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A nurse is caring for a newborn.

Exhibits

Complete the diagram by specifying:

  1. The potential condition the newborn is most likely experiencing.
  2. Two actions the nurse should take to address that condition.
  3. Two parameters the nurse should monitor to assess the newborn's progress.

Answer and Explanation

The Correct Answer is []

1. Potential Condition:

  • Hypoglycemia: The newborn is jittery and has decreased muscle tone, which are common signs of hypoglycemia (low blood sugar), especially in a newborn large for gestational age.

2. Actions to Take:

  • Check the newborn's capillary blood glucose level: This is crucial to confirm if hypoglycemia is the issue and to determine the appropriate treatment.
  • Place the newborn under a radiant warmer: This action helps stabilize the newborn’s body temperature, which is important as hypoglycemia can sometimes be associated with temperature instability.

3. Parameters to Monitor:

  • Temperature: Monitoring the temperature is important to ensure the newborn maintains normal body temperature and to identify any possible hypothermia.
  • Seizure activity: Jitteriness can sometimes progress to seizures if hypoglycemia is severe, so monitoring for seizure activity is critical.


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Related Questions

Correct Answer is ["C","D","E"]

Explanation

Visual disturbances in a pregnant client could indicate conditions such as preeclampsia or gestational hypertension, which require immediate medical attention.

Monitoring the fetal heart rate is essential to assess fetal well-being, and any abnormalities in the fetal heart rate may require further evaluation by the provider.
Changes in blood pressure, especially elevated blood pressure, may indicate gestational hypertension or preeclampsia, which require monitoring and management by the provider. A significant weight gain of 3.2 kg (7 lb) over the last 2 weeks may indicate fluid retention or other issues that need assessment and intervention by the provider.

Deep tendon reflexes (option A) are not typically assessed routinely in antepartum care unless there are specific indications, such as signs of preeclampsia.

Correct Answer is A

Explanation

Methylergonovine is a medication commonly used to prevent or treat postpartum hemorrhage, which is excessive bleeding after childbirth. It works by causing uterine contractions, which help to control bleeding by compressing blood vessels in the uterus. It is often administered following vaginal delivery to reduce the risk of excessive bleeding and complications associated with postpartum hemorrhage.

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