A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1° C (97° F). Which of the following actions should the nurse take?

Apply a cap to the newborn's head.

Give the newborn a warm bath.

Reposition the newborn.

Obtain an oxygen saturation level.

Answer and Explanation

The Correct Answer is A

A. Apply a cap to the newborn's head: This is an appropriate intervention to conserve heat in a mildly hypothermic newborn. It is a standard practice to maintain thermal neutrality, especially in the first hours after birth.

B. Give the newborn a warm bath: Bathing is not appropriate for a newborn with a low temperature. Bathing could worsen heat loss and further lower the newborn's body temperature.

C. Reposition the newborn: While repositioning may improve comfort or support effective respiration, it does not directly address the low temperature.

D. Obtain an oxygen saturation level: The respiratory rate (50/min) and heart rate (130/min) are within the normal range for a newborn. Unless other signs of respiratory distress or cyanosis are present, this action is unnecessary.

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Correct Answer is B

Explanation

Glyburide is an oral hypoglycemic medication used to control blood glucose levels in individuals with type 2 diabetes. It is also used in the management of gestational diabetes mellitus (GDM) when dietary and lifestyle interventions alone are not sufficient to control blood glucose levels. Glyburide works by stimulating the pancreas to release insulin and also by increasing the sensitivity of peripheral tissues to insulin. It is preferred over insulin injections because it is easier to administer and monitor, and it does not pose a risk of hypoglycemia as long as blood glucose levels are closely monitored. In addition, glyburide does not cross the placenta, which minimizes the risk of fetal hypoglycemia. However, some studies have suggested that glyburide may be associated with an increased risk of neonatal hypoglycemia and macrosomia (large birth weight), so careful monitoring of the mother and fetus is required. Other medications such as levothyroxine, nifedipine, and chlorpromazine are not used in the management of gestational diabetes mellitus.

A. Cervical dilation B. Scant, bright red spotting C. Slight abdominal cramps D. Elevated hcG

Correct Answer is A

Explanation

. The nurse should report cervical dilation to the provider as an indication of an imminent spontaneous abortion. Cervical dilation is a sign of cervical incompetence and can lead to spontaneous abortion. Scant, bright red spotting is a common finding in early pregnancy and may not indicate an imminent spontaneous abortion. Slight abdominal cramps can also be a normal finding in early pregnancy. Elevated hcG levels can indicate a viable pregnancy.

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A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1° C (97° F). Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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