A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?
obtaining a blood culture
promoting kangaroo care
beginning resuscitative measures
initiating IV fluid therapy
The Correct Answer is C
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.
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Related Questions
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.
Correct Answer is D
Explanation
A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.
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