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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?

A.

Hgb 9.5 g/dL

B.

Platelets 225,000/mm3

C.

Glucose 60 mg/dL

D.

WBC 10,000/mm

Answer and Explanation

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.


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Related Questions

Correct Answer is B

Explanation

A) Incorrect- Foul-smelling vaginal discharge might indicate infection but is not the priority over the presence of meconium-stained amniotic fluid.
B) Correct- Fetal heart rate is important to monitor, but the presence of meconium- stained amniotic fluid has higher priority. fetal heart tones 98/min, because this indicates fetal distress and requires immediate intervention.
C) Incorrect - Amniotic fluid with meconium noted could indicate fetal hypoxia or distress, but it is not always a sign of a problem and depends on other factors such as gestational age and fetal activity.
D) Incorrect- Maternal temperature elevation might indicate infection but is not the priority over assessing the condition of the amniotic fluid and the baby.

Correct Answer is A

Explanation

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.

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