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 ["A","B","C","E"]
Explanation
Choice A rationale
Serving food in small, halved, or quartered pieces can help prevent choking, which is a significant concern for infants and young children who are still developing their chewing and swallowing skills.
Choice B rationale
Ensuring the mattress fits snugly against the sides of the crib prevents the infant from getting trapped between the mattress and the crib sides, reducing the risk of suffocation or injury.
Choice C rationale
Child-proof locks on cabinet doors prevent infants from accessing hazardous substances or dangerous objects that could cause harm. This is a crucial aspect of home safety for young children.
Choice D rationale
Setting the water heater at 65°C (149°F) is not recommended because it is too hot and can cause burns. The water heater should be set at a maximum of 48°C (118°F) to prevent scalding injuries.
Choice E rationale
Never leaving a child unattended during bath time is essential to prevent drowning, which can occur quickly and silently. Close supervision is necessary to ensure the child’s safety in the water. .
Correct Answer is B
Explanation
Choice A rationale
Constructing a model airplane may require smaller parts and more intricate work, not ideal for a 4-year-old child.
Choice B rationale
Putting together a large-piece puzzle is suitable for fine motor skills development and can be done while in isolation.
Choice C rationale
Playing in the hallway would expose the child to other areas and people, defeating the purpose of airborne precautions.
Choice D rationale
Watching a video game in the playroom is not feasible as it would require leaving the isolation area.