When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Keep the state records updated.

Determine ABO incompatibilities

Determine if the infant has hypoglycemia

Recognize and treat multiple genetic or metabolic disorders.

Answer and Explanation

The Correct Answer is D

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

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Correct Answer is C

Explanation

A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.

B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.

C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.

D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.

A. Tell him to ignore the mood swings, as they will go away in a few days. B. Reassure him this behavior is normal following birth and is only a concern if it lasts more than two weeks. C. Tell him that his wife might need antidepressants and to call the provider. D. Advise him the baby unattended with his wife.

Correct Answer is B

Explanation

A. Ignoring the mood swings is not an appropriate response because it may be a sign of postpartum mood changes that need to be monitored.

B. Mood swings in the postpartum period are common and often due to hormonal changes. This is normal unless it persists beyond two weeks, at which point it may indicate postpartum depression.

C. Suggesting antidepressants immediately is premature; mood swings are common in the postpartum period, and treatment is not necessary unless they persist or worsen.

D. Advising the husband to leave the wife unattended is unsafe and inappropriate. Ensuring the wife has support during this time is important.

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When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

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Naxlex Comprehensive Predictor Exams

A postpartum woman telephones about her 6 day old infant. She is not scheduled for a weight check until the infant is 10 days old and she is worried about whether the baby is getting enough mi Which of the following statements demonstrate effective breastfeeding for her newborn?

Correct Answer is C

Explanation

A man calls the nurses’ station stating that his wife, who delivered four days ago, is happy one minute and crying the next. The man says, "She was never like this before the baby was born. What would be the best response by the nurse?

Correct Answer is B

Explanation

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