Author Question: Which newborn testing must be performed prior to discharge from the hospital? (Select all that ... (Read 215 times)

imowrer · **on:** Jun 28, 2018

Which newborn testing must be performed prior to discharge from the hospital? (Select all that apply.)

a. Pulse oximetry
b. Hearing
c. Guthrie
d. Hypothyroidism
e. Galactosemia

Question 2

The nurse is preparing a male infant for circumcision. On review of the chart, the nurse notes that the consent has been signed, vitamin K has been administered, the temperature has been between 36.8 to 37 C (98.2 to 98.6 F),

and the heart rate range is 126 to 144 beats per minute (bpm). Which finding, if omitted from the chart, would cause the nurse to have to cancel the circumcision?

a. Consent
b. Vitamin K
c. Heart rate
d. Temperature

macagnavarro · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D, E
The pulse oximetry test is used to identify potential cardiac anomalies, so it must be done prior to infant discharge. The Guthrie test is another name for the metabolic screening panel test that is done to identify a group of metabolic diseases that would have a significant impact on newborn infants. Included in this test are observations related to thyroid activity, PKU, and galactosemia. A hearing screening test is recommended during the first month of life.

Answer to Question 2

ANS: B
The administration of the vitamin K prevents excessive bleeding. The infant could be at risk for hemorrhage without the vitamin K. Other assessment measures can be used to fulfill the remaining assessments, such as a verbal consent can be obtained, the skin can be palpated to determine temperature, and overall color can give the health care provider information about the infant's heart rate. The only replacement for vitamin K is time to allow for the development of vitamin K in the gastrointestinal (GI) system.