A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?

Decreased circulating RBC

Blood glucose instability

Retinopathy

Well-rounded abdomen

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Newborns who are small for gestational age (SGA) are not at risk of having decreased circulating red blood cells (RBCs).
Choice B rationale:
Blood glucose instability is a common finding in SGA newborns.
Choice C rationale:
Retinopathy is not typically associated with being small for gestational age in newborns.
Choice D rationale:
A well-rounded abdomen is not specifically associated with being small for gestational age. SGA newborns often have a smaller body size compared to their gestational age, and their abdomen may appear proportionally smaller.

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Correct Answer is C

Explanation

Choice A rationale:
A gynaecoid pelvis is considered the most favorable pelvic shape for childbirth and is not a contributing cause of difficult, prolonged labor.
Choice B rationale:

A longitudinal fetal lie (baby's spine aligned with the mother's spine) is a normal and favorable presentation for birth and is not a contributing cause of difficult, prolonged labor.
Choice C rationale:
A persistent occiput posterior position (baby's head facing the mother's abdomen instead of her back) can be a contributing cause of difficult, prolonged labor and may lead to a severe backache for the mother.
Choice D rationale:
Fetal attitude in general flexion (baby's head flexed forward, chin to chest) is a normal and favorable presentation for birth and is not a contributing cause of difficult, prolonged labor.

A. The client has had significant blood loss during the procedure. B. The client has previously given birth to an Rh-negative infant. C. The client is Rh-negative D. The client has expressed a desire to conceive again.

Correct Answer is C

Explanation

Choice A rationale: RhoGAM is not given solely based on blood loss. It is administered to prevent Rh isoimmunization, which is unrelated to the amount of blood loss.
Choice B rationale: If the client has previously given birth to an Rh-negative infant, she is already sensitized and would not require RhoGAM for this current ectopic pregnancy.
Choice C rationale: Rho(D) Immune globulin (RhoGAM) is given to Rh-negative individuals to prevent the development of Rh isoimmunization, which could occur if the client is exposed to Rh-positive blood. In the case of an ectopic pregnancy, there may be a possibility of fetal blood mixing with the mother's bloodstream, which could lead to sensitization in an Rh-negative individual.
Choice D rationale: The desire to conceive again does not dictate the need for RhoGAM. It is solely based on the client's Rh factor status and the potential for sensitization during the ectopic pregnancy.

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A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache. Which of the following factors is a contributing cause of difficult, prolonged labor?

Correct Answer is C

Explanation

A nurse is caring for a client in the immediate postoperative period following the removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D) Immune globulin?

Correct Answer is C

Explanation

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