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 B

Explanation

Choice A rationale

While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.

Choice B rationale

The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.

Choice C rationale

The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.

Choice D rationale

The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.

A. It is used to stop preterm labor contractions. B. It increases the fetal heart rate. C. It promotes fetal lung maturity. D. It is used to promote relaxation and alleviate anxiety.

Correct Answer is A

Explanation

Choice A rationale

Magnesium sulfate is used in preterm labor to suppress contractions and delay the birth of a preterm baby. It works by lowering the amount of calcium in the uterine muscles, which in turn encourages muscle relaxation. This effect can help slow or inhibit contractions, allowing more time for the administration of corticosteroids before birth. Corticosteroids can improve a baby’s lung function and reduce the risk of dying by 40 percent if given within 48 hours. Therefore, magnesium sulfate is used to stop preterm labor contractions.

Choice B rationale

Magnesium sulfate does not directly increase the fetal heart rate. Its primary role in the context of preterm labor is to inhibit contractions.

Choice C rationale

While magnesium sulfate is used in the context of preterm labor, it does not directly promote fetal lung maturity. However, by delaying delivery, it allows more time for the administration of corticosteroids, which can enhance the baby’s lung function.

Choice D rationale

While magnesium sulfate can have a muscle-relaxing effect, its primary use in the context of preterm labor is not to promote relaxation or alleviate anxiety in the mother. Its main role is to inhibit uterine contractions.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

Correct Answer is B

Explanation

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.The client has a new prescription for magnesium sulfate.Which of the following explanations should the nurse provide about the purpose of this medication?

Correct Answer is A

Explanation

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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?