A nurse is reviewing the laboratory results of a newborn.
Which of the following findings should the nurse report to the provider?

Platelets 100,000/mm

Hematocrit 48%

Blood glucose 58 mg/dl.

Hemoglobin 16 g/dL.

Answer and Explanation

The Correct Answer is A

Thrombocytopenia is deﬁned as a platelet count of less than 150,000/microL1.

Severe neonatal thrombocytopenia (platelet count <50,000/microL) can be associated with bleeding and potentially signiﬁcant morbidity.

As a result, it is important to identify at-risk neonates and report low platelet counts to the provider.

Choice B is incorrect because a hematocrit of 48% is within the normal range for a newborn.

Choice C is incorrect because a blood glucose level of 58 mg/dl is within the normal range for a newborn.

Choice D is incorrect because a hemoglobin level of 16 g/dL is within the normal range for a newborn.

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Correct Answer is E

Explanation

None of the choices provided indicate that suctioning of the nasopharynx is needed for a newborn.

Nasopharyngeal suctioning is performed to remove mucus or saliva from the back of the throat when a newborn is unable to cough or swallow. It is commonly used in infants with bronchiolitis.

Choice A, “The newborn’s respiratory rate is 32/min,” is not an answer because a respiratory rate of 32/min is within the normal range for a newborn.

Choice B, “The newborn’s respiratory rate is irregular,” is not an answer because irregular breathing paterns are common in newborns.

Choice C, “The newborn is beginning to cough,” is not an answer because coughing is a normal reﬂex that helps clear the airway.

Choice D, “The newborn’s pulse oximetry is 91,” is not an answer because pulse oximetry measures oxygen saturation and does not indicate the need for nasopharyngeal suctioning.

A. "This medication stabilizes the fetal heart rate." B. "This medication improves tissue perfusion." C. "This medication prevents seizures." D. "This medication increases cardiac output.”

Correct Answer is C

Explanation

“This medication prevents seizures.” Magnesium sulfate is a mineral that is given intravenously to women with preeclampsia to reduce the risk of seizures or eclampsia.

Preeclampsia is a condition of high blood pressure and protein in the urine during pregnancy.

Choice A is incorrect because magnesium sulfate does not stabilize the fetal heart rate.

Choice B is incorrect because magnesium sulfate does not improve tissue perfusion.

Choice D is incorrect because magnesium sulfate does not increase cardiac output.

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A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

Correct Answer is E

Explanation

A nurse is providing teaching about the expected eﬀects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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A nurse is reviewing the laboratory results of a newborn.
Which of the following findings should the nurse report to the provider?