A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb). Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?

Blood pressure 88/40 mm Hg.

Urinary output 40 mL/hr.

Moderate rubra lochia.

Heart rate 90/min.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
A blood pressure of 88/40 mm Hg is lower than the normal range (90/60 to 120/80 mm Hg) and could indicate hemorrhage.
Choice B rationale:
A urinary output of 40 mL/hr is within the normal range (30 to 60 mL/hr) and does not indicate hemorrhage.
Choice C rationale:
Moderate rubra lochia is normal for a postpartum woman and does not indicate hemorrhage.
Choice D rationale:
A heart rate of 90/min is within the normal range (60 to 100 beats/min) and does not indicate hemorrhage.

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Correct Answer is ["0.5"]

Explanation

The correct answer is 0.5 tablet(s). Calculation: The client needs 250 mg per dose, and each tablet is 500 mg. So, 250 mg (required dose) divided by 500 mg (tablet strength) equals 0.5 tablets.

A. Yellowed sclera. B. Stooling after each breastfeeding. C. Intermittent crossing of eyes. D. Voids eight to ten times per day.

Correct Answer is A

Explanation

Choice A rationale:
Yellowed sclera in a newborn could indicate jaundice, which should be reported to the provider.
Choice B rationale:
Stooling after each breastfeeding is normal for a newborn.
Choice C rationale:
Intermittent crossing of eyes is common in newborns and usually resolves by 3 months of age.
Choice D rationale:
Voiding eight to ten times per day is normal for a newborn.

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A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb). Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

A nurse is providing teaching to a new parent about findings that require notification of the newborn's provider. Which of the following newborn clinical manifestations should the nurse include in the teaching?

Correct Answer is A

Explanation

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