A nurse is caring for a newborn immediately following birth.

Exhibits

A nurse is assessing the newborn 24 hours later. Based on the exhibits provided, which findings indicate that the newborn’s condition is improving, worsening, or unrelated to the diagnosis?

WBC count 18,000/mm³

Hgb 18 g/dL

Hct 55%

Blood glucose 50 mg/dL

Axillary temperature 36.8°C

Heart rate 130/min

Answer and Explanation

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

•   WBC count 18,000/mm³: This is within the noímal íange foí a newboín (9,000 to 30,000/mm³). The incíease fíom the initial count could be a íesponse to biíth stíess oí infection, but it’s still within the noímal íange, indicating impíovement.
•   Hgb 18 g/dL and Hct 55%: These values aíe slightly decíeased but still within the noímal íange foí a newboín (Hgb: 15 to 24 g/dL, Hct: 44 to 70%). These changes aíe likely uníelated to the newboín’s condition.
•   Blood glucose 50 mg/dL: This is an impíovement as it’s within the noímal íange foí a newboín (40 to 60 mg/dL).
•   Axillaíy tempeíatuíe 36.8°C: This is closeí to the noímal íange (36.5 to 37.5°C) compaíed to the initial tempeíatuíe, indicating impíovement.
•   Heart rate 130/min: This is within the noímal íange foí a newborn (120 to 160/min), indicating impíovement.

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Correct Answer is B

Explanation

Choice A rationale
Uterine hypertonicity is not typically associated with placenta previa. Hypertonicity refers to an overly active uterus with contractions that are too strong, too long, or too close together.
Choice B rationale
Painless vaginal bleeding is a classic symptom of placenta previa. The bleeding is usually bright red and can be heavy.
Choice C rationale

Persistent headache is not a typical symptom of placenta previa. It is more commonly associated with conditions like preeclampsia.
Choice D rationale
Fetal distress is not a direct symptom of placenta previa, but it can occur if the placenta is not providing enough oxygen and nutrients to the fetus.

A. Absent Moro reflex B. Weak cry C. Poor feeding D. Respiratory rate of 30/min

Correct Answer is B

Explanation

Choice A rationale
An absent Moro reflex is not typically associated with neonatal abstinence syndrome (NAS), a condition that can occur in newborns exposed to opioids in utero.
Choice B rationale
A weak cry is a common symptom of NAS. Newborns with this syndrome often have high- pitched or weak cries.
Choice C rationale
Poor feeding is a symptom of NAS, but it is not the most specific symptom in this context.
Choice D rationale
A respiratory rate of 30/min is within the normal range for a newborn and is not indicative of NAS5.

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A nurse is caring for a newborn immediately following birth. Exhibits A nurse is assessing the newborn 24 hours later. Based on the exhibits provided, which findings indicate that the newborn’s condition is improving, worsening, or unrelated to the diagnosis?

Nursing Test Bank

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Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a newborn immediately following birth.

Exhibits

A nurse is assessing the newborn 24 hours later. Based on the exhibits provided, which findings indicate that the newborn’s condition is improving, worsening, or unrelated to the diagnosis?