A nurse is assisting with a newborn hearing test when the parent enters and asks what the nurse is doing.
Which of the following statements should the nurse make?
"This screening test is to see if your baby's brain is fully developed.”.
"This screening test is to see if your baby has a heart defect.”.
"This screening test is to see if your baby has a seizure disorder.”.
"This screening test is to see if your baby can hear various sounds.”.
The Correct Answer is D
Choice A rationale
The hearing screening test is not related to brain development but specifically to the ability to hear sounds. It assesses the infant's auditory pathway from the ear to the brainstem to identify potential hearing loss early on.
Choice B rationale
This test does not assess for heart defects. Heart defects are usually detected through physical examination, pulse oximetry screening, or echocardiography, not through auditory tests.
Choice C rationale
Seizure disorders are diagnosed based on clinical presentation and electroencephalogram (EEG) results. The hearing screening test does not have any connection to identifying seizure disorders.
Choice D rationale
The primary purpose of the newborn hearing screening is to detect if the baby can hear various sounds, enabling early intervention if hearing loss is detected. Early identification and management are essential for speech and language development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Pelvic floor physical therapy helps strengthen the pelvic floor muscles, which can significantly reduce or eliminate urge incontinence in postpartum clients. These specialized exercises target muscle control and bladder function, providing a non-invasive first-line treatment.
Choice B rationale
A urologist specializes in the urinary tract system, but referral is usually not the first step. Initial non-invasive interventions, such as pelvic floor therapy, are typically recommended before consulting a specialist.
Choice C rationale
Sports medicine focuses on physical fitness and the treatment of sports-related injuries. It is not the appropriate referral for treating postpartum urge incontinence, which specifically involves the pelvic floor muscles and urinary system.
Choice D rationale
A primary care physician can provide general medical care, but specialized interventions like pelvic floor therapy are more effective for addressing the specific issue of urge incontinence postpartum.
Correct Answer is A
Explanation
Choice A rationale
Hypothyroidism during pregnancy is associated with increased risks of metabolic disorders, including lipid and glucose metabolism disorders, which can affect both the mother and fetus.
Choice B rationale
hCG levels do not typically plateau in the first trimester; they continue to rise and peak around the 10th week of pregnancy before starting to decline.
Choice C rationale
Thyroid replacement dosing usually needs adjustment during pregnancy to meet the increased thyroid hormone requirements due to physiological changes and fetal development needs.
Choice D rationale
Antenatal fetal surveillance is generally required in the third trimester for hypothyroid pregnant clients to monitor fetal well-being, not during the first trimester.
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