A nurse in a newborn nursery is organizing a plan of care for four newborns after receiving a change-of-shift report. Which of the following assessments should the nurse perform first?

Check the blood glucose level of a newborn who is 4 hr old and jittery.

Conduct a universal newborn screening on a newborn who is 26 hr old.

Conduct a New Ballard Score for a newborn who is 12 hr old.

Check the temperature of a newborn who is 2 hr old prior to the first bath.

Answer and Explanation

The Correct Answer is A

A. A jittery newborn at 4 hours old may be experiencing hypoglycemia, which is a potentially serious condition requiring immediate assessment and intervention.
B. Universal newborn screening is important but can be delayed until the newborn is more stable.
C. The New Ballard Score is an assessment of gestational age and can be done after stabilization.
D. Checking temperature prior to the first bath is important but less urgent than evaluating possible hypoglycemia.

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Correct Answer is D

Explanation

Naegele's rule calculation:

First day of last menstrual period (LMP): July 21

Add 1 year: July 21, next year

Subtract 3 months: April 21

Add 7 days: April 28

Answer; April 28th.

A. A newborn who has subconjunctival hemorrhage of the left eye B. A newborn who has overlapping suture lines C. A newborn who has nasal flaring D. A newborn who has rust stained urine

Correct Answer is C

Explanation

A. Subconjunctival hemorrhage is common after vaginal delivery and usually harmless.
B. Overlapping suture lines are normal in newborns due to molding during birth.
C. Nasal flaring is a sign of respiratory distress and requires immediate assessment.
D. Rust-stained urine can be due to urate crystals and is usually benign in newborns.

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A nurse in a newborn nursery is organizing a plan of care for four newborns after receiving a change-of-shift report. Which of the following assessments should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using Naegele's rule to calculate the estimated due date of a client who reports that the first day of their last menstrual cycle was July 21st. Which of the following should the nurse document as the client's expected due date?

Correct Answer is D

Explanation

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

Correct Answer is C

Explanation

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