A nurse is caring for a newborn

Exhibits

Which findings are risk factors for the newborn to develop a complication? Select all that apply

Maternal Rh factor

Gestational age

Apgar scores

Weight

Type of birth

Length

Answer and Explanation

Correct Answer : B,E

A. Maternal Rh factor – The mother is O positive. Rh incompatibility is not a concern here because both mother and newborn are likely Rh positive, and no information suggests Rh incompatibility.
B. Gestational age – The newborn was born at 36 weeks and 4 days, which is considered late preterm and places the infant at increased risk for complications such as respiratory distress, jaundice, hypoglycemia, and feeding difficulties.
C. Apgar scores – Scores of 7 at 1 minute and 8 at 5 minutes are within the normal range and not indicative of distress or a complication risk.
D. Weight – A birth weight of 3,062 g (6 lb 12 oz) is appropriate for gestational age and not a risk factor.
E. Type of birth – Operative vaginal birth using a vacuum extractor increases the risk for complications like cephalohematoma, which is noted in the assessment (firm, edematous scalp area with ecchymosis not crossing suture lines). This can contribute to jaundice.
F. Length – A length of 48 cm (19 in) is appropriate for gestational age and not a risk factor.

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Correct Answer is ["A","D","E"]

Explanation

A. Labor induction with oxytocin increases the risk for uterine atony due to prolonged stimulation of uterine muscles, which predisposes the client to postpartum hemorrhage.
B. A newborn weight of 2.948 kg (6 lb 8 oz) is within normal range and does not increase the risk for postpartum hemorrhage.
C. A history of human papillomavirus (HPV) does not contribute to postpartum hemorrhage risk.
D. A history of uterine atony places the client at high risk for postpartum hemorrhage, as the uterus may fail to contract effectively after delivery.
E. Vacuum-assisted delivery increases the risk of trauma and retained placental fragments, both of which can lead to postpartum hemorrhage.

A. Hypertension B. Bradypnea C. Tachycardia D. Polyuria

Correct Answer is C

Explanation

A. Hypotension, not hypertension, is expected in hemorrhagic shock due to blood loss.
B. Tachypnea, not bradypnea, usually occurs as the body tries to compensate for hypoxia.
C. Tachycardia is an early compensatory response to blood loss to maintain cardiac output.
D. Oliguria (decreased urine output), not polyuria, is expected due to poor perfusion of kidneys in shock.

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A nurse is caring for a newborn Exhibits Which findings are risk factors for the newborn to develop a complication? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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A nurse is caring for a newborn

Exhibits

Which findings are risk factors for the newborn to develop a complication? Select all that apply