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

Answer and Explanation

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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Correct Answer is A

Explanation

The correct answer is choice A: Fortified soy milk. Vitamin B12 is found in animal products, so vegans are at risk of vitamin B12 deficiency. Fortified soy milk is a good source of vitamin B12 for vegans.

Choice B, brown rice, choice C, fresh citrus fruits, and choice D, raw carrots, are not good sources of vitamin B12.

A. Respiratory rate 55/min B. Heart rate 72/min C. Temperature 36.5° C (97.7° F) D. Blood pressure 80/50 mm Hg

Correct Answer is B

Explanation

A. A respiratory rate of 55 breaths per minute is within the normal range for a full-term newborn, which is generally between 30 and 60 breaths per minute.

B. A heart rate of 72 beats per minute is significantly lower than the normal range for a newborn. Normal heart rates for newborns typically range from 120 to 160 beats per minute. A heart rate this low could indicate bradycardia, which requires immediate assessment and intervention.

C. A temperature 36.5° C (97.7° F) is slightly below the normal range for newborns, which is typically between 36.6°C to 37.2°C (97.9°F to 99.0°F). However, it may not be immediately concerning unless it is part of a pattern or accompanied by other symptoms.

D. A blood pressure reading of 80/50 mm Hg is within the expected range for a full-term newborn, where typical values are approximately 60-80 mm Hg for systolic and 40-50 mm Hg for diastolic.

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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?

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Naxlex Comprehensive Predictor Exams

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