Newborn And Infant Care Practice Test

A term male infant is born via spontaneous vaginal delivery. At 1 minute of life, his heart rate is 90/min, he has a weak cry, some flexion of his extremities, grimaces in response to suctioning, and his body is pink with blue extremities. At 5 minutes of life, his heart rate is 120/min, he has a strong cry, is actively moving, cries and pulls away from suctioning, and his entire body is pink. The pregnancy was uncomplicated.

A 7-day-old asymptomatic male infant is brought for his first well-child visit. He was born at term and is exclusively breastfed. The state's newborn screening report from a blood spot collected at 48 hours of life returns today and shows a low thyroxine (T4) level and an elevated thyroid-stimulating hormone (TSH) level.