Which tool provides the best assessment of neurological and physical maturity correlating with gestational age of the newborn that the nurse can perform after birth.
Apgar score.
Ballard score.
Phenylketonuria screening results.
Length and weight measurements.
The Correct Answer is B
Choice A rationale
The Apgar score is a rapid method, performed at one and five minutes after birth, to quickly assess the newborn's immediate adjustment to extrauterine life by evaluating five signs: heart rate, respiratory effort, muscle tone, reflex irritability, and color. It is an index of immediate postnatal transition and resuscitation need, but it does not correlate with or assess the infant's gestational age or physical maturity.
Choice B rationale
The Ballard score, a common assessment tool, systematically evaluates both the neuromuscular maturity (e.g., posture, square window, scarf sign) and physical maturity (e.g., skin texture, lanugo, plantar creases, breast development, ear cartilage, and genitalia) of a newborn. The total score is then used to estimate the infant's gestational age with a high degree of correlation, which is vital for providing appropriate clinical care.
Choice C rationale
Phenylketonuria (PKU) screening is a metabolic test performed as part of the newborn screening panel, usually after 24 hours of feeding, to detect the absence of the enzyme phenylalanine hydroxylase. This test is crucial for early detection of a treatable inborn error of metabolism but has no correlation with or utility in assessing the physical or neurological maturity of the newborn or estimating gestational age.
Choice D rationale
Length and weight measurements, along with head circumference, are standard anthropometric assessments used to track growth and compare the newborn's size relative to its estimated gestational age (e.g., small, appropriate, or large for gestational age). While important for growth monitoring, these measurements alone do not provide a comprehensive assessment of neurological or physical maturity for precise gestational age estimation. —.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.6"]
Explanation
Step 1 is to convert the ordered dose from micrograms (mcg) to the units available in the medication supply, which is also micrograms (mcg), which is already done, so the order is 80 micrograms and the available concentration is 50 micrograms per milliliter.
Step 2 is to calculate the volume to administer using the desired dose ÷ concentration. 80 micrograms ÷ (50 micrograms ÷ 1 milliliter).
Step 3 is the calculation:. 80 ÷ 50 = 1.6 milliliters.
Step 4 is to state the final calculated answer and check the required rounding. The question asks to round to the tenths or first decimal place, and the result of 1.6 milliliters is already to the tenths place. The nurse will administer 1.6 milliliters. .
Correct Answer is A
Explanation
Choice A rationale
Skeletal traction involves inserting a pin directly into the bone to apply a continuous pulling force, typically used for complex fractures or severe orthopedic deformities. This is generally not a primary or common treatment for cerebral palsy, where management focuses on function, muscle tone, movement, and joint stability using non-invasive or less invasive techniques.
Choice B rationale
Physical therapy is a fundamental and expected treatment for cerebral palsy (CP). It focuses on improving muscle strength, mobility, balance, gait, and coordination. Specific exercises and techniques are employed to maximize functional independence and minimize the progression of secondary musculoskeletal complications.
Choice C rationale
Orthotics, such as ankle-foot orthoses (AFOs) or braces, are commonly prescribed treatments in the plan of care for children with CP. They provide support, maintain proper body alignment, prevent or correct deformities, and enhance walking ability by assisting with muscle control and joint stability during movement.
Choice D rationale
Occupational therapy is an essential component of the CP treatment plan. It addresses fine motor skills, activities of daily living (ADLs) like dressing and feeding, and visual-motor integration. The goal is to maximize the child's independence in self-care, school, and play activities tailored to their specific deficits.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.