A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?

Obtain the newborn's weight.

Administer IM vitamin K.

Apply identification bands to the newborn.

Apply prophylactic eye ointment.

Answer and Explanation

The Correct Answer is C

Identification bands are an important safety measure to ensure that the newborn is properly identified and matched with the correct mother. Applying identification bands to the newborn and mother is a standard practice in all healthcare settings and is typically done immediately following delivery.

While obtaining the newborn's weight, administering IM vitamin K, and applying prophylactic eye ointment are also important interventions for a newborn, they should be done after the identification bands are applied. The order of priority for these interventions may vary depending on the healthcare facility's policies and procedures, but ensuring proper identification of the newborn is always the first step to ensure patient safety.

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Correct Answer is C

Explanation

The nurse should report a platelet count of 60,000/mm to the provider as this value is below the normal range and can indicate severe preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical intervention. The other values are within normal range for pregnancy.

A. Hypotonicity B. Decreased startle response C. High-pitched cry D. Increased head circumference

Correct Answer is C

Explanation

A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as a result of central nervous system irritability. Other possible findings may include hypertonicity, exaggerated startle response, and decreased head circumference. Hypotonicity is not a typical finding in a newborn exposed to cocaine in utero.

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A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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