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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.

Hemoglobin 9.5 g/dL.

B.

White blood cell count 10,000/mm³.

C.

Glucose 60 mg/dL.

D.

Platelets 225,000/mm³.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A hemoglobin level of 9.5 g/dL is low for a full-term newborn and should be reported to the provider. Normal hemoglobin levels for newborns range from 14 to 24 g/dL4.

Choice B rationale

A white blood cell count of 10,000/mm³ is within the normal range for a newborn, which is typically between 9,000 and 30,000/mm³4.

Choice C rationale

A glucose level of 60 mg/dL is within the normal range for a newborn, which is typically between 40 and 60 mg/dL4.

Choice D rationale

A platelet count of 225,000/mm³ is within the normal range for a newborn, which is typically between 150,000 and 450,000/mm³4.


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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}

Explanation

  1. Perform a Nitrazine test:Anticipated. This test helps confirm if the membranes have ruptured, which is consistent with the client’s report of fluid leakage.
  2. Ensure the client maintains a supine position:Contraindicated. Prolonged supine positioning can reduce blood flow to the fetus and cause maternal hypotension. It’s better to encourage side-lying positions.
  3. Prepare the client for catheterization:Nonessential. The client is able to void on her own, so catheterization isn’t necessary at this point.
  4. Check client’s temperature every hour:Anticipated. Regular temperature checks are important to monitor for signs of infection, especially after membrane rupture.
  5. Encourage frequent ambulation:Anticipated. Ambulation can help progress labor and is generally encouraged if there are no contraindications.
  6. Obtain CBC blood sample:Anticipated. A CBC can provide important information about the client’s overall health and detect any potential issues like infection or anemia.
  7. Check FHR every 30 min:Anticipated. Regular monitoring of the fetal heart rate is crucial to ensure the well-being of the fetus during labor.

Correct Answer is A

Explanation

Choice A rationale

Oral contraceptives decrease the risk for endometrial cancer by regulating the menstrual cycle and reducing the frequency of ovulation, which lowers the exposure of the endometrium to estrogen.

Choice B rationale

Combined estrogen-progestin contraceptive pills typically shorten and lighten menstrual periods, rather than causing longer periods.

Choice C rationale

Medroxyprogesterone acetate injections are administered every three months, not once per month.

Choice D rationale

Diaphragms need to be replaced every 1-2 years, not every 4 years, to ensure proper fit and effectiveness.

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