You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

Immature liver due to prematurity.

Cephalohematoma as a result of vacuum delivery.

Mom's blood type is A-negative, and baby's blood type is O-positive

Fetal biliary atresia as noted on 28-week ultrasound.

Answer and Explanation

The Correct Answer is C

Mom's blood type is A-negative, and baby's blood type is O-positive would place the neonate at risk for physiologic jaundice due to Rh incompatibility. When mom is Rh-negative and baby is Rh-positive, the mother's immune system can create antibodies that attack the baby's red blood cells, leading to the destruction of red blood cells and subsequent release of bilirubin, which can result in jaundice.

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Correct Answer is B

Explanation

Hydatidiform mole is a rare complication of pregnancy that occurs when the placenta develops into an abnormal mass of cysts rather than a healthy placenta. Signs and symptoms of molar pregnancy may include vaginal bleeding during the first trimester of pregnancy, unusually high levels of hCG, and a uterus that is larger than expected for the gestational age. Hyperemesis gravidarum is also common.

A. Tachycardia. B. Hypoxia C. Bradycardia. D. A normal baseline heart rate

Correct Answer is D

Explanation

The baseline fetal heart rate is the average heart rate over a 10-minute period, excluding accelerations and decelerations, and is an important indicator of fetal well-being during labor.

A baseline fetal heart rate of 110-160 beats/min is considered normal. A baseline heart rate of less than 110 beats/min is considered bradycardia, which can be a sign of fetal distress or hypoxia. A baseline heart rate greater than 160 beats/min is considered tachycardia, which can also be a sign of fetal distress or hypoxia.

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You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A G2P1 pregnant patient presents in clinic for her 10-week prenatal visit. Which of the following findings could indicate a hydatidiform mole?

Correct Answer is B

Explanation

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Correct Answer is D

Explanation

The postpartum nurse identifies a newborn born to a mother positive for hepatitis B. The nurse reports the birth to the department of health for data collection. This is an example of:

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

A public health nurse in a large city is planning and developing strategies to disseminate information to residents about infant safe sleep practices. Which of the following best exhibits the nurse's understanding of effective health communication in the community?

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:

Which of the following examples best demonstrates a public health nurse working upstream?