A nurse is reviewing the laboratory results of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority?
Bilirubin 18 mg/dL.
Hemoglobin 22 g/dL.
Blood glucose 50 mg/dL.
Platelets 200,000/mm³.
The Correct Answer is A
Choice A rationale:
This is the priority finding because a bilirubin level of 18 mg/dL in a 4-hour-old newborn is significantly elevated. High bilirubin levels in newborns can lead to jaundice, which can be harmful if not promptly addressed. Hyperbilirubinemia in newborns requires close monitoring and, in some cases, treatment with phototherapy.
Choice B rationale:
A hemoglobin level of 22 g/dL is within the normal range for a newborn and is not a priority concern at this time.
Choice C rationale:
A blood glucose level of 50 mg/dL is within the normal range for a newborn. While monitoring blood glucose levels is essential, it is not the priority in this situation.
Choice D rationale:
A platelet count of 200,000/mm³ is within the normal range for a newborn and does not require immediate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"Baby powder will help prevent a diaper rash.”.
Choice A rationale:
"I will use mild soap”. indicates an appropriate understanding of newborn bathing. Mild soap is suitable for newborn skin to avoid irritation.
Choice B rationale:
This is the correct answer. Baby powder is not recommended for newborns as it can cause respiratory issues when inhaled and may lead to skin irritation. Therefore, the client needs further teaching about the use of baby powder.
Choice C rationale:
"I will test the water on my wrist for temperature before bathing”. demonstrates proper safety measures, ensuring the water is not too hot for the baby.
Choice D rationale:
"I will use a basin during bathing”. is a reasonable approach to bathing the newborn and does not indicate a need for further teaching.
Correct Answer is A
Explanation
Choice A rationale:
30 ml is equal to approximately half an ounce. One ounce is equivalent to 29.57 ml. This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice B rationale:
Three ounces is not the correct conversion for 30 ml. Three ounces would be equivalent to approximately 88.71 ml, which is significantly more than 30 ml.
Choice C rationale:
Two ounces is not the correct conversion for 30 ml. Two ounces would be approximately
59.15 ml, which is still more than 30 ml. Choice D rationale:
One ounce is not the correct conversion for 30 ml. As mentioned earlier, one ounce is approximately 29.57 ml, which is slightly less than 30 ml. The correct conversion is half an ounce (approximately 14.79 ml more than 29.57 ml), as stated in Choice A.
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