Which newborn is at the lowest risk for elevated unconjugated bilirubin levels?

The newborn with significant bruising from a face presentation.

The premature newborn.

The baby born at 41 weeks' gestation.

The newborn with O+ blood type, born to a mother with O- blood type.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

(Incorrect) The newborn with significant bruising from a face presentation is at an increased risk of elevated unconjugated bilirubin levels. Bruising can lead to the breakdown of red blood cells, increasing bilirubin production.

Choice B rationale:

(Incorrect) The premature newborn is at a higher risk of elevated unconjugated bilirubin levels. Premature infants often have an underdeveloped liver, which can lead to reduced bilirubin processing and clearance.

Choice C rationale:

(Correct) The baby born at 41 weeks' gestation is at the lowest risk for elevated unconjugated bilirubin levels. By this stage, the baby's liver is more mature, allowing for efficient processing and clearance of bilirubin.

Choice D rationale:

(Incorrect) The newborn with O+ blood type, born to a mother with O- blood type, is at an increased risk of elevated unconjugated bilirubin levels if the baby's blood type is Rh-positive and the mother's is Rh-negative. This situation can lead to Rh incompatibility and hemolytic disease of the newborn, causing higher bilirubin levels.

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Correct Answer is A

Explanation

Choice A rationale:

This is the priority finding because a bilirubin level of 18 mg/dL in a 4-hour-old newborn is significantly elevated. High bilirubin levels in newborns can lead to jaundice, which can be harmful if not promptly addressed. Hyperbilirubinemia in newborns requires close monitoring and, in some cases, treatment with phototherapy.

Choice B rationale:

A hemoglobin level of 22 g/dL is within the normal range for a newborn and is not a priority concern at this time.

Choice C rationale:

A blood glucose level of 50 mg/dL is within the normal range for a newborn. While monitoring blood glucose levels is essential, it is not the priority in this situation.

Choice D rationale:

A platelet count of 200,000/mm³ is within the normal range for a newborn and does not require immediate action.

A. Two hours since last eating. B. Temperature 36.2°C axillary on radiant warmer. C. Drying of the umbilical cord. D. Stable temperature for 2 hours.

Correct Answer is D

Explanation

A. This is not a primary consideration before bathing a newborn. The timing of the last feeding is more relevant to assessing the risk of hypoglycemia rather than determining readiness for a bath.

B. This temperature is slightly below the recommended range for newborns (36.5°C to 37.5°C). Bathing should be delayed until the newborn's temperature is stable.

C. While care of the umbilical cord is important, it does not determine the timing of the first bath. The cord can be kept dry even if the baby is bathed.

D. Ensuring that the newborn has maintained a stable body temperature for at least 2 hours is crucial before giving the first bath. Bathing can cause a drop in body temperature, so it's essential that the newborn's thermoregulation is stable to avoid hypothermia.

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Which newborn is at the lowest risk for elevated unconjugated bilirubin levels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority?

Correct Answer is A

Explanation

The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing which of the following?

Correct Answer is D

Explanation

A nurse is collecting data from a newborn 1 hr after delivery. Which of the following respiratory rates is within the expected reference range for a newborn?

The nurse is caring for an 18-hour-old newborn who has not voided for the first time yet. What is the nurse's priority action?

Exhibit 1. A nurse understands which of the following assessment findings as a priority to indicate that a newborn may be experiencing cold stress and burning brown fat to produce heat? (Select all that apply.).

A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply.).

A nurse is reinforcing teaching with a parent about using an iron-fortified formula to feed her newborn. Which of the following information should the nurse include in the teaching?

A nurse in the newborn nursery is receiving a report on four newborns. Which of the following newborns should the nurse see first?

The nurse enters the room and notices that the room feels cold. The mother says, "He has been crying and kicking and now he seems very tired.”. What is the nurse's priority concern?

The medical term for the soft spot is called fontanelle.