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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Increased physical growth is not directly related to the prevalence of adolescent injuries.
B. Peer pressure can influence adolescents to engage in risky behaviors, leading to an increased risk of injuries.
C. Insufficient psychomotor coordination, particularly during periods of rapid growth, can contribute to the risk of injuries in adolescents.
D. Inexperience, particularly in activities such as driving or sports, can increase the risk of injuries among adolescents.
E. Lack of impulsivity is not typically associated with an increased risk of adolescent injuries.
F. Tiredness and lack of energy may affect overall well-being but are not specifically related to the prevalence of adolescent injuries.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B. Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C. Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D. Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E. Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F. Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.
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