A nurse determines that a newborn has a 1-minute Apgar score of 5 points.
What conclusion would the nurse make from this finding?.

The infant probably has either a congenital heart defect or an immature respiratory system.

The infant requires immediate and aggressive interventions for survival.

The infant is experiencing moderate difficulty in adjusting to extrauterine life.

The infant is adjusting well to extrauterine life.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

A 1-minute Apgar score of 5 points does not necessarily indicate a congenital heart defect or an immature respiratory system.

Choice B rationale:

An Apgar score of 5 points at 1 minute does not require immediate and aggressive interventions for survival.

Choice C rationale:

A 1-minute Apgar score of 5 points indicates that the infant is experiencing moderate difficulty in adjusting to extrauterine life.

Choice D rationale:

An Apgar score of 5 points at 1 minute does not indicate that the infant is adjusting well to extrauterine life.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Cervix dilation of 5 cm with 50% effacement is a sign of active phase of the first stage of labor, not the end of it.

Choice B rationale:

Rupturing of fetal membranes can occur at any time during labor, not specifically at the end of the first stage.

Choice C rationale:

Start of regular contractions is a sign of the onset of labor, not the end of the first stage.

Choice D rationale:

Cervix dilation of 10 cm with 100% effacement indicates the end of the first stage of labor and the beginning of the second stage.

A. 4, 1, 1, 1. B. 3, 2, 1. C. 4, 2, 2, 1, 1. D. 3, 2, 1, 1, 1.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.

Choice B rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.

Choice C rationale:

This choice overcounts the number of term births and living children.

Choice D rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.

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A nurse determines that a newborn has a 1-minute Apgar score of 5 points.What conclusion would the nurse make from this finding?.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a pregnant client in labor in a health care facility.The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

Correct Answer is D

Explanation

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

Correct Answer is A

Explanation

A nurse is caring for a client who gave birth 2 hr ago.The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?.

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In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?.

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?

A nurse determines that a newborn has a 1-minute Apgar score of 5 points.
What conclusion would the nurse make from this finding?.