A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?
WBC count 35,000/mm³ (9,000 to 30,000/mm³)
Glucose 35 mg/dL (greater than 40 to 45 mg/dL)
Bilirubin 14.0 mg/dL (1.0 to 12.0 mg/dL)
Platelet count 350,000/mm³ (150,000 to 300,000/mm³)
The Correct Answer is C
A. WBC count 35,000/mm³: Incorrect. While a slightly elevated WBC count can be observed in response to stress or minor trauma, such as a cephalohematoma, the value provided (35,000/mm³) is elevated but not specific to cephalohematoma.
B. Glucose 35 mg/dL: Incorrect. Hypoglycemia (glucose <40 mg/dL) is not directly related to cephalohematoma. The condition primarily affects bilirubin levels, not glucose.
C. Bilirubin 14.0 mg/dL: Correct. Cephalohematoma can lead to increased bilirubin levels as the accumulated blood breaks down, causing jaundice. This finding is consistent with the expected increase in bilirubin due to the condition.
D. Platelet count 350,000/mm³: Incorrect. A normal platelet count does not directly correlate with cephalohematoma. The platelet count given is within the normal range and is not indicative of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Request a prescription for PRN aspirin from the provider.: Incorrect. Aspirin should not be given with heparin as it can increase the risk of bleeding.
B. Massage the injection site thoroughly following administration.: Incorrect. The injection site should not be massaged after administering heparin to avoid irritation and potential hematoma formation.
C. Instruct the client that they cannot breastfeed while receiving heparin.: Incorrect. Heparin is generally considered safe to use during breastfeeding, so there is no need to instruct the client to stop breastfeeding.
D. Administer the injection in the client's abdomen.: Correct. Subcutaneous heparin injections are typically administered in the abdomen to facilitate absorption and minimize complications.
Correct Answer is C
Explanation
A. Incorrect. Polyuria is not typically associated with epidural anesthesia. The adverse effects of epidurals are more related to cardiovascular and central nervous system impacts.
B. Incorrect. Epidural anesthesia generally causes hypotension, not hypertension, due to vasodilation.
C. Correct. Pruritus (itchiness) is a known adverse effect of epidural anesthesia, particularly if opioids are used in the epidural.
D. Incorrect. Dry mouth is not a common adverse effect of epidural anesthesia. It is more often associated with other medications or conditions.
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