A nurse is assessing a newborn’s color and oxygenation.
What is the term for the bluish discoloration of the hands and feet that is normal in newborns?
Acrocyanosis
Cyanosis
Pallor
Jaundice
The Correct Answer is A
Acrocyanosis is the term for the bluish discoloration of the hands and feet that is normal in newborns. It is caused by poor peripheral circulation and ineffective temperature regulation. It usually disappears within 24 to 48 hours after birth.
Choice B is wrong because cyanosis is the bluish discoloration of the skin and mucous membranes that indicates inadequate oxygenation.
It is not normal in newborns and requires immediate intervention.
Choice C is wrong because pallor is the paleness of the skin that indicates poor perfusion or anemia.
It is not normal in newborns and requires further evaluation.
Choice D is wrong because jaundice is the yellowish discoloration of the skin and sclera that indicates elevated bilirubin levels.
It is not normal in newborns within the first 24 hours of life and may indicate hemolytic disease or liver dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Acrocyanosis is the term for the bluish discoloration of the hands and feet that is normal in newborns.It is caused by poor peripheral circulation and ineffective temperature regulation.It usually disappears within 24 to 48 hours after birth.
Choice B is wrong because cyanosis is the bluish discoloration of the skin and mucous membranes that indicates inadequate oxygenation.
It is not normal in newborns and requires immediate intervention.
Choice C is wrong because pallor is the paleness of the skin that indicates poor perfusion or anemia.
It is not normal in newborns and requires further evaluation.
Choice D is wrong because jaundice is the yellowish discoloration of the skin and sclera that indicates elevated bilirubin levels.
It is not normal in newborns within the first 24 hours of life and may indicate hemolytic disease or liver dysfunction.
Correct Answer is A
Explanation
The nurse should perform a blood pressure assessment before giving methylergonovine to a client who has postpartum hemorrhage because methylergonovine can cause hypertension and cerebrovascular accidents.The nurse should administer methylergonovine over more than one minute and monitor blood pressure.
Choice B. Temperature is wrong because temperature is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.
Choice C. Respiratory rate is wrong because respiratory rate is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.
Choice D. Blood glucose is wrong because blood glucose is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.
Postpartum hemorrhage is severe vaginal bleeding after childbirth that can lead to shock and death.
The major causes of postpartum hemorrhage are uterine atony, lacerations, retained placenta or clots, and clotting factor deficiency.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.