An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.
a) Small for gestational age
b) Term
c) Preterm
d) Average for gestational age
e) Post term
The correct answer is c) Preterm and d) Average for gestational age.
Choice A reason:
“Small for gestational age” (SG

Small for gestational age

Term

Preterm

Average for gestational age

Post term

Answer and Explanation

Correct Answer : C,D

Choice A reason:

“Small for gestational age” (SGA) refers to babies who are smaller than the typical weight for their gestational age, usually below the 10th percentile. An 8-pound 15-ounce baby born at 35 weeks is not considered SGA because this weight is above the average for that gestational age

Choice B reason:

“Term” refers to babies born between 37 and 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered term.

Choice C reason:

“Preterm” refers to babies born before 37 weeks of gestation. A baby born at 35 weeks falls into this category and is specifically classified as a “late preterm” infant3. Late preterm infants are those born between 34 and 36 weeks of gestation. These babies may require additional medical support compared to full-term infants but generally have better outcomes than those born earlier.

Choice D reason:

“Average for gestational age” (AGA) refers to babies whose weight is within the normal range for their gestational age, typically between the 10th and 90th percentiles. An 8-pound 15-ounce baby born at 35 weeks is considered AGA because this weight is within the expected range for that gestational age.

Choice E reason:

“Post term” refers to babies born after 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered post term.

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Correct Answer is D

Explanation

Choice A Reason:

An increase in lochia is not an indicator of methylergonovine’s effectiveness. Methylergonovine is used to prevent or treat postpartum hemorrhage by causing the uterus to contract. An increase in lochia could indicate ongoing bleeding, which would suggest that the medication is not working effectively.

Choice B Reason:

A report of absent breast pain is unrelated to the effectiveness of methylergonovine. This medication specifically targets uterine contractions to control bleeding and does not have a direct effect on breast pain.

Choice C Reason:

An increase in blood pressure can be a side effect of methylergonovine, but it is not an indicator of its effectiveness in controlling postpartum hemorrhage. The primary goal of the medication is to ensure the uterus contracts properly to prevent excessive bleeding.

Choice D Reason:

A fundus that is firm to palpation indicates that the uterus is contracting effectively, which is the desired outcome of administering methylergonovine. This finding suggests that the medication is working to control postpartum hemorrhage by promoting uterine contractions.

A. You can push the baby to the room in a wheeled bassinet. B. If you show me your photo identification, you can take the infant. C. Have the mother ring, and I will take the baby to the room. D. You may carry your grandchild to the room.

Correct Answer is C

Explanation

Choice A Reason:

Allowing the grandmother to push the baby to the room in a wheeled bassinet is not advisable. Hospitals have strict protocols to prevent infant abduction, and only authorized personnel should transport newborns. This ensures the safety and security of the infant.

Choice B Reason:

Requiring photo identification from the grandmother before allowing her to take the infant is not a standard practice. While identification is crucial, it is typically the responsibility of the hospital staff to transport the newborn to ensure proper security measures are followed.

Choice C Reason:

Having the mother call and the nurse taking the baby to the room is the most appropriate response. This ensures that the newborn is transported safely by authorized personnel, adhering to hospital protocols designed to prevent infant abduction and ensure the baby’s safety.

Choice D Reason:

Allowing the grandmother to carry the grandchild to the room is not recommended. Similar to choice A, this does not align with hospital security protocols. Only authorized personnel should handle the transportation of newborns within the hospital to maintain safety and security.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?

Correct Answer is D

Explanation

A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following is an appropriate response by the nurse?

Correct Answer is C

Explanation

A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client’s ultrasound examination indicates that the fetus is small for gestational age (SG

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn?

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, “How will I know if my baby gets enough breast milk?” Which of the following responses should the nurse make?

A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?