A nurse is reviewing a newborn's laboratory results. Which of the following findings is the nurse's priority?
Platelets 200,000/mm3
Bilirubin 19 mg/dL
Blood glucose 45 mg/dL
Hemoglobin 22 g/dL
The Correct Answer is B
- A) A platelet count of 200,000/mm3 is within the normal range for a newborn and does not require immediate intervention.
- B) A bilirubin level of 19 mg/dL is high and suggests the possibility of hyperbilirubinemia, which can lead to jaundice and, in severe cases, kernicterus, a form of brain damage. This is a critical value that requires immediate attention.
- C) A blood glucose level of 45 mg/dL is on the lower end of the normal range, but it is not as immediately concerning as the elevated bilirubin level. Monitoring and appropriate feeding should address this issue.
- D) A hemoglobin level of 22 g/dL is high, indicating polycythemia, which can be a risk factor for hyperviscosity syndrome. However, it is not as urgent as the bilirubin level of 19 mg/dL. Monitoring and partial exchange transfusion may be considered if symptoms develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse's response to have the mother call ensures proper protocol is followed for infant transfer and prioritizes the mother's consent, making it the safest option.
B. While checking identification is important, it does not establish proper protocol for transferring the infant and may not address whether the mother has authorized the transfer.
C. Allowing the grandmother to carry the grandchild without confirming the mother's wishes could lead to security and safety concerns, making this response inappropriate.
D. Allowing the grandmother to push the baby in a wheeled bassinet is not the standard practice; the nurse should ensure that the baby is safely transported by hospital staff.
Correct Answer is B
Explanation
A. An apical heart rate of 130/min is within the normal range for a newborn and does not require further assessment by the provider.
B. Documenting this as an expected finding is appropriate as the normal range for a newborn's heart rate is typically between 120-160 beats per minute.
C. Asking another nurse to verify the heart rate may delay care unnecessarily, as the rate is within the expected range.
D. There is no indication to prepare the newborn for transport to the NICU based solely on an apical heart rate of 130/min, as this is within the normal range.
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