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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Cervidil (dinoprostone) is a medication used to ripen the cervix in preparation for labor induction in women who are at or near term.
Cervidil contains a synthetic form of prostaglandin E2, which helps to soften and thin the cervix, making it easier to dilate and efface during labor. The medication is usually administered vaginally, in the form of a small, flat, rectangular-shaped insert that is placed near the cervix.
The medication is released slowly over time, helping to ripen the cervix gradually.
Cervidil is not used to stimulate the amniotic membranes to rupture, enhance uteroplacental perfusion in an aging placenta, or increase amniotic fluid volume.
Correct Answer is D
Explanation
Kangaroo care is skin-to-skin contact between a newborn and parent(s) that helps regulate the infant's temperature, respiratory and heart rates, and enhances parent-infant bonding.
It is recommended for all infants, regardless of their gestational age or health status, and has been found to improve outcomes for premature and low-birth-weight infants. Kangaroo care is not specifically designed to address motor and CNS impairments, nor is it adopted from classical British nursing traditions. While it may help prepare infants for breastfeeding, this is not the primary goal of the intervention.
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