A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 110/min; slow, weak cry, some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities.

Calculate the newborn's Apgar score.

Answer and Explanation

The Correct Answer is ["6"]

The Apgar score is 6.

It is based on 5 signs evaluated at 1 and 5 minutes after delivery that indicate the physiologic state of the neonate: heart rate over 100 = 2; slow, weak cry = 1; some flexion of extremities = 1; grimace in response to suctioning of the nares = 1; body pink in color with blue extremities = 1.

Total score= 6

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:

A. While pelvic inflammatory disease (PID) can be associated with endometriosis, it is not a definitive indicator.

B. Abdominal bloating can occur in various conditions, but it is not specific to endometriosis.

C. Dysmenorrhea that is unresponsive to NSAIDs is a hallmark symptom of endometriosis. It often presents as severe menstrual cramps that are not relieved by over-the-counter pain

medications.

D. An atypical Papanicolaou smear does not directly relate to endometriosis; it may indicate other gynecological issues but is not specific to endometriosis.

A. A child who uses the call light frequently B. A child whose parents answer questions for the child C. A child who has a BMI indicating obesity D. A child who has frequent visitors

Correct Answer is B

Explanation

A. Frequent use of the call light does not necessarily indicate abuse. It could be due to various factors such as pain, discomfort, or needing assistance.
B. A child whose parents answer questions for the child may indicate potential parental control or intimidation, which can be a sign of emotional or psychological abuse.

C. Obesity alone does not necessarily indicate abuse. It could be due to various factors such as genetics, diet, or lack of physical activity.
D. Having frequent visitors does not necessarily indicate abuse. It could be due to a supportive social network or family involvement.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is C

Explanation

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

Correct Answer is B

Explanation

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?

A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is teaching about fetal development to a group of clients in the antenatal clinic.Which of the following statements should the nurse Include in the teaching?

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?