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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Child life specialists (CLS) provide support not only to inpatients but also to children and families across various healthcare settings, including outpatient clinics, emergency rooms, and specialty care centers.
B. CLSs provide interventions and support in emergency room settings to help minimize stress and anxiety for children and families during medical emergencies.
C. CLSs organize activities and interventions tailored to the developmental needs of children to promote normal growth and development during hospitalization.
D. CLSs offer grief and bereavement support to children and families coping with loss or end-of-life situations.
E. CLSs provide medical preparation, including age-appropriate explanations and coping strategies, to help children understand and cope with medical procedures, tests, and surgeries.
F. CLSs offer support not only before and after medical procedures but also during them, providing emotional support, distraction techniques, and coping strategies to help children cope with stress and discomfort.
Correct Answer is D
Explanation
A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.
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