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Free Test Prep NCLEX-PN Exam Questions (page: 38)

Page 38 of 254
PDF with 1015 Questions

Low birth weight is defined as a newborn’s weight of ______________.

  1. 2500 grams or less at birth, regardless of gestational age
  2. 1500 grams or less at birth, regardless of gestational age
  3. 2500 grams or less at birth, according to gestational age
  4. 1500 grams or less at birth, according to gestational age

Answer(s): A

Explanation:

Low birth weight (LBW) is considered to be a birth weight of less than 2,500 grams regardless of gestational age.
Very low birth weight (VLBW) is less than 1500 grams and extremely low birth weight (ELBW) which is less than 1000 grams.
Normal weight for a full term neonate is 2500-4200 grams.



You are caring for a neonate who has a cleft palate.

You should inform the mother that surgical correction will be done when the infant is ______________.

  1. 8 to 12 months of age
  2. 20 to 24 months of age
  3. 16 to 20 months of age
  4. 12 to 16 months of age

Answer(s): A

Explanation:

Repairs of cleft palates are typically done before 12 months because this allows for palatal changes associated with normal growth to occur.
While repairs can still be performed after one year of age but this increases the likelihood of needing longer- termed treatments and increased risks for poor language development and facial appearance.



What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion?

  1. 2% to 4%
  2. 10% to 20%
  3. 5% to 10%
  4. 7% to 9%

Answer(s): C

Explanation:

It is estimated that 5% to 10% of term newborns are born with a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion. This rate is higher in infants born prematurely.
Other environmental risk factors include intrauterine rubella exposure, diabetes mellitus and advanced maternal age in addition to genetic factors.



Which nursing diagnosis is the most commonly used among patients who are affected with fibromyalgia?

  1. Decreased self-care in the activities of daily living related to fatigue.
  2. Impaired mental functioning related to electrolyte imbalances.
  3. Increased vigilance secondary to electrolyte imbalances.
  4. At risk for a swallowing disorder related to fibromyalgia.

Answer(s): A

Explanation:

The signs and symptoms of fibromyalgia include widespread aching, muscle stiffness, fatigue and sleep disorders. The degree of fatigue can be so severe that the patient is unable to even perform the activities of daily living.
Fibromyalgia, a chronic disorder associated with periods of exacerbation and remission is not associated with a swallowing disorder, hypervigilance, mental functioning alterations or electrolyte imbalances.



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