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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?

A.

5.

B.

6.

C.

7.

D.

8.

E.

8.

Answer and Explanation

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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View Related questions

Correct Answer is C

Explanation

Choice A rationale

AAP guidelines recommend rear-facing car seats for children under 24 months due to superior protection in a collision.

Choice B rationale

The chest buckle should be at armpit level to prevent injury in case of a crash.

Choice C rationale

Switching to a forward-facing car seat at 12 months contradicts safety recommendations; the child should remain rear-facing until at least 2 years old.

Choice D rationale

Car seats should always be placed in the back seat to minimize risk from front airbags during collisions.

Correct Answer is A

Explanation

Choice A rationale

This choice offers the toddler control and options within boundaries. By allowing the child to choose between two cups, it reduces the power struggle inherent in negativism, where the child often says "no" to assert independence.

Choice B rationale

This choice presents a direct option of now or later, which may still lead to refusal due to the toddler's negativism. Toddlers often respond better to choices that are less direct.

Choice C rationale

Asking if the child can take the medicine is likely to result in a "no" due to the nature of negativism at this developmental stage. It does not give the toddler a sense of control or choice.

Choice D rationale

Asking the child to be "good" places a moral judgment on taking the medicine, which is not developmentally appropriate and may lead to resistance.

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