A nurse is caring for a newborn who is 4 hours old in the Neonatal Intensive Care Unit (NICU).
Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

Answer and Explanation

The Correct Answer is []

•   Neonatal hypoglycemia: The newborn’s blood glucose level is 30 mg/dL, which is below the normal range. This, along with the jitteriness, weak cry, and mottled skin with acrocyanosis, suggests the newborn is most likely experiencing neonatal hypoglycemia.
•   Actions to take: The nurse should administer a 10% dextrose IV bolus as prescribed by the provider to increase the newborn’s blood glucose levels. The nurse should also monitor the newborn’s blood glucose levels every 30 minutes to ensure they are increasing towards the normal range.
•   Parameters to monitor: The nurse should monitor the newborn’s blood glucose levels to ensure they are increasing towards the normal range. The nurse should also monitor the newborn’s heart rate, as tachycardia can be a sign of hypoglycemia. If the newborn’s condition does not improve or worsens, the nurse should notify the healthcare provider immediately.

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Correct Answer is C

Explanation

Step 1: According to Naegele’s rule, we start with the first day of the last menstrual period, which is June 212.
Step 2: We then subtract three months, which gives us March 212.
Step 3: Finally, we add seven days, which gives us March 282. So, the estimated date of delivery in the next year is March 28.

A. Lentils B. Oatmeal C. Cabbage D. Asparagus

Correct Answer is A

Explanation

Choice A rationale
Lentils are a great source of dietary fiber. A cup of cooked lentils contains approximately 15.6 grams of fiber, which is higher than the other options listed.
Choice B rationale
A cup of cooked oatmeal contains about 4 grams of fiber, which is less than lentils.
Choice C rationale
A cup of raw cabbage contains about 2.2 grams of fiber, which is less than lentils.
Choice D rationale
A cup of cooked asparagus contains about 3.7 grams of fiber, which is less than lentils.

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Naxlex Comprehensive Predictor Exams

A nurse is calculating the estimated date of birth using Nagele’s rule for a client who is pregnant and whose last menstrual cycle started June 21. What is the estimated date of delivery in the next year?

Correct Answer is C

Explanation

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which food selection has the highest fiber content per cup?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. What instructions should the nurse include?

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

A nurse on the postpartum unit is caring for four patients. For which of the following patients should the nurse notify the provider?

A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?

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A nurse is providing teaching to a new parent about findings that require notification of the newborn’s provider. Which of the following newborn clinical manifestations should the nurse include in the teaching?

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Select all that apply. Which of the following findings require immediate follow-up? Exhibits