A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery.
He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning. The nurse should document what APGAR Score for this infant?
5.
6.
7.
8.
8.
The Correct Answer is C
Choice A rationale
An APGAR score of 5 indicates significant distress and poor adjustment to extrauterine life, which is not consistent with the provided description of the infant's condition.
Choice B rationale
An APGAR score of 6 suggests moderate difficulty with extrauterine adaptation, which is still not entirely consistent with the overall assessment of the infant.
Choice C rationale
An APGAR score of 7 aligns with the described observations of the newborn: pink trunk and head, bluish extremities, active movement, heart rate of 130/min, and a response to
suctioning, which suggest the infant is in reasonably good condition with some minor issues that need monitoring.
Choice D rationale
An APGAR score of 8 would indicate that the newborn is in very good condition with only slight adjustments needed, which does not fully match the infant's description with the noted
issues like a weak cry and bluish extremities.
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Correct Answer is C
Explanation
Choice A rationale
Hepatitis B (HepB) is typically given at birth and in subsequent doses but isn't scheduled for 4-year-olds.
Choice B rationale
Meningococcal (MenACWY) vaccine is generally recommended for older children and adolescents.
Choice C rationale
Varicella (VAR) vaccine is recommended for children around 4 years old to protect against chickenpox.
Choice D rationale
Human papillomavirus (HPV) vaccine is recommended for preteens starting at age 11, not 4-year-olds.
Correct Answer is A
Explanation
Choice A rationale
Toddlers are at a stage where they are increasingly curious and mobile, which requires close supervision to ensure their safety. They are also prone to tantrums as they test
boundaries and express frustration due to limited communication skills. Effective management of tantrums and supervision can help parents guide their child's behavior and ensure
their safety.
Choice B rationale
Solitary play and identity development are more characteristic of older children. Toddlers engage more in parallel play, where they play alongside other children but not directly with
them. Encouraging solitary play is not as developmentally appropriate for toddlers.
Choice C rationale
Establishing trust is crucial in infancy when infants learn to trust their caregivers to meet their needs. Dental care should start around the toddler years, but the primary focus should
be on supervision and behavior management rather than dental care initiation.
Choice D rationale
Establishing relationships and developing self-confidence are vital across all developmental stages, but in toddlers, the priority lies in providing a safe environment and guiding
behavior through supervision and tantrum management.