A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?

Puncture the heel on the inner aspect of the foot.

Use an automatic puncture device on the heel.

Cleanse the newborn's heel with an alcohol swab after the procedure.

Place an ice pack on the newborn's heel 5 min before the procedure.

Answer and Explanation

The Correct Answer is B

“Use an automatic puncture device on the heel.” This is the most common and minimally invasive method to draw capillary blood from an infant for medical testing.

Choice A is incorrect because the heel should be punctured on the outer aspect of the foot to avoid damaging the calcaneus bone.

Choice C is incorrect because the heel should be cleansed with an alcohol swab

before, not after, the procedure.

Choice D is incorrect because there is no need to place an ice pack on the newborn’s heel before the procedure.

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Correct Answer is D

Explanation

Do not retract the foreskin to clean your baby’s penis during each diaper change.

The foreskin should not be retracted for cleaning during infancy.

Choice A is incorrect because you should clean around the umbilical cord stump with plain water and blot dry until it falls oﬀ naturally.

Choice B is incorrect because swaddling a baby tightly with their legs extended is not recommended.

Choice C is incorrect because a newborn should urinate at least six times a day.

A. Creatinine 0.8 mg/dL. B. Platelet count 60,000/mm. C. Hemoglobin 148 g/dL. D. Urine protein concentration 200.

Correct Answer is B

Explanation

A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.

Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.

Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.

Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.

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A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?

Correct Answer is D

Explanation

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

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