Which physical signs could indicate a risk for hyperbilirubinemia?

Tremors

Newborn rash

Cephalohematoma

Acrocyanosis

Answer and Explanation

The Correct Answer is C

Choice A reason:

Tremors are not a sign of hyperbilirubinemia, but they may indicate other problems such as hypoglycemia, hypocalcemia, or seizures. Tremors are involuntary muscle movements that can affect different parts of the body.

Choice B reason:

Newborn rash, also known as erythema toxicum, is a common and harmless skin condition that affects many newborns. It causes red spots with white or yellow centers on the face, chest, back, or limbs. It is not related to hyperbilirubinemia or liver function.

Choice C reason:

Cephalohematoma is a collection of blood under the scalp that occurs due to trauma during delivery. It can increase the risk of hyperbilirubinemia because the breakdown of red blood cells in the hematoma releases bilirubin into the bloodstream. Bilirubin is a yellow pigment that is normally processed by the liver and excreted in stool and urine. If the liver is overwhelmed by the amount of bilirubin, it can cause jaundice, which is yellowing of the skin and eyes.

Choice D reason:

Acrocyanosis is a bluish discoloration of the hands and feet that occurs in some newborns due to poor circulation. It is usually a normal and transient phenomenon that does not indicate any serious problem. It is not a sign of hyperbilirubinemia or liver dysfunction.

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Correct Answer is D

Explanation

Choice A reason:

Drowsy. This is not the best state for feeding a newborn, because the baby may fall asleep before finishing the feed or may not latch on well. A drowsy baby may also have trouble swallowing or coordinating sucking and breathing. •

Choice B reason:

Crying. This is also not a good state for feeding a newborn, because crying is a late sign of hunger and indicates that the baby is already distressed. A crying baby may have difficulty calming down enough to feed or may gulp air and become gassy. •

Choice C reason:

Active alert. This is a possible state for feeding a newborn, but not the most optimal one. An active alert baby may be easily distracted by noises or movements around them or may become fussy or overstimulated if they are not fed quickly enough. •

Choice D reason:

Alert. This is the best state for feeding a newborn because the baby is awake, calm, and attentive to their surroundings. An alert baby will show signs of hunger such as rooting, smacking their lips, or sucking their fingers, and will be ready to latch on and feed well.

A. Discard unused formula in used bottle after 2 hours B. Never prop a bottle C. Formula is available in three forms. D. Warm the bottle in the microwave E. Store prepared bottles in the refrigerator

Correct Answer is ["A","B","C","E"]

Explanation

A. Discard unused formula in used bottle after 2 hours:Once a baby has started drinking from a bottle, bacteria from the baby’s mouth can contaminate the formula. Any leftover formula should be discarded after 2 hours to prevent bacterial growth and reduce the risk of infection.

B. Never prop a bottle:Propping a bottle can lead to choking, ear infections, and dental issues (such as baby bottle tooth decay). Babies should always be held upright during feedings.

C. Formula is available in three forms:Infant formula is available in three types:Ready-to-feed (no mixing needed),Liquid concentrate (mix with water),Powdered formula (mix with water).

E. Store prepared bottles in the refrigerator:If formula is prepared in advance, it must be stored in the refrigerator (≤ 4°C or 40°F) and used within 24 hours to prevent bacterial growth.

Incorrect Answer:

D. Warm the bottle in the microwave:Microwaving heats unevenly, creating hot spots that can burn the baby’s mouth. Instead, warm bottles by placing them in warm water for a few minutes and always test the temperature on the wrist before feeding.

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Which physical signs could indicate a risk for hyperbilirubinemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is most interested in eating in which wake and sleep state?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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