A perinatal clinic nurse is working with a pregnant woman who ...

[maegan_martin]

A perinatal clinic nurse is working with a pregnant woman who wishes a home birth. What information about newborn screening for metabolic disorders does the nurse provide?
 
  A.
  A blood test will be performed within the first 2 weeks of your baby's life.
  B.
  Newborns born at home do not need to be screened for metabolic diseases.
  C.
  You will have to arrange screening before the end of the baby's first week of life.
  D.
  Your birth attendant can draw blood from the umbilical cord for metabolic screening.

Question 2

A nurse reads in the chart that a baby has a positive crossed extension reflex and asks a more experienced nurse to demonstrate this assessment. How does the nurse perform the assessment?
 
  A.
  Place the infant supine, stimulate one foot, and watch for reaction of the other leg.
  B.
  Tap the infant's forehead gently, and assess for blinking for the first few taps.
  C.
  Watch the infant attempt to crawl when he is placed on his abdomen.
  D.
  With the infant prone, stroke one side of the spine; watch the buttocks curve toward the stimulation.

[deja]

Answer to Question 1

ANS: C
Some newborn screening for metabolic disorders is required in all 50 states. For babies born at home, the person registering the baby's birth must make arrangements to have this testing done within the first week of the newborn's life.

Answer to Question 2

ANS: A
A positive crossed extension reflex occurs when the infant is supine and one foot is stimulated. The infant should flex, adduct, and then extend the opposite leg. Tapping the forehead is part of the glabellar reflex assessment. The crawling reflex is present when the infant attempts to crawl while prone. The Galant reflex (or trunk incurvation reflex) is assessed with the infant in a prone position. Stroke one side of the vertebral column and watch the baby's buttocks curve toward the side where the stimulation occurred.

[maegan_martin]

Excellent

[gcook]

TYSM