A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?
Hgb 9.5 g/dL
Platelets 225,000/mm3
Glucose 60 mg/dL
WBC 10,000/mm
The Correct Answer is A
A) Correct - A hemoglobin level of 9.5 g/dL in a full-term newborn is lower than the expected range and should be reported to the provider for further evaluation.
B) Incorrect- Platelets of 225,000/mm3 are within the normal range for newborns and do not require immediate reporting.
C) Incorrect- A glucose level of 60 mg/dL is within the normal range for a newborn and does not require immediate reporting.
D) Incorrect- A white blood cell count of 10,000/mm3 is within the normal range for a newborn and does not require immediate reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect- A reddened area on the calf might indicate a potential blood clot (deep vein thrombosis), which is important to assess but may not be the highest priority.
B) Incorrect- Painful uterine contractions during breastfeeding can be a normal response due to oxytocin release during breastfeeding and might not require immediate reporting.
C) Correct - A urinary output of 125 mL in 4 hours is significantly low and could indicate inadequate fluid intake, potential urinary retention, or other issues that need prompt attention. It is a sign of impaired renal function. This could indicate dehydration, blood loss, infection, or kidney injury. The nurse should assess the client's fluid intake and output, vital signs, urine specific gravity, and serum electrolyte levels. The nurse should also monitor the client for signs of hypovolemia, such as tachycardia, hypotension, and decreased skin turgor.
D) Incorrect- Changing a perineal pad every 2 hours is within the normal range for postpartum bleeding and might not require immediate reporting.
Correct Answer is D
Explanation
A) Incorrect- The Papanicolaou (Pap) test is not used to determine ovulation status.
B) Incorrect-The Pap test is used to detect abnormal cervical cells and cervical cancer, not endometriosis.
C) Incorrect- The Pap test is not a procedure for removing uterine fibroids.
D) Correct - The primary purpose of the Pap test (Pap smear) is to detect abnormal cervical cells that could indicate the presence of cervical cancer or precancerous conditions.
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