The nurse will conduct what assessment on a newborn at 1 minute and 5 minutes after birth?
Apgar score
Blood pressure reading
Head and chest circumference
Respiratory and abdominal assessment
The Correct Answer is A
Choice A reason: This is the best answer. Apgar score is a quick and simple assessment that evaluates the newborn's appearance, pulse, grimace, activity, and respiration. It is done at 1 minute and 5 minutes after birth, and sometimes at 10 minutes if needed. It helps to determine the newborn's condition and need for resuscitation or medical intervention.
Choice B reason: This is not the correct answer. Blood pressure reading is a measurement of the force of the blood against the walls of the arteries. It is not routinely done on newborns, unless there is a suspicion of a cardiac or renal problem. It is usually done after the first 24 hours of life, and then as indicated by the newborn's condition.
Choice C reason: This is not the correct answer. Head and chest circumference are measurements of the size and shape of the newborn's head and chest. They are done once within the first 24 hours of life, and then as indicated by the newborn's condition. They help to monitor the newborn's growth and development, and to detect any abnormalities or asymmetries.
Choice D reason: This is not the correct answer. Respiratory and abdominal assessment are examinations of the newborn's breathing and digestion. They are done once within the first 24 hours of life, and then as indicated by the newborn's condition. They help to evaluate the newborn's lung and bowel function, and to identify any signs of distress or complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not the client who has an increased risk for body-image disturbance. A cardiac catheterization is a procedure that involves inserting a thin tube into a blood vessel and guiding it to the heart. It is used to diagnose or treat heart problems. It does not cause any visible changes to the body or affect the client's appearance or function.
Choice B reason: This is not the client who has an increased risk for body-image disturbance. An appendectomy is a surgery that involves removing the appendix, which is a small pouch attached to the large intestine. It is used to treat appendicitis, which is an inflammation of the appendix. It does not cause any significant changes to the body or affect the client's appearance or function.
Choice C reason: This is the client who has an increased risk for body-image disturbance. A stroke is a condition that occurs when the blood supply to a part of the brain is interrupted, causing brain cells to die. It can cause various neurological impairments, depending on the location and severity of the damage. Left-sided hemiplegia is a paralysis of the left side of the body, which can affect the client's movement, sensation, speech, and facial expression. It can cause a noticeable change to the body and affect the client's appearance and function.
Choice D reason: This is not the client who has an increased risk for body-image disturbance. Shoulder surgery is a surgery that involves repairing or replacing the structures of the shoulder joint, such as the bones, muscles, tendons, or ligaments. It is used to treat shoulder injuries or disorders, such as fractures, dislocations, arthritis, or rotator cuff tears. It does not cause any major changes to the body or affect the client's appearance or function.
Correct Answer is C
Explanation
Choice A reason: This is not the correct answer. Depression is a mental disorder that affects the mood, thoughts, and behavior of the client. It causes persistent feelings of sadness, hopelessness, or emptiness, as well as loss of interest, motivation, or pleasure in activities. Depression may cause some physical symptoms, such as fatigue, insomnia, or weight changes, but it does not cause dry eyes or frequent urination.
Choice B reason: This is not the correct answer. Fibromyalgia is a chronic condition that affects the muscles, joints, and nerves of the client. It causes widespread pain, stiffness, and tenderness, as well as fatigue, sleep problems, and cognitive difficulties. Fibromyalgia may cause some symptoms that overlap with menopause, such as dry eyes or weight gain, but it does not cause frequent urination.
Choice C reason: This is the best answer. Menopause is the natural transition that occurs when the ovaries stop producing eggs and hormones, such as estrogen and progesterone. It causes the menstrual cycle to end, and the client to experience various physical and emotional changes. Menopause may cause symptoms such as dry eyes, fatigue, poor sleep patterns, weight gain, and frequent urination, as well as hot flashes, night sweats, mood swings, and vaginal dryness.
Choice D reason: This is not the correct answer. Dehydration is a condition that occurs when the body loses more fluid than it takes in. It causes the blood volume and pressure to drop, and the body to function less efficiently. Dehydration may cause symptoms such as fatigue, dry mouth, headache, and dizziness, but it does not cause dry eyes, weight gain, or frequent urination. In fact, dehydration may cause the opposite of frequent urination, which is reduced or dark urine.
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