New parents ask the nurse, "Why is it necessary for our baby to have the newborn blood test?" The nurse explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is
early identification of serious genetically transmitted metabolic diseases.
early identification of electrolyte imbalances.
appropriate community referral for affected infants.
parental education about raising a special needs child.
The Correct Answer is A
A. The primary purpose of newborn screening is to detect serious metabolic or genetic disorders early, such as phenylketonuria (PKU) or congenital hypothyroidism, so prompt treatment can prevent severe complications or death.
B. While electrolyte imbalances may be detected incidentally, screening is not designed for this purpose.
C. Referral to community resources may follow a positive result, but it is not the primary outcome; the focus is on early detection and treatment.
D. Parental education is important after diagnosis, but the priority goal of screening is to identify treatable conditions early, not primarily to educate on special needs care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Intermittent abdominal pain following bloody mucus (showing “bloody show”) is more typical of labor onset, not placenta previa.
B. Abdominal pain with scant bleeding may suggest placental abruption rather than placenta previa.
C. Painless, bright red vaginal bleeding in the third trimester is the classic presentation of placenta previa, resulting from the placenta partially or completely covering the cervical os. The bleeding is usually sudden and without uterine tenderness.
D. Increasing abdominal pain with a firm, nonrelaxed uterus is characteristic of placental abruption, not placenta previa.
Correct Answer is ["A","C","D"]
Explanation
A. Calcium gluconate is the antidote for magnesium sulfate toxicity and must be immediately available when administering magnesium sulfate for seizure prophylaxis in severe gestational hypertension.
B. Respiratory status should be assessed frequently (ideally every 15–30 minutes during magnesium infusion) because magnesium sulfate can cause respiratory depression; assessing only every 4 hours is inadequate.
C. A dark, quiet environment helps reduce stimulation, which can minimize seizure risk in clients with severe hypertension or preeclampsia.
D. Magnesium sulfate IV is commonly prescribed to prevent eclampsia in clients with severe gestational hypertension.
E. Neurologic status should be evaluated frequently (e.g., every 1–2 hours) rather than every 8 hours to monitor for early signs of worsening preeclampsia or magnesium toxicity.
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