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 correct answer. Self-esteem is the degree to which the client values and respects themselves. It affects the client's confidence, satisfaction, and happiness. It is influenced by the client's self-image, self-efficacy, and self-awareness. A client who believes they have the ability and aptitude to successfully complete a task may have a high self-esteem, but it is not the same as self-efficacy.
Choice B reason: This is not the correct answer. Self-concept is the overall perception and evaluation of the client's self. It includes the client's self-image, self-esteem, and self-efficacy. It is influenced by the client's personal, interpersonal, and environmental factors. A client who believes they have the ability and aptitude to successfully complete a task may have a positive self-concept, but it is not the specific term for their belief.
Choice C reason: This is the best answer. Self-efficacy is the confidence in one's ability to accomplish a specific task. It affects the client's motivation, performance, and persistence. It is influenced by the client's past experiences, vicarious learning, verbal persuasion, and emotional arousal. A client who believes they have the ability and aptitude to successfully complete a task has a high self-efficacy.
Choice D reason: This is not the correct answer. Self-image is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. It is influenced by the client's self-esteem, self-efficacy, and self-awareness. A client who believes they have the ability and aptitude to successfully complete a task may have a positive self-image, but it is not the same as self-efficacy.
Correct Answer is D
Explanation
Choice A reason: This is not a useful intervention for improving the self-concept of an older adult. Allowing the clothing to remain soiled after spilling may make the older adult feel dirty, embarrassed, or neglected. It may also increase the risk of infection or skin irritation. The nurse should help the older adult to change into clean clothing as soon as possible, and respect their dignity and comfort.
Choice B reason: This is not a useful intervention for improving the self-concept of an older adult. Encouraging them to wear clothes that are bigger so it is easier to put on may make the older adult feel unattractive, insecure, or incompetent. It may also affect their mobility and safety, as the clothes may be too loose or long. The nurse should help the older adult to wear clothes that fit well and suit their preferences and abilities.
Choice C reason: This is not a useful intervention for improving the self-concept of an older adult. Keeping their pajamas on when going to the dining room for breakfast, since they will have a nap when they return to their room, may make the older adult feel lazy, depressed, or isolated. It may also affect their appetite and socialization, as the pajamas may indicate a lack of interest or readiness. The nurse should help the older adult to dress appropriately for the time and place, and encourage them to participate in activities and interactions.
Choice D reason: This is the best answer. Helping them fix their hair and wear properly fitting, clean clothing is a useful intervention for improving the self-concept of an older adult. It may make the older adult feel attractive, confident, and respected. It may also enhance their physical and mental health, as the hair and clothing may reflect their hygiene and mood. The nurse should help the older adult to maintain their personal appearance and style, and support their self-esteem and self-image.
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