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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.

B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.

C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.

D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole

A. Inspection, percussion, palpation, auscultation B. Inspection, palpation, percussion, auscultation C. Palpation, percussion, inspection, auscultation D. Inspection, auscultation, palpation, percussion

Correct Answer is B

Explanation

A. Inspection, percussion, palpation, auscultation: This sequence starts with visual inspection, followed by percussion (tapping the body to assess underlying structures), palpation (using the hands to feel for abnormalities), and finally auscultation (listening with a stethoscope to assess sounds such as heart, lung, or bowel sounds). However, palpation is usually performed before percussion.

B. Inspection, palpation, percussion, auscultation: This is the correct sequence for performing a physical examination. It begins with visual inspection, followed by palpation to assess for

tenderness, masses, or other abnormalities, then percussion to evaluate the density of underlying structures, and finally auscultation to listen to internal sounds.

C. Palpation, percussion, inspection, auscultation: This sequence starts with palpation, followed by percussion, then inspection, and finally auscultation. However, inspection is typically performed before palpation in a physical examination.

D. Inspection, auscultation, palpation, percussion: This sequence starts with visual inspection, followed by auscultation, palpation, and percussion. While auscultation often follows inspection, palpation is usually performed before auscultation.

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The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?

Correct Answer is C

Explanation

The nurse is teaching the student nurse the sequence for performing the assessment techniques during a physical examination. What is the appropriate order?

Correct Answer is B

Explanation

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