assessment |findings |suggest |that |the |neonate |is |demonstrating |stabilization |of |
physiological |functions?
a. |Temperature: |97.7° |F
