A nurse is reviewing the laboratory results of a newborn who has hypoglycemia.
The nurse should identify that a normal blood glucose level for a healthy term newborn is between which of the following ranges?
10 and 30 mg/dL
30 and 60 mg/dL
60 and 90 mg/dL
90 and 120 mg/dL.
The Correct Answer is B
A normal blood glucose level for a healthy term newborn is between 30 and 60 mg/dL. This range is lower than that of older children and adults, because newborns are adapting to life outside the womb and their glucose levels rise gradually after birth.
Choice A is wrong because 10 and 30 mg/dL is too low for a newborn and indicates hypoglycemia, which can cause symptoms such as jitteriness, poor feeding, lethargy, and cyanosis.
Choice C is wrong because 60 and 90 mg/dL is too high for a newborn and indicates hyperglycemia, which can cause symptoms such as dehydration, poor feeding, irritability, and seizures.
Choice D is wrong because 90 and 120 mg/dL is also too high for a newborn and indicates hyperglycemia, which can have the same consequences as choice C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Corn tortillas.
Celiac disease is a condition that causes damage to the small intestine when gluten is ingested.
Gluten is a protein found in wheat, barley, rye and oats.
Corn tortillas are made from corn flour, which does not contain gluten and is safe for people with celiac disease.
Choice A is wrong because whole wheat bread contains gluten, which can trigger an immune response and damage the small intestine in people with celiac disease.
Choice B is wrong because oatmeal cookies also contain gluten, either from the oats themselves or from cross-contamination with other grains.
Choice D is wrong because barley soup contains barley, which is another source of gluten that can harm people with celiac disease.
Correct Answer is D
Explanation
All of the above.
The nurse should take all of the following actions to prevent increased intracranial pressure (ICP) in a preterm infant who has intraventricular hemorrhage (IVH):
• Elevate the head of the bed to 30 degrees.This helps to reduce venous congestion and improve cerebral blood flow.
• Avoid suctioning unless absolutely necessary.Suctioning can cause hypoxia, bradycardia, and increased ICP.
• Administer analgesics as prescribed.Pain can increase blood pressure and ICP.
Choice A is wrong because elevating the head of the bed alone is not enough to prevent increased ICP.
Choice B is wrong because avoiding suctioning alone is not enough to prevent increased ICP.
Choice C is wrong because administering analgesics alone is not enough to prevent increased ICP.
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