The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

Observe the progression of the seizure.

Loosen clothing around the neck.

Insert a tongue blade between the teeth.

Hold the extremities close to the body.

Pad the side rails with pillows.

Answer and Explanation

Correct Answer : A,B,E

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Correct Answer is B

Explanation

The correct answer is choice B. To increase blood flow.A heel warmer is applied to the newborn’s foot before obtaining the blood sample to increase the blood flow to the area and make it easier to collect the sample.A heel warmer can also reduce pain and bruising by dilating the blood vessels and reducing the need for multiple punctures.

Choice A is wrong because a heel warmer does not prevent infection.Infection prevention requires proper cleaning of the puncture site and disposal of the lancet.

Choice C is wrong because a heel warmer does not reduce pain by itself.Pain reduction requires other measures such as cuddling, feeding, and distraction.

Choice D is wrong because a heel warmer does not prevent bruising.Bruising prevention requires applying pressure to the puncture site after collecting the sample.

Normal ranges for blood glucose levels in newborns vary depending on the method of measurement, but generally they are between 2.6 and 6.0 mmol/L.

A. Hyperglycemia B. Hypoglycemia C. Hypertension D. Hypothyroidism

Correct Answer is B

Explanation

The correct answer is choice B. Hypoglycemia.

The newborn is at risk for hypoglycemia because of the maternal diabetes and the prematurity.Maternal diabetes causes fetal hyperinsulinism, which persists after birth and lowers the blood glucose level of the newborn.Prematurity causes inadequate glycogen stores and immature enzyme function, which also contribute to hypoglycemia.Hypoglycemia can cause symptoms such as tachycardia, cyanosis, seizures, and apnea.

Choice A is wrong because hyperglycemia is unlikely in a newborn with hyperinsulinism and deficient glycogen stores.

Choice C is wrong because hypertension is not a common complication of maternal diabetes or prematurity in newborns.

Choice D is wrong because hypothyroidism is not related to maternal diabetes or prematurity.Hypothyroidism can cause symptoms such as lethargy, poor feeding, jaundice, and hypotonia.

Normal ranges for blood glucose levels in newborns vary depending on the age, weight, and feeding status of the baby.

Generally, a level below 40 mg/dL (2.2 mmol/L) in symptomatic term newborns, below 45 mg/dL (2.5 mmol/L) in asymptomatic term newborns between 24 hours and 48 hours of life, or below 30 mg/dL (1.7 mmol/L) in preterm newborns in the first 48 hours is considered hypoglyc

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The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

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Naxlex Comprehensive Predictor Exams

A nurse is performing a heel stick blood glucose test on a newborn who is preterm. The nurse should apply a heel warmer to the newborn’s foot before obtaining the blood sample for which of the following reasons?

Correct Answer is B

Explanation

A client with diabetes gives birth to a premature newborn. The nurse should anticipate that the newborn is at risk for:.

Correct Answer is B

Explanation

A nurse is caring for a newborn who was born to a mother with diabetes mellitus. The nurse should monitor the newborn for which of the following signs of hypoglycemia?

A nurse is reviewing the laboratory results of a pregnant client. Which finding would be considered abnormal regarding hCG levels?

The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

Which data would be included in a health history? (Select all that apply.)

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):

A nurse is assessing a newborn who has intrauterine growth restriction (IUGR). The nurse should recognize that this newborn is at risk for developing hypoglycemia because of which of the following factors?

A nurse is caring for a client who has diabetic ketoacidosis and is receiving intravenous fluids. Which of the following electrolytes should the nurse monitor closely for signs of imbalance? (Select all that apply.)

The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)