A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?
Obtain rectal temperatures.
Cover the lesion with a dry dressing
Apply snug, clean diapers.
Place the newborn in the prone position.
The Correct Answer is D
The newborn should be placed in prone position to prevent pressure to the lesion which may lead to damage to the contents of the sac. It should be covered with a sterile, wet gauze to maintain the integrity of the sac.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A.The client should limit carbohydrate intake to reduce the risk of gestational diabetes and its complications both in the mother and the fetus.
Glucose monitoring should be done 4 times daily.
C. Metformin is commonly prescribed to manage glucose levels in pregnant individuals with GDM.
D. The client's history of macrosomic newborns and family history of type 1 diabetes mellitus indicate an increased risk for complications such as fetal macrosomia and fetal distress. Nonstress tests are used to assess fetal well-being by monitoring fetal heart rate patterns.
E. With a BMI of 32 and a history of macrosomic newborns, the client is at an increased risk for developing gestational diabetes mellitus (GDM). Regular exercise is important in managing blood glucose levels and reducing the risk of GDM.
Correct Answer is A
Explanation
The likely cause of postpartum hypotension is PPH. Assessing the client should be the first step before initiating management.
B. Oxytocin infusion is used to prevent or manage uterine atony and postpartum hemorrhage.
Assessment should be done before administration of oxytocin.
C. Obtaining a type and crossmatch is important if there is established hemorrhage. Should follow assessment
D. Initiating oxygen therapy by nonrebreather mask should be done after established hypoxemia on assessment of vital signs
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