A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?
Use a lancet to puncture the inner aspect of the newborn's heel.
Leave the newborn's heel open to the air after the puncture.
Apply an antiseptic to the newborn's heel after collecting the specimen.
Warm the newborn's heel for 5 to 10 min before the puncture.
The Correct Answer is A
A) Correct - Newborn screening typically involves a heel stick using a lancet to collect a few drops of blood from the inner aspect of the newborn's heel.
B) Incorrect- Leaving the newborn's heel open to the air after the puncture is not necessary; a small bandage is typically applied.
C) Incorrect- An antiseptic is not typically applied after collecting the specimen, as it could interfere with the accuracy of the screening tests.
D) Incorrect- Warming the newborn's heel is not a standard step before collecting a specimen for newborn screening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) Incorrect - A blood pressure of 120/70 mm Hg is within the normal range and is not a contraindication for the transdermal contraceptive patch.
B) Incorrect - Peptic ulcer disease is not a contraindication for the transdermal contraceptive patch.
C) Correct - A weight of 98 kg (216 lb) is considered a contraindication for the transdermal contraceptive patch due to potential reduced efficacy in women with a body mass index (BMI) over 30. This method might be less effective for individuals with higher body weights.
D) Incorrect - A history of spontaneous abortion is not a contraindication for the transdermal contraceptive patch.
Correct Answer is C
Explanation
A) Incorrect- Keeping the cord covered with a diaper is not recommended, as it can trap moisture and delay cord drying.
B) Incorrect- Cleaning the cord with antibacterial soap is not necessary and can actually interfere with the natural drying process.
C) Correct - Notifying the provider about odor coming from the cord is important, as it could indicate infection.
D) Incorrect- Some oozing of blood is normal as the cord stump dries, but bright red bleeding might be a sign of a problem and should be evaluated by a healthcare provider.
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