The newborn is born and placed directly on the mother's chest.
You begin to dry and stimulate the baby and start your initial assessment.
You use your knowledge of expected and abnormal findings to determine if the newborn needs respiratory support.
Place the expected and abnormal findings in the appropriate category: Respiratory distress (pick 3) Expected finding (pick 3) Possible
Respiratory distress
Expected finding
The Correct Answer is {"A":{"answers":"A,E,F"},"B":{"answers":"B,C,D"}}
Respiratory distress (pick 3): Retractions, Grunting, Nasal flaring. Expected finding (pick 3): Respiratory Rate of 54 breaths per minute, Acrocyanosis, Abdominal Breathing. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"G,D,I"},"B":{"answers":"C,E,F"},"C":{"answers":"A,B,H"}}
Explanation
The correct answer is:. Rubra: Lasts from day 1-3 postpartum, Dark red color, Fleshy odor. Serosa: Serosanguineous consistency, Pinkish/brown color, Lasts from day 4-10 postpartum. Alba: Consists of mucus and leukocytes, Yellowish/white color, Lasts from day 10-8 weeks postpartum. .
Correct Answer is A
Explanation
Choice A rationale
The newborn metabolic screening (often called the heel stick test or tandem mass spectrometry) checks for dozens of inborn errors of metabolism and other genetic disorders, such as Phenylketonuria (PKU), congenital hypothyroidism, and Sickle Cell Disease. These are often asymptomatic at birth but cause severe, irreversible intellectual disability, organ damage, or death if not detected and treated early, often with simple dietary or hormonal interventions.
Choice B rationale
The newborn metabolic screening is distinct from a bilirubin test, which is performed to assess the risk of jaundice (hyperbilirubinemia). While bilirubin levels are often checked in the first 24-48 hours, the metabolic screen is a separate test that detects disorders caused by enzyme deficiencies or abnormal protein production, not bilirubin accumulation.
Choice C rationale
While data from screening programs contributes to public health research, the primary and mandatory purpose of newborn metabolic screening is clinical—to identify babies who have serious, preventable conditions. State laws mandate these screenings for the direct health benefit of the individual newborn, making participation non-voluntary in most places.
Choice D rationale
The metabolic screening tests for genetic and metabolic conditions, and endocrine disorders (like congenital hypothyroidism), but it is not a primary or direct test for the normal development of the newborn's immune system. Disorders specifically affecting the immune system, such as Severe Combined Immunodeficiency (SCID), are sometimes included in the expanded panels, but the test's scope is much broader.
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