The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder?
A premature newborn
A postterm newborn
A newborn born to a diabetic mother
A term newborn with jaundice
The Correct Answer is A
A. A premature newborn: Premature infants are at higher risk for iron deficiency anemia because they have lower iron stores at birth compared to full-term infants. Additionally, premature infants may not have had sufficient time in utero to accumulate adequate iron stores from maternal
transfusions.
B. A postterm newborn: Postterm infants, born after 42 weeks of gestation, are not typically at increased risk for iron deficiency anemia solely based on gestational age.
C. A newborn born to a diabetic mother: While infants born to diabetic mothers may have other health risks, they are not inherently at higher risk for iron deficiency anemia unless there are other complicating factors such as prematurity or inadequate iron intake.
D. A term newborn with jaundicE. Jaundice in a term newborn is typically caused by elevated
levels of bilirubin and is not directly associated with an increased risk of iron deficiency anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pulse rate is increased.
While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.
B. Breathing is diaphragmatic.
As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.
C. Secondary sex characteristics are present.
The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.
D. Blood pressure has reached adult level.
Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.
Correct Answer is C
Explanation
A. Carotid artery: The carotid artery is not typically used to assess heart rate in infants due to its location and difficulty in palpation.
B. Radial artery: The radial artery is not typically used to assess heart rate in infants, especially in non-cooperative or newborn infants.
C. Apex of the heart: Assessing the heart rate by auscultating the apex of the heart with a stethoscope is the most accurate method for infants.
D. Brachial artery: The brachial artery is not typically used to assess heart rate in infants. It is commonly used to measure blood pressure.
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