A nurse is completing a full assessment of a newborn at 4 hours of life.

For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding.

Note: each column must have at least one response option selected.

Milia

Barrel-shaped chest

Respiratory rate 66/min

Acrocyanosis present

Polydactyly

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

A. Milia: Expected (normal) finding.

B. Barrel-shaped chest: Expected (normal) finding.

C. Respiratory rate 66/min: Abnormal finding.

D. Acrocyanosis present: Expected (normal) finding.

E. Polydactyly: Abnormal finding.

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Correct Answer is ["7"]

Explanation

The newborn’s Apgar score is 7.

Step 1: Heart rate of 110/min = 2 points.

Step 2: Slow, weak cry = 1 point.

Step 3: Flexed extremities = 1 point.

Step 4: Cries in response to suctioning of the nares = 2 points.

Step 5: Body pink in color with blue extremities = 1 point. Total Apgar score = 2 + 1 + 1 + 2 + 1 = 7.

A. Placing your child on her back when sleeping will decrease the risk of SIDS. B. SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines. C. SIDS rates have been rising over the last 10 years. D. Sleep apnea is the main cause of SIDS.

Correct Answer is A

Explanation

Choice A rationale

Placing a baby on their back to sleep significantly reduces the risk of SIDS. This position helps keep the airway open and reduces the risk of suffocation.

Choice B rationale

There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis vaccines. Vaccines are safe and do not increase the risk of SIDS3.

Choice C rationale

SIDS rates have actually decreased over the last 10 years, largely due to public health campaigns promoting safe sleep practices.

Choice D rationale

Sleep apnea is not the main cause of SIDS. The exact cause of SIDS is unknown, but it is believed to be related to defects in the brain that control breathing and arousal from sleep.

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A nurse is completing a full assessment of a newborn at 4 hours of life. For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding. Note: each column must have at least one response option selected.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["7"]

Explanation

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Correct Answer is A

Explanation

A nurse is completing the admission assessment of a newborn.Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?

A nursery nurse is admitting a neonate and is performing the neonatal assessment.The apical pulse is auscultated with a rate of 124 bpm, after one full minute of listening.What is the next appropriate action should the nurse take?

A nurse places a newborn under a radiant heat warmer after birth.The purpose of this action is to prevent which of the following in the newborn?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation.Which of the following findings should the nurse expect?

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A nurse is caring for a newborn 4 hours after birth.Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Which of the following statements accurately describes a characteristic of the newborn immune system?

A nurse is completing a full assessment of a newborn at 4 hours of life.

For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding.

Note: each column must have at least one response option selected.