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

Explanation

A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.

A. A newborn who has subconjunctival hemorrhage of the left eye B. A newborn who has overlapping suture lines C. A newborn who has nasal flaring D. A newborn who has rust stained urine

Correct Answer is C

Explanation

A. Subconjunctival hemorrhage is common after vaginal delivery and usually harmless.
B. Overlapping suture lines are normal in newborns due to molding during birth.
C. Nasal flaring is a sign of respiratory distress and requires immediate assessment.
D. Rust-stained urine can be due to urate crystals and is usually benign in newborns.

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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 in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

Correct Answer is C

Explanation

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A nurse is caring for a client who is in active labor. The nurse notes late decelerations in the FHR on the fetal monitor tracing. Which of the following actions should the nurse take first?

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

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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