The nurse evaluates a 10-hour-old newborn who is B-negative blood type and whose mother is O+. The nurse assesses the newborn to have noticeable yellow discoloration of the skin.
The nurse reports this as pathologic jaundice and understands that which finding is most helpful in reducing jaundice in the infant?
Frequent bowel movements.
A stable temperature of 98.0°F axillary.
6-8 voids in a 24-hour period.
A heel stick of 60.
The Correct Answer is A
Choice A rationale
Frequent bowel movements help excrete bilirubin, which reduces jaundice. Newborns pass meconium and transitional stools frequently, aiding in bilirubin clearance.
Choice B rationale
A stable temperature is important for overall health, but it does not specifically impact bilirubin levels or jaundice.
Choice C rationale
A newborn should have 6-8 voids per day indicating good hydration, but it is not directly related to reducing jaundice.
Choice D rationale
A heel stick with a glucose level of 60 may indicate glucose monitoring but is not related to jaundice management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Antibiotics should be taken for the full prescribed course, typically 10-14 days, to ensure complete resolution of the infection. Stopping antibiotics early can lead to recurrence or resistance.
Choice B rationale
Continuing to breastfeed while having mastitis is encouraged as it helps keep milk flowing and prevents blockage.
Choice C rationale
Taking analgesics for pain relief is appropriate during mastitis as it helps manage discomfort and supports continued breastfeeding.
Choice D rationale
Wearing a supportive bra helps alleviate discomfort and supports the breasts, which is beneficial during mastitis.
Correct Answer is D
Explanation
Choice A rationale
Platelets at 140,000 mg are within the normal range and are not typically indicative of postpartum complications like a thrombus.
Choice B rationale
Hemoglobin at 7 mg/dl indicates anemia but is not directly related to the symptoms of pain and tenderness in the calf.
Choice C rationale
A WBC count of 15,000 could indicate an infection or inflammatory process but is not specific to deep vein thrombosis (DVT).
Choice D rationale
Fibrinogen at 600 mg/dl is elevated and can be a marker for increased coagulation activity, which is associated with an increased risk of thrombosis. .
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