A nurse is caring for a newborn 1 hr following birth.
Medical History 1000:
39- week gestation
Emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate
Apgar 5 at 1 min 8 at 5 min
Positive pressure ventilation given for 1 min followed by free flow oxygen Select the 5 findings the nurse should report to the provider.
Hemoglobin
Hematocrit
Heart rate
Serum glucose
White blood cells
Respiratory assessment
Correct Answer : A,B,C,D,F
A, B Monitoring the newborn's hemoglobin and hematocrit levels are important due to the risk of anemia.
C. Monitoring the newborn's heart rate post-birth is crucial for assessing cardiac function and detecting any abnormalities.
F. Positive pressure ventilation was administered to the newborn for 1 minute after birth, indicating a need for respiratory support. The nurse should closely assess the newborn's respiratory status.
D. There may be concerns about the newborn's blood glucose levels, especially if there were any periods of hypoxia or stress during labor and delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Methylergonovine is a medication commonly used to prevent or treat postpartum hemorrhage, which is excessive bleeding after childbirth. It works by causing uterine contractions, which help to control bleeding by compressing blood vessels in the uterus. It is often administered following vaginal delivery to reduce the risk of excessive bleeding and complications associated with postpartum hemorrhage.
Correct Answer is D
Explanation
Drying the newborn's skin helps prevent heat loss through evaporation, which is crucial for maintaining the newborn's body temperature and preventing hypothermia. Administering vitamin K, eye prophylaxis, and placing an identification bracelet are important aspects of newborn care but not priority.
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