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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale

It is not recommended to increase weight-bearing exercises during pregnancy. Weight-bearing exercises can put additional stress on the joints, which are already under strain due to the increased weight and changes in body shape during pregnancy.

Choice B rationale

It is not necessary to refrain from exercises that include stretching during pregnancy. In fact, gentle stretching can be beneficial to help alleviate some common discomforts of pregnancy such as backache and leg cramps.

Choice C rationale

Moderate exercise does improve circulation. Improved circulation can help reduce swelling, varicose veins, and feelings of fatigue, which are common during pregnancy.

Choice D rationale

It is not necessary to rest for 30 minutes before each new exercise. However, pregnant women should listen to their bodies and rest if they feel tired.

A. Call the family and ask them to stay with the client B. Apply wrist and leg restraints to the client C. Administer medication to sedate the client D. Move the client to a room closer to the nurses’ station

Correct Answer is D

Explanation

Choice D rationale

Moving the client to a room closer to the nurses’ station is an appropriate action to address the safety needs of an older adult client who is becoming increasingly restless and intermittently confused. This allows for closer observation and quicker intervention if needed.

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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?

Nursing Test Bank

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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?