A nurse is caring for a newborn who is small for gestational age. Which of the following findings is associated with this condition?
Protruding abdomen
Gray umbilical cord
Moist skin
Wide skull sutures
The Correct Answer is D
Choice A rationale:
A protruding abdomen is not specifically associated with being small for gestational age and can have various other causes in newborns.
Choice B rationale:
A gray umbilical cord is not a typical finding associated with being small for gestational age. Choice C rationale:
Moist skin is not a specific finding associated with being small for gestational age and can be observed in all newborns.
Choice D rationale:
Wide skull sutures are associated with being small for gestational age, as the skull bones may not fully close due to restricted growth in the womb.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Encouraging the client to nurse more frequently will help with milk production and breastfeeding but is not the priority action based on the data provided.
Choice B rationale:
A temperature elevation above 38°C (100.4°F) in the postpartum period can indicate infection. The nurse should report this finding to the healthcare provider for further evaluation and management.
Choice C rationale:
Increasing IV fluids is not indicated based on the data provided. The client's vital signs are within the expected range for the postpartum period.
Choice D rationale:
Emptying the bladder can be important to prevent bladder distention and discomfort, but it is not the priority action based on the data provided.
Correct Answer is B
Explanation
Choice A rationale: An increase in breast milk production is a normal physiological response during breastfeeding and does not indicate mastitis.
Choice B rationale: Mastitis is an inflammation of the breast tissue, usually caused by infection. It commonly occurs in breastfeeding women and is characterized by redness, warmth, swelling, and pain in one breast. The affected breast may also be tender and sore to the touch.
Choice C rationale: Swelling in both breasts is a common occurrence during the early days of breastfeeding as the milk supply adjusts to the baby's needs. It is not specific to mastitis.
Choice D rationale: Cracked and bleeding nipples can be a result of improper latch or positioning during breastfeeding, but they are not specific to mastitis.
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