A nurse is caring for a newborn 4 hours after their birth. Which of the following findings should the nurse report to the provider?

Pale blue hands and feet

Soft grunting noises with respiration

Blood-tinged discharge from the vagina

Positive Babinski reflex

Answer and Explanation

The Correct Answer is B

A. Pale blue hands and feet (acrocyanosis) are normal during the first 24 hours after birth.
B. Soft grunting noises can indicate respiratory distress and should be reported promptly.
C. Blood-tinged vaginal discharge (pseudomenstruation) is normal in newborn females due to maternal hormones.
D. A positive Babinski reflex is a normal neurologic finding in newborns.

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Correct Answer is C

Explanation

A. The tape measure should be placed vertically, not horizontally, over the abdomen to measure fundal height accurately.
B. The client should be in a supine position, not left-lateral, during the measurement.
C. Fundal height is measured from the upper border of the symphysis pubis to the upper border of the uterine fundus.
D. A full bladder can distort the measurement, so the client should have an empty bladder before measuring fundal height.

A. Breast enlargement B. Skin mottling C. Nipple inversion D. Thinning hair

Correct Answer is A

Explanation

A. Breast enlargement is a common and expected change during pregnancy due to hormonal influences.
B. Skin mottling is not a typical pregnancy change.
C. Nipples usually become more prominent or everted, not inverted, during pregnancy.
D. Hair tends to become thicker and fuller during pregnancy, not thinner.

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A nurse is caring for a newborn 4 hours after their birth. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching a client who is at 14 weeks of gestation about expected body changes during pregnancy. Which of the following manifestations should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a newborn 4 hours after their birth. Which of the following findings should the nurse report to the provider?

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