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 A

Explanation

The signs described are consistent with Meconium Aspiration Syndrome (MAS). Meconium aspiration occurs when the fetus has a bowel movement before or during delivery and inhales meconium-stained amniotic fluid into the lungs. This can lead to airway obstruction, chemical pneumonia, and respiratory distress, which may progress to respiratory failure, persistent pulmonary hypertension, and death. The presence of coarse breath sounds, acidosis, and the honeycomb appearance on X-ray are all signs of MAS.

A. Preterm: Before 38 to 40 weeks of gestation if the infant is SGA post-term, beyond 40 to 42 weeks gestation if the infant is LGA B. Preterm: Before 37 weeks of gestation and post-term beyond 42 weeks of gestation; no matter the size for gestational age at birth C. Postterm: After 40 weeks of gestation if the infant is large for gestational age (LGA): beyond 42 weeks if the infant is AGA D. Preterm: Before 34 weeks of gestation if the infant is appropriate for gestational age (AGA); before 57 weeks if the infant is small for gestational age (SCA)

Correct Answer is B

Explanation

The most accurate definition of preterm and post-term infants is based on gestational age at birth. Preterm infants are those born before 37 completed weeks of gestation, and post-term infants are those born after 42 completed weeks of gestation, regardless of their size for gestational age at birth.

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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?

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Naxlex Comprehensive Predictor Exams

The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?

Correct Answer is A

Explanation

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

Correct Answer is B

Explanation

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

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?

The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?

Which client is displaying health literacy at the basic functional level?

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