What Apgar score should a nurse document for a newborn with a pink trunk and head, bluish hands and feet, flexed extremities 5 min after delivery, a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning?

Answer and Explanation

The Correct Answer is B

Choice A rationale
An Apgar score of 7 is considered fairly low and would typically be associated with a newborn who has more significant health concerns.
Choice B rationale
An Apgar score of 8 is considered to be within the normal range. This score would be consistent with a newborn who has a pink trunk and head, bluish hands and feet, flexed extremities, a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Choice C rationale
An Apgar score of 9 is considered to be within the normal range. However, given the newborn’s weak and slow cry, an Apgar score of 9 would be less likely.
Choice D rationale
An Apgar score of 10 is very unusual, as almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.

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Correct Answer is D

Explanation

Choice A rationale
Iron is an essential nutrient that helps to transport oxygen in the blood. However, it does not specifically prevent defects in the fetus.
Choice B rationale
Calcium is important for bone health in both the mother and the fetus. It does not specifically prevent defects in the fetus.
Choice C rationale
Vitamin C is an antioxidant that protects tissues from damage and helps the body absorb iron and produce collagen. While it is important for overall health, it does not specifically prevent defects in the fetus.
Choice D rationale
Folic acid is crucial in the early development of a fetus for the formation of the neural tube. It can help prevent major birth defects of the baby’s brain and spine.

A. Have the client pant during the next contractions. B. Observe the perineum for signs of crowning. C. Help the client to the bathroom to void. D. Assist the client into a comfortable position.

Correct Answer is B

Explanation

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What Apgar score should a nurse document for a newborn with a pink trunk and head, bluish hands and feet, flexed extremities 5 min after delivery, a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent defects in the fetus?

Correct Answer is D

Explanation

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client’s amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia. Which of the following information about nutrition should be included in the teaching?

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A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. When palpating the client’s abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa. Which of the following observations would support this diagnosis?

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A nurse is planning care for a patient who is 2 hours postpartum following a cesarean birth. The patient has a history of thromboembolic disease.Which nursing interventions should be included in the plan of care?