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2/14/24, 1:27 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52222973 1/66 Exit Performance Week 6 EAQ #2 Due Feb 20, 2024 by 8:30 am Passed 53 out of 69 questions answered correctly Completed on Feb 14, 2024 1:27 pm Incorrect (16) Report content error Which description would the nurse use to classify the gestational age of an infant born at 35 weeks? Full term

2/14/24, 1:27 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52222973 2/66 Rationale An infant born at 35 weeks of gestation would be classified as late preterm. Late preterm refers to a gestational age of 34 / through 36 / weeks of gestation. Full term refers to a gestational age of 39 / through 40 / weeks. Late term refers to a gestational age of 41 / through 41 / weeks. Early term refers to a gestational age of 37 / through 38 / weeks. p. 499 Report content error Which factor places a newborn at the highest risk for hypoglycemia? Rationale Due to their high glucose and metabolic needs, large-for-gestational-age or high-birth-weight infants are at a higher risk of hypoglycemia. Early- term or late-preterm infants are at a higher risk of hypoglycemia than term Late term Early term Late preterm 0 7 6 7 0 7 6 7 0 7 6 7 0 7 6 7 Birth at 40 weeks High birth weight Early feeding Hyperthermia

2/14/24, 1:27 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52222973 3/66 infants because of smaller glucagon stores. Early feeding promotes normal glucose levels. Cold stress is related to a greater risk of hypoglycemia by increasing the chances of respiratory distress syndrome, leading to higher metabolic needs. p. 508 Report content error Which skin condition can be diagnosed by using the skin blanching test? Rationale To perform a skin blanching test, the skin is pressed slightly and, if the skin turns pale, it is considered a positive result; skin blanching occurs with rashes. In the case of petechiae, the color of the skin remains unchanged during the blanch test. This test is ineffective in detecting birth injuries like edema and laceration. p. 505 Rash Petechiae Edema Laceration

2/14/24, 1:27 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52222973 4/66 Report content error Which anticipatory guidance would the nurse provide the parents of a newborn about safety? Rationale The newborn should be in a rear-facing infant car safety seat from birth until 2 years of age or until exceeding the car seat’s limits for height and weight. The prone position is no longer recommended because it may interfere with chest expansion and lead to sudden infant death syndrome. Approved pacifiers are safe to use and fulfill a newborn’s need to suck. If the newborn is breastfed, the use of pacifiers should be delayed until breastfeeding is well established to avoid the development of nipple confusion. Slats in a crib should be no more than 2 inches apart. Test-Taking Tip: Many times the correct answer is the longest alternative given, but do not count on it. Item writers (those who write the questions) are also aware of this and attempt to avoid offering you such "helpful hints." p. 524 Place the newborn on the abdomen (prone) after feeding and for sleep. Avoid the use of pacifiers. Use a rear-facing car seat. Use a crib with side-rail slats that are no more than 3 inches apart.

2/14/24, 1:27 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52222973 5/66 Report content error Which interpretation would the nurse have for an Apgar score of 10 at 1 minute after birth? Rationale An initial Apgar score of 10 is a good sign of healthy adaptation and indicates an excellent transition to extrauterine life; however, the score must be repeated at the 5-minute mark regardless of previous score. An infant in need of resuscitation has a very low Apgar score. The Apgar scores do not predict neurologic outcome but are useful for describing the newborn’s transition to the extrauterine environment. Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when four or five consecutive questions have the same letter or number for the correct answer. p. 486 Report content error An infant having no diﬃculty adjusting to extrauterine life and needing no further testing An infant in severe distress who needs resuscitation A prediction of a future free of neurologic problems An infant having no diﬃculty adjusting to extrauterine life but who should be assessed again at 5 minutes after birth

2/14/24, 1:27 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52222973 6/66 Which area of the neonate is assessed for jaundice? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale Jaundice can be assessed by examining the skin in natural light, the buccal mucosa, and conjunctival sacs. The sclera and nail beds are not used to evaluate the neonate for jaundice. p. 506 Report content error Which clinical sign of birth trauma would the nurse relate to a breech presentation? Skin Sclera Nail beds Buccal mucosa Conjunctival sacs Marked bruising over the entire face Ecchymotic skin over the entire head Bruising and swelling over the genitalia Linear mark across both sides of the face

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