During the newborn admission assessment, the nurse palpates the newborn's scrotum and does not feel the testicles. Which assessment technique should the nurse perform next to verify the absence of testes?
Use a fingertip to palpate the inguinal canal for a weakening or indentation
Measure the size of the scrotal sac for length and width.
Perform transillumination of the scrotal sac to visualize shadows of the testes
Observe the urethral opening on the surface of the penis when the newborn voids
The Correct Answer is A
A. Use a fingertip to palpate the inguinal canal for a weakening or indentation:
This is a reasonable next step in assessing for undescended testes. Palpating the inguinal canal can help determine if the testes are located in the inguinal area.
B.Measure the size of the scrotal sac for length and width:
While scrotal size can be relevant in some contexts, it may not provide direct information about the presence or absence of the testes. Palpation or other methods are more specific for this purpose.
C. Perform transillumination of the scrotal sac to visualize shadows of the testes:
Transillumination involves shining light through tissues to detect structures. However, in the case of evaluating the presence of testes, palpation is usually a more direct and accurate method.
D. Observe the urethral opening on the surface of the penis when the newborn voids:
This option is unrelated to assessing the presence of testes. Observing the urethral opening is more relevant for assessing the anatomy of the penis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["450"]
Explanation
- To calculate the infusion rate, use the formula:
(mL of solution / grams of drug) x (grams ordered / minutes to infuse) x 60
- In this case, the formula becomes: (500 mL / 20 g) x (6 g / 20 min) x 60
- Simplify and solve: (25 mL / g) x (0.3 g / min) x 60
- The answer is 450 mL/hour
- The nurse should set the infusion pump at 450 mL/hour
Correct Answer is C
Explanation
A. Hemoglobin A1C: Hemoglobin A1C is a test that reflects the average blood sugar levels over the past two to three months. It is not typically used for diagnosing gestational diabetes.
B. Postprandial blood glucose test: This test measures blood sugar levels after meals. While it can provide information about how the body processes glucose after eating, it's not the primary test for diagnosing gestational diabetes.
C. Fasting blood glucose: This test measures blood sugar levels after a period of fasting. It is a standard test used to diagnose gestational diabetes.
D. Oral glucose tolerance test (OGTT): This test involves fasting overnight and then drinking a glucose solution. Blood sugar levels are tested at intervals afterward. The OGTT is a common diagnostic test for gestational diabetes.
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