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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An amniotic fluid index of 1 cm is abnormally low (oligohydramnios) and indicates potential fetal compromise, so this finding does not reflect fetal well-being.
B. Fetal limb movements are an important indicator of fetal activity and neurological function. Observing four or more discrete limb movements in 30 minutes meets one of the criteria for a reassuring biophysical profile, suggesting the fetus is active and neurologically intact.
C. A nonreactive nonstress test indicates the fetus is not showing adequate heart rate accelerations in response to movement, which can signal potential hypoxia or fetal compromise.
D. Sustained fetal breathing movements of 20 seconds in 30 minutes are desirable, but the minimum standard for the BPP is usually one or more episodes of 30 seconds within 30 minutes; 20 seconds alone may not meet the threshold, making limb movements a more reliable indicator in this scenario.
Correct Answer is B
Explanation
A. There is no vaccine for hepatitis C; vaccines exist for hepatitis A and B.
B. Syphilis can be cured effectively with penicillin, especially in early stages.
C. Gonorrhea can be treated and cured with appropriate antibiotics.
D. Genital herpes simplex virus is a viral infection and cannot be cured with antibiotics; antiviral medications manage symptoms.
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