A nurse is admitting a full-term baby boy delivered 12 hours ago to the nursery following a cesarean birth.
The nurse observes that the newborn's skin is slightly yellow.
This finding indicates the newborn is experiencing a complication related to which of the following?
Maternal/newborn blood group incompatibility.
Physiologic jaundice.
Maternal cocaine abuse.
Absence of vitamin K. .
The Correct Answer is B
Choice A rationale:
Maternal/newborn blood group incompatibility can lead to jaundice in newborns, but it typically occurs within the first 24 hours of life. In this scenario, the baby is delivered 12 hours ago, and the yellowing of the skin is described as "slight.”. Physiologic jaundice, which occurs in the majority of newborns, typically appears on the second or third day after birth, so this choice is less likely.
Choice B rationale:
Physiologic jaundice is the most likely cause of the slight yellowing of the newborn's skin. It typically appears on the second or third day after birth and is related to the immature liver's inability to efficiently process bilirubin. Physiologic jaundice is a common and self-limiting condition that does not usually require treatment.
Choice C rationale:
Maternal cocaine abuse can lead to various neonatal complications, but it is not typically associated with jaundice. The yellowing of the skin in this scenario is more likely related to another cause.
Choice D rationale:
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Related Questions
Correct Answer is C
Explanation
Answer and explanation
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include? The correct answer is choice C: Newborn hypoglycemia.
Choice A rationale:
Small for gestational age (SGA) newborns are not typically associated with maternal gestational diabetes. Instead, maternal diabetes (both pre-gestational and gestational) is more commonly linked to larger-than-average babies, known as macrosomia or LGA (large for gestational age).
Choice B rationale:
Oligohydramnios is a condition characterized by a decreased volume of amniotic fluid, which can have various causes. While maternal diabetes can contribute to certain complications, it is not a direct cause of oligohydramnios.
Choice C rationale:
Newborn hypoglycemia is a significant complication associated with maternal gestational diabetes. When a pregnant woman has diabetes, her baby may experience high blood sugar levels in the womb, leading to increased insulin production. After birth, the baby's insulin production continues, causing a drop in blood sugar levels, which can result in hypoglycemia. Therefore, this is a complication that should be emphasized in teaching.
Choice D rationale:
Placenta previa is not directly related to maternal gestational diabetes. It is a condition in which the placenta partially or completely covers the cervix, leading to bleeding during pregnancy. It is a separate complication from gestational diabetes and should not be included in teaching about the complications of maternal diabetes.
Correct Answer is D
Explanation
The normal sequence of postpartum vaginal discharge, known as lochia, follows this order:
D. Lochia rubra, lochia serosa, lochia alba.
Here's a quick breakdown:
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Lochia rubra (Days 1–4): Bright red discharge with blood, mucus, and tissue.
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Lochia serosa (Days 4–10): Pinkish or brownish discharge as bleeding slows.
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Lochia alba (Days 10–6 weeks): Yellowish-white discharge as the body completes healing.
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