A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

Check the newborn's skin for ecchymosis.

Assist the mother to breastfeed the newbom after birth.

Obtain a stool sample of meconium.

Assist with administering a blood transfusion to the newborn.

Check the newborn's blood glucose level.

Answer and Explanation

Correct Answer : A,B,E

A)   Correct - Checking the newborn's skin for ecchymosis can help identify potential birth-related injuries, as large-for-gestational-age newborns might experience more trauma during delivery.
B)   Correct - Breastfeeding can help regulate the newborn's blood glucose levels and provide necessary nutrients.
C)   Incorrect- Meconium is the early stool passed by a newborn and might be checked for various reasons but is not specifically related to a large-for-gestational-age newborn.
D)   Incorrect- Administering a blood transfusion to a newborn is not typically a part of the care plan for large-for-gestational-age newborns.
E)   Correct- The nurse should check the newborn's blood glucose level regularly and provide interventions as needed.

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Correct Answer is C

Explanation

A) Incorrect- The water heater temperature should be set to 49.4°C (120°F) or below to prevent scalding. The given temperature is slightly too high.
B) Incorrect- Soft bumper pads in cribs can pose a suffocation risk and are not recommended.
C) Correct - Washing the newborn's face with a warm, soapy washcloth is a safe way to cleanse the baby's face. Harsh chemicals or strong soaps should be avoided.
D) Incorrect- Pillows should not be placed under a newborn's head during naps to reduce the risk of suffocation. The baby's sleep environment should be free of soft bedding.

A. "You will have a group B strep culture at 36 weeks of gestation." B. "You will have to produce a clean catch urine specimen every 2 months." C. "You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation. D. "You will have a screening for gestational diabetes at 12 weeks of gestation."

Correct Answer is A

Explanation

A) Correct - Group B streptococcus (GBS) screening is typically performed around 36 weeks of gestation to identify colonization. It helps determine whether antibiotic prophylaxis is necessary during labor to prevent transmission to the newborn.
B) Incorrect- Producing a clean catch urine specimen every 2 months is not a standard recommendation during pregnancy. Urine testing is common but does not usually occur this frequently.
C) Incorrect- Maternal serum alpha-fetoprotein screening is typically done around 15-20 weeks of gestation, not 6 weeks.
D) Incorrect- Screening for gestational diabetes typically occurs between 24 and 28 weeks of gestation, not 12 weeks.

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A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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