Which newborn assessment finding of 24-hour-old infant should the practical nurse (PN) report to the charge nurse immediately?

Weight loss of 4 ounces since birth.

Respiratory rate of 55 breaths/minute.

Axillary temperature of 97.6° F (36.4° C).

Heart rate of 100 beats/minute.

Answer and Explanation

The Correct Answer is D

The newborn assessment finding that the practical nurse (PN) should report to the charge nurse immediately for a 24-hour-old infant is a heart rate of 100 beats/minute. The normal heart rate for a newborn is between 120-160 beats/minute. A heart rate of 100 beats/minute is below the normal range and may indicate a problem such as hypothermia or an infection. The PN should report this finding to the charge nurse immediately so that appropriate action can be taken to address the issue. The other assessment findings listed may also be important to monitor, but a heart rate of 100 beats/minute is the most urgent and requires immediate attention.

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Correct Answer is B

Explanation

The priority goal for the practical nurse (PN) in the antepartum clinic is to ensure that the client recognizes the dangers of alcohol use during pregnancy. Alcohol consumption during pregnancy can lead to fetal alcohol syndrome and other developmental disorders. It is important for the client to understand the risks associated with alcohol use and to avoid it during pregnancy. The other goals are also important but recognizing the dangers of alcohol use takes priority.

A. Fresh fruit. B. Carbonated soda drinks. C. Dairy products. D. Protein in fish.

Correct Answer is D

Explanation

To help increase an older adult's magnesium level following a hysterectomy, the practical nurse (PN) should suggest that the client increase her intake of protein in fish. Fish is a good source of magnesium, which is an essential mineral that plays a role in many bodily functions. Increasing the intake of magnesium-rich foods such as fish can help raise the client's magnesium level and improve her overall health. The other foods listed may also provide some nutritional benefits, but fish is the best choice for increasing magnesium intake in this situation.

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Which newborn assessment finding of 24-hour-old infant should the practical nurse (PN) report to the charge nurse immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Correct Answer is B

Explanation

Following a hysterectomy, an older adult's complete metabolic panel findings indicate that her magnesium level is low. To help increase the client's magnesium level, the PN should suggest that the client increase her intake of which food?

Correct Answer is D

Explanation

The practical nurse (PN) is assigned to assist in the care of a laboring client at 42-weeks gestation. While providing perineal care, the PN observes the umbilical cord protruding from the vagina. Which action should the PN take?

The practical nurse (PN) is discussing attention deficit hyperactivity disorder (ADHD) with the mother of a 7- year-old student newly diagnosed with the disorder. Which intervention should the PN suggest as most eﬀective in managing the symptoms of ADHD?

A client with blood type AB negative delivers a newborn with blood type A positive. The cord blood reveals a positive indirect Coombs' test. What is the implication of this finding?

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The practical nurse (PN) enters an examination room to gather routine health information for a teenage female client who is accompanied by her mother. Which action by the PN is likely to facilitate accurate responses to personal and social history questions?

The practical nurse (PN) is contributing to the plan of care for a toddler with failure to thrive due to inadequate caloric intake. Which observation should the PN monitor to best help develop interventions?

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?