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 D

Explanation

The correct answer is choiced. Inform the client about the possible need for reduction of multiple fetuses.

Choice A rationale:

Instructing the client not to use donor oocytes is not accurate.Donor oocytes can be a viable option for clients with certain infertility issues, such as ovarian insufficiency or genetic concerns.

Choice B rationale:

Informing the client that sperm will be introduced to the uterus during ovulation is incorrect.In vitro fertilization involves fertilizing the eggs outside the body in a laboratory setting, not directly introducing sperm into the uterus.

Choice C rationale:

Instructing the client to avoid freezing embryos for possible use in the future is not appropriate.Freezing embryos is a common practice in IVF to allow for future attempts if the initial cycle is unsuccessful.

Choice D rationale:

Informing the client about the possible need for reduction of multiple fetuses is correct.IVF can result in multiple pregnancies, and in some cases, fetal reduction may be recommended to ensure the health and safety of the mother and remaining fetuses.

A. Move the client onto their hands and knees B. Apply pressure to the client’s fundus C. Assist the client in pulling their knees toward their abdomen D. Press firmly on the client’s suprapubic area

Correct Answer is C

Explanation

Choice A rationale
Moving the client onto their hands and knees is not the primary action taken during the McRoberts maneuver. The McRoberts maneuver involves an obstetrician or other healthcare provider flexing the patient’s thighs toward their abdomen.
Choice B rationale

Applying pressure to the client’s fundus is not the primary action taken during the McRoberts maneuver. The McRoberts maneuver involves an obstetrician or other healthcare provider flexing the patient’s thighs toward their abdomen.
Choice C rationale
This is the correct answer. The McRoberts maneuver involves an obstetrician or other healthcare provider flexing the patient’s thighs toward their abdomen. This maneuver helps to rotate the pelvis and open the sacrum to release the baby’s shoulder.
Choice D rationale
Pressing firmly on the client’s suprapubic area is not the primary action taken during the McRoberts maneuver. The McRoberts maneuver involves an obstetrician or other healthcare provider flexing the patient’s thighs toward their abdomen.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization. What information should the nurse provide to the client?

Correct Answer is D

Explanation

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.Which of the following actions should the nurse take?

Correct Answer is C

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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?