A nurse is caring for a newborn who is 8 hours old.
Based on the information in the newborn’s medical record, the nurse determines that the newborn is at risk for developing which of the following complications?
Hypoglycemia.
Neonatal abstinence syndrome.
Hyperbilirubinemia.
Drug withdrawal symptoms.
The Correct Answer is A
Choice A rationale
Hypoglycemia is a common complication in newborns, especially those who are 8 hours old. The newborn’s body has not yet fully developed the ability to regulate blood sugar levels, leading to hypoglycemia.
Choice B rationale
Neonatal abstinence syndrome is typically seen in newborns exposed to addictive illegal or prescription drugs while in the mother’s womb. Without additional context, it’s not clear if this applies to the newborn in question.
Choice C rationale
Hyperbilirubinemia, or jaundice, is a condition that can occur in newborns, usually a few days after birth. However, it’s less likely to develop within the first 8 hours of life.
Choice D rationale
Drug withdrawal symptoms are similar to neonatal abstinence syndrome and occur in newborns who have been exposed to certain drugs while in the womb. Again, without additional context, it’s not clear if this applies to the newborn in question.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Assessing the amniotic fluid is important after rupture of membranes, but it is not the immediate priority. The nurse should first ensure the safety of the mother and baby.
Choice B rationale
Walking the patient to the bathroom is not the immediate priority. After rupture of membranes, the patient should be assisted back to bed to prevent cord prolapse.
Choice C rationale
Calling and informing the healthcare provider is important, but it is not the first action. The nurse should first assist the patient back to bed and initiate fetal monitoring.
Choice D rationale
Assisting the patient back to bed and initiating fetal monitoring is the correct action. After rupture of membranes, the priority is to assess the fetal heart rate for any signs of distress, such as bradycardia, which could indicate cord prolapse.
Correct Answer is B
Explanation
Choice A rationale
A moderate amount of swelling is not normal during a testicular self-examination. Any swelling or lumps should be reported to a healthcare provider for further evaluation.
Choice B rationale
The testicles should indeed be examined after a bath or shower. The warmth of the water relaxes the scrotal sac and makes it easier to feel for any abnormalities. This is the correct answer.
Choice C rationale
The testicular self-examination should not be performed twice a week. It is recommended to perform the examination once a month.
Choice D rationale
Abnormalities are not detected by pinching the testicles. Instead, the testicles should be rolled gently between the fingers and thumb to feel for any lumps or bumps.
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