A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?

temperature instability

increased urinary output

wakefulness

interest in feeding

Answer and Explanation

The Correct Answer is A

A.   Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B.   Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C.   Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D.   Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.

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Correct Answer is A

Explanation

A. Bladder capacity varies with age and gender. The formula for bladder capacity, is (age + 2) x 30 ml. For a 9-year-old girl, the bladder capacity is (9 + 2) x 30 ml = 330 ml approximately 12 ounces.
B. This is a lower capacity than the estimated one for a 9-year-old girl.
C. This is a lower capacity than the estimated one for a 9-year-old girl.
D. This is a lower capacity than the estimated one for a 9-year-old girl.

A. birthweight of 7 lb, 14 oz (3,572 g) B. strong, brisk motor skills C. difficulty in arousing to a quiet alert state D. wasted appearance of extremities

Correct Answer is C

Explanation

A. A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B. Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C. Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D. A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

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A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?

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Naxlex Comprehensive Predictor Exams

The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl what number would the nurse document measurement?

Correct Answer is A

Explanation

The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

Correct Answer is C

Explanation

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