If an infant in the well-baby nursery has been feeding poorly over the last 24 hours and the temperature has been averaging at 97.5 degrees, what should the nurse immediately assess for?

Hyperglycemia

Neonatal infection

Hemolytic anemia

Prematurity

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hyperglycemia, or high blood sugar, is not typically associated with poor feeding and low temperature in infants. It’s more commonly seen in conditions like diabetes.
Choice B rationale
Neonatal infection could cause an infant to feed poorly and have a low temperature. These symptoms could be a sign of sepsis, a serious and potentially life-threatening infection that requires immediate medical attention.
Choice C rationale
Hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made, is not typically associated with poor feeding and low temperature in infants.
Choice D rationale
Prematurity could potentially cause poor feeding and low temperature, but these symptoms would not typically appear suddenly in a well-baby nursery setting.

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Correct Answer is B

Explanation

Choice A rationale
Hot flashes are typically associated with menopause, not endometriosis. They occur due to changes in hormone levels, particularly a decrease in estrogen.
Choice B rationale
Dyspareunia, or painful intercourse, is a common symptom of endometriosis. The condition can cause adhesions and lesions in and around the pelvic organs, leading to pain during sexual activity.
Choice C rationale
Fluid retention is not specifically associated with endometriosis. It can occur due to a variety of conditions, including hormonal changes, dietary factors, and certain medications.
Choice D rationale
Fever is not a typical symptom of endometriosis. It’s more commonly associated with infections or inflammatory conditions.

A. Premature rupture of membranes B. Delivery of an intact placenta within 30 minutes of the birth of the infant C. Multigravida status D. History of sexually transmitted infections

Correct Answer is C

Explanation

Choice A rationale
Premature rupture of membranes is a condition that can occur during pregnancy, but it is not directly linked to uterine atony or heavy lochia after delivery.
Choice B rationale
Delivery of an intact placenta within 30 minutes of the birth of the infant is a normal occurrence and would not contribute to uterine atony or heavy lochia.
Choice C rationale
Multigravida status, or having been pregnant more than once, can contribute to uterine atony. The uterus may not contract effectively after multiple pregnancies, leading to heavy lochia.
Choice D rationale
While a history of sexually transmitted infections can impact overall reproductive health, it is not directly linked to uterine atony or heavy lochia after delivery.

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If an infant in the well-baby nursery has been feeding poorly over the last 24 hours and the temperature has been averaging at 97.5 degrees, what should the nurse immediately assess for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What symptom would a nurse anticipate in a patient with endometriosis?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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