A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Rust-stained urine
Transient circumoral cyanosis
Single palmar creases
Subconjunctival hemorrhage
The Correct Answer is C
A. Rust-stained urine: This is a common finding in newborns and is due to urate crystals in the urine. It is benign and typically resolves as the infant's kidney function matures.
B. Transient circumoral cyanosis: This is a common finding in newborns, particularly during crying or feeding, and it usually resolves on its own. It does not typically indicate a serious condition.
C. A single palmar crease (also known as a simian crease) can be a normal variant, but it is often associated with certain congenital anomalies or chromosomal disorders, such as Down syndrome. The nurse should report this finding to the provider for further evaluation and possible genetic testing.
D. Subconjunctival hemorrhage: This can occur during delivery due to the pressure of vaginal birth. It is harmless and usually resolves within a few weeks without treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Right upper quadrant: This is not the correct location for hearing the fetal heart rate in the LOA position, as it is on the opposite side and higher than expected.
B. Left upper quadrant: The fetal heart rate in the LOA position is heard below, not above, the maternal umbilicus.
C. Left lower quadrant: The PMI of the fetal heart rate is best heard in the left lower quadrant when the fetus is in the left occipitoanterior position, as the fetal back (closest to the heart) is located on the left side and positioned anteriorly.
D. Right lower quadrant: This site is appropriate for a right occipitoanterior (ROA) fetal position, not LOA.
Correct Answer is D
Explanation
Plan care to minimize handling of the newborn. Neonatal abstinence syndrome (NAS) occurs in newborns who were exposed to addictive substances while in utero, and these newborns can experience symptoms of withdrawal. Minimizing handling can help to decrease stimulation, which can aggravate withdrawal symptoms in the newborn. Scheduling smaller, more frequent feedings is recommended because these newborns may have a poor appetite and a weak suck reflex. Swaddling with the newborn's legs flexed, also known as the "fetal position," can help to decrease stimulation and promote comfort. Maintaining eye contact can provide comfort and promote bonding, but it is not a priority intervention for managing NAS.
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