A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Bulging anterior fontanel

Decreased urine specific gravity

Bounding pulses

Decreased skin turgor

Answer and Explanation

The Correct Answer is D

A.   A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B.   Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C.   Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D.   Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

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Correct Answer is B

Explanation

A. Decreased muscle tone is not typically associated with neonatal abstinence syndrome.
B. Exaggerated Moro reflex, which is a startle response that causes the baby to fling their arms and legs out and then curl them in, is a common signof neonatal abstinence
C. Consoling easily is not a characteristic feature of neonatal abstinence syndrome; these infants are often difficult to console.
D. A high pitched cry is a common symptom of neonatal abstinence syndrome. A weak cry is not anticipated.

A. An increase in platelet count B. A decrease in blood pressure C. A decrease in FHR D. An increase in urinary output

Correct Answer is B

Explanation

A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.

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A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?

Correct Answer is B

Explanation

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