A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?

Place the newborn in a radiant warmer.

Monitor the newborn's blood pressure.

Initiate phototherapy.

Obtain blood glucose by heel stick.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Placing the newborn in a radiant warmer is appropriate for managing hypothermia but does not directly address the signs of diaphoresis, jitteriness, and lethargy, which are indicative of hypoglycemia.

Choice B rationale

Monitoring the newborn's blood pressure is not the primary action needed for signs of hypoglycemia. The immediate need is to check blood glucose levels and address any hypoglycemia.

Choice C rationale

Initiating phototherapy is a treatment for hyperbilirubinemia (jaundice) and is not related to the signs of diaphoresis, jitteriness, and lethargy seen in hypoglycemia.

Choice D rationale

Obtaining blood glucose by heel stick is the correct action as the signs of diaphoresis, jitteriness, and lethargy are indicative of hypoglycemia. Checking blood glucose levels will help in diagnosing and managing the condition.

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Correct Answer is A

Explanation

Choice A rationale

Frequent bowel movements help excrete bilirubin, which reduces jaundice. Newborns pass meconium and transitional stools frequently, aiding in bilirubin clearance.

Choice B rationale

A stable temperature is important for overall health, but it does not specifically impact bilirubin levels or jaundice.

Choice C rationale

A newborn should have 6-8 voids per day indicating good hydration, but it is not directly related to reducing jaundice.

Choice D rationale

A heel stick with a glucose level of 60 may indicate glucose monitoring but is not related to jaundice management.

A. A diaphragm must be left in place for 6 hours after intercourse. B. Fertility usually returns within 9 months after stopping Depo-Provera. C. The Ortho Evra patch is replaced every month. D. A male and female condom cannot be used together.

Correct Answer is C

Explanation

Choice A rationale

A diaphragm must be left in place for at least 6 hours after intercourse to prevent sperm from reaching the uterus. This ensures effective contraception.

Choice B rationale

Depo-Provera is a long-acting contraceptive injection, and fertility can return within a few months after stopping, but it may take up to 9-10 months for some women to regain their regular menstrual cycles and fertility.

Choice C rationale

The Ortho Evra patch is a hormonal contraceptive that is applied weekly, not monthly. It needs to be replaced once a week for three weeks, followed by a patch-free week.

Choice D rationale

Male and female condoms should not be used together because they can create friction and cause either or both condoms to break or slip, reducing their effectiveness as contraceptives and increasing the risk of sexually transmitted infections.

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A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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