A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

A newborn who has subconjunctival hemorrhage of the left eye

A newborn who has overlapping suture lines

A newborn who has nasal flaring

A newborn who has rust stained urine

Answer and Explanation

The Correct Answer is C

A. Subconjunctival hemorrhage is common after vaginal delivery and usually harmless.
B. Overlapping suture lines are normal in newborns due to molding during birth.
C. Nasal flaring is a sign of respiratory distress and requires immediate assessment.
D. Rust-stained urine can be due to urate crystals and is usually benign in newborns.

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Correct Answer is ["A","E"]

Explanation

A. Inactivated influenza vaccine is safe and recommended during pregnancy to protect both mother and fetus.
B. Human papillomavirus (HPV) vaccine is not recommended during pregnancy.
C. Measles, mumps, and rubella (MMR) vaccine is a live vaccine and contraindicated during pregnancy.
D. Varicella vaccine is live and contraindicated during pregnancy.
E. The Tdap vaccine (diphtheria, acellular pertussis, tetanus) is recommended during each pregnancy, ideally between 27 and 36 weeks gestation to protect the newborn from pertussis.

A. Lay the tape measure horizontally over the middle of the client's abdomen. B. Place the client in a left-lateral position to obtain the measurement. C. Measure from the upper border of the symphysis pubis to the upper border of the fundus D. Ensure that the client has a full bladder before taking the measurement.

Correct Answer is C

Explanation

A. The tape measure should be placed vertically, not horizontally, over the abdomen to measure fundal height accurately.
B. The client should be in a supine position, not left-lateral, during the measurement.
C. Fundal height is measured from the upper border of the symphysis pubis to the upper border of the uterine fundus.
D. A full bladder can distort the measurement, so the client should have an empty bladder before measuring fundal height.

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A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply)

Correct Answer is ["A","E"]

Explanation

A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing a postpartum hemorrhage. Which of the following actions should the nurse take?

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