The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

Hypoxemia

Hypoglycemia

Hyperbilirubinemia

Hyperglycemia

Answer and Explanation

The Correct Answer is C

A. Hypoxemia is not directly associated with cephalohematoma.

B. Hypoglycemia is not a typical complication related to cephalohematoma.

C. A cephalohematoma can increase the risk of hyperbilirubinemia due to the breakdown of red blood cells in the hematoma, leading to increased bilirubin levels.

D. Hyperglycemia is not linked to cephalohematoma.

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Correct Answer is ["B","D"]

Explanation

A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.

B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.

C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.

D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.

A. Keep the state records updated. B. Determine ABO incompatibilities C. Determine if the infant has hypoglycemia D. Recognize and treat multiple genetic or metabolic disorders.

Correct Answer is D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

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The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

Correct Answer is ["B","D"]

Explanation

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

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