A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

asymmetrical movement

bruising over area

edema present

facial grimacing with movement

positive Babinski reflex

Answer and Explanation

Correct Answer : A,B,C,D

A.   Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B.   Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C.   Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D.   Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E.   A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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Correct Answer is C

Explanation

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.

A. The toddler requires an average intake of 700 mg calcium per day B. Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. C. The child younger than 2 years of age should have his or her fat intake restricted. D. Extending breastfeeding into toddlerhood is believed to be beneficial to the child. E. Weaning from the bottle should occur by 6 to 12 months of age. F. Toddlers tend to have the highest daily iron intake of any age group.

Correct Answer is ["A","B","D","E"]

Explanation

A. Toddlers require adequate calcium intake for proper bone development, with an average intake of around 700 mg per day.
B. Adequate calcium intake, along with appropriate exercise, helps in proper bone mineralization, ensuring healthy bone development.
C. Restricting fat intake is not recommended for children younger than 2 years, as they need fats for brain development and overall growth.
D. Extending breastfeeding into toddlerhood provides numerous health benefits, including optimal nutrition, immune support, and emotional bonding.
E. Weaning from the bottle should occur by 6 to 12 months of age to prevent dental caries, ear infections, and overfeeding.
F. Toddlers tend to have low iron intake due to their preference for milk and other non-iron-rich foods, which can lead to iron deficiency anemia.

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A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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