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. .

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale:

Abdominal pain with minimal red vaginal bleeding is more suggestive of abruptio placentae rather than placenta previa. Placenta previa is characterized by painless vaginal bleeding, and the absence of pain is a key distinguishing factor in its diagnosis. Therefore, this finding does not align with the typical presentation of placenta previa.

Choice B rationale:

Severe abdominal pain with increasing fundal height is not consistent with the typical presentation of placenta previa. Placenta previa is generally associated with painless vaginal bleeding, and fundal height measurements are not typically used to diagnose placenta previa. This finding suggests a different condition, such as abruptio placentae, which involves painful bleeding with a rising fundal height.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more characteristic of preterm labor or other conditions, not placenta previa. Placenta previa is primarily associated with painless, bright red vaginal bleeding without contractions or pain. Therefore, this finding does not align with the typical presentation of placenta previa.

A. Lochia alba, lochia rubra, lochia serosa. B. Lochia serosa, lochia alba, lochia rubra. C. Lochia rubra, lochia alba, lochia serosa. D. Lochia rubra, lochia serosa, lochia alba.

Correct Answer is C

Explanation

Choice A rationale:

Lochia alba, lochia rubra, lochia serosa is not the normal sequence of postpartum vaginal discharge. Lochia rubra is the initial discharge after childbirth, characterized by the presence of red blood and may contain clots. Lochia serosa follows, which is a pinkish or brownish discharge as the bleeding starts to decrease. Lochia alba is the final stage, characterized by a white or yellowish discharge as the body continues to heal.

Choice B rationale:

Lochia serosa, lochia alba, lochia rubra is not the normal sequence of postpartum vaginal discharge. Lochia serosa typically follows lochia rubra, and lochia alba is the final stage.

Choice D rationale:

Lochia rubra, lochia serosa, lochia alba is also not the correct sequence. As mentioned earlier, lochia alba is the final stage of postpartum vaginal discharge. The normal sequence of postpartum vaginal discharge is as follows: Lochia rubra (red), Lochia serosa (pinkish or brownish), and Lochia alba (white or yellowish) as the body heals and recovers from childbirth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa.For which of the following findings should the nurse monitor the client?

Correct Answer is C

Explanation

Which of the following reflects the normal sequence of postpartum vaginal discharge?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum. Which of the following instructions should the nurse include?

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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?