When planning the care for a small for gestational age (SG

Assess for a cephalohematoma.

Assess for hypoglycemia.

Observe for necrotizing enterocolitis.

Assess for immature reflexes.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cephalohematoma is a collection of blood between a newborn's scalp and the skull bone, often caused by birth trauma, but it's not specifically related to small for gestational age (SGA) assessment.

Choice B rationale

Hypoglycemia is a common concern in SGA newborns because they have less stored glucose and glycogen, making blood glucose level monitoring critical.

Choice C rationale

Necrotizing enterocolitis is a serious condition in premature newborns involving inflammation and damage to the intestines, but it is not specific to SGA newborns.

Choice D rationale

Immature reflexes are assessed in newborns, but hypoglycemia takes priority in SGA newborns due to their higher risk of low blood sugar.

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Correct Answer is ["1.2"]

Explanation

Step 1 is 3000 grams ÷ 1000 = 3 kg.

Step 2 is 3 kg × 24 mg = 72 mg.

Step 3 is 72 mg ÷ (50 mg ÷ 5 ml) = 1.2 ml.

Answer: 1.2 ml.

A. Clear fluid oozing out of the pilonidal sinus. B. Positive hip click bilaterally. C. Erythema toxicum on the torso. D. Limited abduction of the affected hip.

Correct Answer is D

Explanation

Choice A rationale

Clear fluid oozing from a pilonidal sinus is unrelated to congenital hip dysplasia and more associated with other conditions like pilonidal cysts.

Choice B rationale

A positive hip click can indicate hip instability but is not definitive for congenital hip dysplasia.

Choice C rationale

Erythema toxicum is a benign, self-limiting skin condition and does not relate to hip dysplasia.

Choice D rationale

Limited abduction of the hip is a key sign of congenital hip dysplasia, indicating restricted movement due to abnormal hip joint development. .

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When planning the care for a small for gestational age (SG

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Zidovudine oral solution 24 mg/kg PO BID has been ordered for a newborn at risk for HIV. On hand is 3000 grams. Calculate the amount to be administered in ml per dose.

Correct Answer is ["1.2"]

Explanation

The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia.What sign should the nurse expect to find during the assessment?

Correct Answer is D

Explanation

The infant should have six wet diapers daily.

You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother. The pharmacy sends a 10,000 units in a 5ml vial. How many mls will the nurse administer?

A nurse is caring for a client who is Rh negative.Which of the following findings would cause the nurse to administer Rh immunoglobulin?

A nurse is caring for a mother who delivered vaginally 2 hr ago.Heart rate 106/min.Axillary temperature 36.6° C (98.0° F). Respiratory rate 22 /min.Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.

A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding.Which statement by the client indicates a need for MORE teaching?

A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan.Which of the following signs or symptoms might the nurse observe in the baby as a result?