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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A) Correct - Lochia serosa, a pinkish-brown vaginal discharge, is typically present 24 hours after vaginal delivery. It is the second stage of lochia that follows the bright red lochia rubra.
B) Incorrect- Frequent urges to urinate might be present but are not specific to the 24- hour postpartum period.
C) Incorrect- The uterine fundus should be descending in the days after childbirth, not located 2 finger widths above the umbilicus.
D) Incorrect- Colostrum is the early milk produced by the breasts, but its presence is not a specific finding in the immediate postpartum period.

A. Hgb 9.5 g/dL B. Platelets 225,000/mm3 C. Glucose 60 mg/dL D. WBC 10,000/mm

Correct Answer is A

Explanation

A) Correct - A hemoglobin level of 9.5 g/dL in a full-term newborn is lower than the expected range and should be reported to the provider for further evaluation.
B) Incorrect- Platelets of 225,000/mm3 are within the normal range for newborns and do not require immediate reporting.
C) Incorrect- A glucose level of 60 mg/dL is within the normal range for a newborn and does not require immediate reporting.
D) Incorrect- A white blood cell count of 10,000/mm3 is within the normal range for a newborn and does not require immediate reporting.

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A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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