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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.
Choice B rationale:
Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.
Choice C rationale:
Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.
Choice D rationale:
While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.
Correct Answer is D
Explanation
The correct answer is choice D.
Choice A rationale:
While antidepressants can be an effective treatment for postpartum depression, it is not the priority action. The priority is to ensure the safety of the mother and the baby.
Choice B rationale:
Reinforcing postpartum and newborn care discharge teaching is important, but it is not the priority action when a client is showing signs of postpartum depression.
Choice C rationale:
Assisting the family to identify prior use of positive coping skills in family crises can be helpful, but it is not the priority action when a client is showing signs of postpartum depression.
Choice D rationale:
The priority action when a client is showing signs of postpartum depression is to assess for suicidal ideation or thoughts of harming herself or her baby. This is because postpartum depression can lead to thoughts of self-harm or harm to the baby, and immediate intervention is necessary to ensure the safety of both the mother and the baby.
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