A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?

Intercostal space

Xiphoid process

Sternal notch

Nipple line

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Using the intercostal space as a landmark for measuring chest circumference is not standard practice. The intercostal spaces are the spaces between the ribs, and using them as a reference point can lead to inconsistent measurements due to variations in rib spacing and positioning.

Choice B Reason:

The xiphoid process is the lower part of the sternum. While it is a significant anatomical landmark, it is not used for measuring chest circumference in newborns. The xiphoid process is located too low on the chest to provide an accurate and consistent measurement of chest circumference.

Choice C Reason:

The sternal notch, also known as the jugular notch, is the upper part of the sternum. Similar to the xiphoid process, it is not used for measuring chest circumference in newborns. The sternal notch is located too high on the chest and does not provide a consistent reference point for chest circumference measurements.

Choice D Reason:

The nipple line is the correct anatomical landmark for measuring the chest circumference of a newborn. This method ensures that the measurement is taken at a consistent and reproducible location across different individuals, providing an accurate assessment of the chest size relative to growth and development standards.

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Correct Answer is C

Explanation

Choice A Reason:

It is not typical to see products of conception in vaginal bleeding after a D&C, as the procedure is intended to remove all remaining tissue from the uterus. Post-procedure bleeding should be monitored, but the presence of products of conception would indicate an incomplete procedure.

Choice B Reason:

While a balanced diet is important for recovery, there is no specific recommendation to increase the intake of zinc-rich foods following a D&C. The focus should be on overall nutritional support rather than specific nutrients.

Choice C Reason:

Vaginal intercourse can generally be resumed after 2 weeks, provided there are no complications and the client feels comfortable. This allows time for the cervix to close and reduces the risk of infection.

Choice D Reason:

Aspirin is not recommended for pain relief after a D&C because it can increase the risk of bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are typically recommended instead.

A. Cocaine use B. Blunt force trauma C. Hypertension D. Cigarette smoking

Correct Answer is C

Explanation

Choice A reason:

Cocaine use: Cocaine use during pregnancy is a significant risk factor for placental abruption. Cocaine causes vasoconstriction, which can reduce blood flow to the placenta and lead to its premature separation from the uterine wall. However, it is not the most common risk factor.

Choice B reason:

Blunt force trauma: Trauma to the abdomen, such as from a car accident or a fall, can cause placental abruption. This type of trauma can lead to the separation of the placenta from the uterine wall, resulting in bleeding and potential complications for both the mother and the fetus.

Choice C reason:

Hypertension: Hypertension, or high blood pressure, is the most common risk factor for placental abruption. Chronic hypertension or pregnancy-induced hypertension (preeclampsia) can damage the blood vessels in the placenta, leading to its premature separation. This condition can significantly increase the risk of placental abruption and is a critical factor to monitor in pregnant women.

Choice D reason:

Cigarette smoking: Smoking during pregnancy is another risk factor for placental abruption. Nicotine and other harmful substances in cigarettes can affect placental blood flow and increase the risk of abruption. However, like cocaine use, it is not the most common risk factor.

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A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?

Nursing Test Bank

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Explanation

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