A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

obtaining a blood culture

promoting kangaroo care

beginning resuscitative measures

initiating IV fluid therapy

Answer and Explanation

The Correct Answer is C

A.   Obtaining a blood culture may be necessary in certain clinical contexts but is not the priority in this situation.
B.   While kangaroo care is beneficial for newborns, it is not the priority when a newborn has a low Apgar score and may require immediate interventions.
C.   Beginning resuscitative measures is the priority when a newborn has a low Apgar score at 5 minutes, as it indicates the need for interventions to support breathing and circulation.
D.   Initiating IV fluid therapy may be necessary in some cases but is not the priority compared to addressing immediate resuscitative needs.

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Correct Answer is B

Explanation

A. Dressing and undressing without help is an appropriate motor skill for a 5-year- old.
B. Drawing a person with three body parts is expected for a 3-year-old child, not a 5- year-old child. A 5-year-old child should be able to draw a person with six or more body parts, such as head, body, arms, legs, eyes, and mouth.
C. Beginning to tie her own shoelaces is a fine motor skill developmentally appropriate for a 5-year-old.
D. Copying a square on another piece of paper is normal developmental milestone for a 5-year-old child.

A. birthweight of 7 lb, 14 oz (3,572 g) B. strong, brisk motor skills C. difficulty in arousing to a quiet alert state D. wasted appearance of extremities

Correct Answer is C

Explanation

A. A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B. Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C. Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D. A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

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A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Correct Answer is B

Explanation

The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

Correct Answer is C

Explanation

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