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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B. Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C. Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D. Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.

A. Fluid loss of the neonate will be minimized. B. Neonatal weight loss will be prevented. C. Assessment of hyperbilirubinemia will be monitored. D. Perfusing to the exposed abdominal contents will be maintained. E. The abdominal contents are protected.

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

Explanation

A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

Correct Answer is C

Explanation

A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

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

Explanation

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