A nurse is attending to a newborn 2 hours after birth.
Which four observations should the nurse report to the healthcare provider?

Body temperature.

Respiratory assessment.

Serum glucose level.

White blood cell count.

Answer and Explanation

The Correct Answer is C

Hypoglycemia, or low blood sugar, is a common condition in newborns, especially those born to mothers with diabetes, those who are small for their gestational age, or those who have been stressed during birth. It’s important to monitor the newborn’s serum glucose level and report any abnormalities to the healthcare provider.

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Correct Answer is A

Explanation

The correct answer is Choice A........ Therefore, it poses the greatest risk to a newborn who is 30 minutes old...... However, it is less immediately life-threatening compared to meconium aspiration syndrome...... However, it is less immediately life-threatening compared to meconium aspiration syndrome. . Glucose is the main source of fuel for the brain and the body. In a newborn baby, low blood sugar can happen for many reasons. . However, it is less immediately life-threatening compared to meconium aspiration syndrome.

Choice E rationale

Jaundice due to color of amniotic fluid is not a recognized medical condition........................... However, it is less immediately life-threatening compared to meconium aspiration syndrome.

A. Evaluate the firmness of the uterus. B. Administer oxytocin infusion. C. Obtain a type and crossmatch. D. Initiate oxygen therapy by nonrebreather mask.

Correct Answer is A

Explanation

Choice A rationale

If a nurse notes that a client’s blood pressure is 60/50 mm Hg two hours after giving birth, the first action should be to evaluate the firmness of the uterus. This is because a soft or “boggy” uterus could indicate uterine atony, a condition where the uterus fails to contract after delivery, leading to excessive bleeding and a drop in blood pressure.

Choice B rationale

Administering oxytocin infusion can help stimulate uterine contractions and control postpartum bleeding. However, it is not the first action to take. The nurse should first assess the firmness of the uterus.

Choice C rationale

Obtaining a type and crossmatch is important if a blood transfusion is required. However, this is not the first action. The nurse should first assess the firmness of the uterus.

Choice D rationale

Initiating oxygen therapy can help ensure adequate oxygen supply to the tissues, but it is not the first action. The nurse should first assess the firmness of the uterus.

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A nurse is attending to a newborn 2 hours after birth. Which four observations should the nurse report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who is 30 minutes old. After reviewing the information in the newborn’s medical record, which of the following complications should the nurse identify as posing the greatest risk?

Correct Answer is A

Explanation

Choice E rationale

A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client’s blood pressure is 60/50 mm Hg. What should be the nurse’s first action?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse is attending to a newborn 2 hours after birth.
Which four observations should the nurse report to the healthcare provider?