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 A

Explanation

A. Hyperemesis gravidarum can lead to severe dehydration and electrolyte imbalance, requiring IV fluids or parenteral nutrition.

B. A high-protein diet rich in kilocalories: Oral intake is often not tolerated in severe cases of hyperemesis gravidarum.

C. A 24-hour urine collection to check for protein is more relevant for conditions like preeclampsia, not for hyperemesis gravidarum.

D. Fasting blood sugar and one-hour postprandial are used for managing gestational diabetes, not hyperemesis gravidarum.

A. Maternal hypotension B. Maternal tachycardia C. The patient did not get an IV bolus prior to the epidural. D. Placenta previa

Correct Answer is ["A","C"]

Explanation

A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.

B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.

C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.

D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. Which would be the most appropriate intervention for this patient?

Correct Answer is A

Explanation

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

partner have been trying to conceive for the past 6 months. The client's medical history is significant for diabetes migraine headaches, fibromyalgia, and pelvic inflammatory disease (PID). Which reason is most likely causing the client's infertility?

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Place cursor where you are most likely to see Mongolian spots?

You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

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