A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

Kernicterus

Physiologic jaundice

Pathological Jaundice

Erythroblastosis Fetalis

Answer and Explanation

The Correct Answer is B

A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.

B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.

C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.

D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.

B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.

C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.

D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.

A. Maternal hypotension B. Maternal tachycardia C. The patient did not get an IV bolus prior to the epidural. D. Placenta previa

Correct Answer is ["A","C"]

Explanation

A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.

B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.

C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.

D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.

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A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

Correct Answer is ["A","B","C","D"]

Explanation

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

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