MN 580 Midterm
Which interventions are recommendations suggested as preventive services for
neonates?(Select all that apply.)
a. Breastfeeding
b. Screening neonates for sickle hemoglobinopathies
c. Newborns screened for phenylketonuria (PKU) before being 24 hours old should be
rescreened by 2 weeks old
d. Screening for developmental hip dysplasia
e. Screening for congenital hyperthyroidism within the first 4 days of life - ANS -ANS: A,
B, C, D
Options related to breastfeeding and screening for sickle hemoglobinopathies, PKU, and
hip dysplasia are recommended. Screening for hypothyroidism is recommended.
When providing post delivery information regarding her infant, the nurse will confirm to
the mother that which fetal cardiac structures have no function after her child is born?
(Select all that apply.)
a. Mitral valve
b. Foramen ovale
c. Cardiac septum
d. Ductus arteriosus
e. Pulmonary vein - ANS -ANS: B, D
The foramen ovale and ductus arteriosus are no longer necessary and close.
The nurse will contribute which neonate characteristics noted in the first period of
reactivity to sympathetic system changes? (Select all that apply.)
a. Transient rales
b. Tachycardia
c. Presence of oral mucus
d. Passage of meconium
e. Alertness - ANS -ANS: A, B, E
The first period of reactivity includes sympathetic system changes, such as tachycardia,
rapid respirations, transient rales, grunting, flaring and retractions, a falling body
temperature,
hypertonus, and alertness. Parasympathetic system changes during the first period of
reactivity include the initiation of bowel sounds and the production of oral mucus. After
an interval of sleep, the newborn enters the second period of reactivity. During this time,
the oral mucus production again becomes evident, the heart rate becomes labile, the
newborn becomes more responsive to endogenous and exogenous stimuli, and
meconium is often passed.
Which interventions are recommendations suggested as preventive services for
neonates?(Select all that apply.)
a. Breastfeeding
b. Screening neonates for sickle hemoglobinopathies
c. Newborns screened for phenylketonuria (PKU) before being 24 hours old should be
rescreened by 2 weeks old
d. Screening for developmental hip dysplasia
e. Screening for congenital hyperthyroidism within the first 4 days of life - ANS -ANS: A,
B, C, D
Options related to breastfeeding and screening for sickle hemoglobinopathies, PKU, and
hip dysplasia are recommended. Screening for hypothyroidism is recommended.
When providing post delivery information regarding her infant, the nurse will confirm to
the mother that which fetal cardiac structures have no function after her child is born?
(Select all that apply.)
a. Mitral valve
b. Foramen ovale
c. Cardiac septum
d. Ductus arteriosus
e. Pulmonary vein - ANS -ANS: B, D
The foramen ovale and ductus arteriosus are no longer necessary and close.
The nurse will contribute which neonate characteristics noted in the first period of
reactivity to sympathetic system changes? (Select all that apply.)
a. Transient rales
b. Tachycardia
c. Presence of oral mucus
d. Passage of meconium
e. Alertness - ANS -ANS: A, B, E
The first period of reactivity includes sympathetic system changes, such as tachycardia,
rapid respirations, transient rales, grunting, flaring and retractions, a falling body
temperature,
hypertonus, and alertness. Parasympathetic system changes during the first period of
reactivity include the initiation of bowel sounds and the production of oral mucus. After
an interval of sleep, the newborn enters the second period of reactivity. During this time,
the oral mucus production again becomes evident, the heart rate becomes labile, the
newborn becomes more responsive to endogenous and exogenous stimuli, and
meconium is often passed.
