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A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Temperature q4 hours

Betamethasone 12.5mg q 24 hours × 2.

Apply external fetal monitor to assess contractions and fetal well-being.

Vaginal exam q 2 hours for labor progress.

Answer and Explanation

The Correct Answer is D

A. Regular temperature checks monitor for infection.

B. Betamethasone promotes fetal lung maturity.

C. Fetal monitoring is standard for assessing wellbeing.

D. Frequent vaginal exams increase infection risk and should be minimized

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Correct Answer is D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

A. Kernicterus B. Physiologic jaundice C. Pathological Jaundice D. Erythroblastosis Fetalis

Correct Answer is B

Explanation

A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.

B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.

C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.

D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.

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A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

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Naxlex Comprehensive Predictor Exams

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

Correct Answer is B

Explanation

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