A 3-day-old infant is slightly jaundiced and has an elevated bilirubin level. What is the most probable cause for these changes?
Hemolysis of neonatal red blood cells by the maternal antibodies.
Delayed meconium excretion resulting in the production of direct bilirubin.
Pathological liver function resulting from hypoxemia during the birthing process.
Physiological destruction of fetal red blood cells during the extrauterine period.
The Correct Answer is D
A. Hemolysis by maternal antibodies suggests hemolytic disease of the newborn (e.g., Rh incompatibility), which typically presents earlier and more severely.
B. Delayed meconium excretion may lead to increased bilirubin, but this is not the most common cause of jaundice at 3 days.
C. Pathological jaundice occurs within the first 24 hours or persists longer than a week.
D. Physiological jaundice is a common finding in newborns due to the natural breakdown of fetal red blood cells (RBCs) and the immature liver's inability to efficiently process bilirubin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While important, assessing gestational age is not the priority over identifying hypoglycemia.
B. Infants of mothers with gestational diabetes (especially those with macrosomia >4 kg) are at risk for hypoglycemia. Monitoring glucose levels immediately is essential to detect and manage low blood sugar.
C. Temperature regulation is important but secondary to monitoring glucose in this scenario.
D. Feeding may be necessary, but glucose monitoring guides the decision for feeding or other interventions.
Correct Answer is A
Explanation
A. The nurse should dry the neonate immediately after birth to prevent heat loss, as newborns are at risk for hypothermia.
B. APGAR scoring is typically done 1 and 5 minutes after birth, not every 30 minutes during the 3rd stage of labor.
C. The neonatal assessment is usually performed after the delivery of the placenta, not during the 3rd stage of labor.
D. Blood samples for blood type are typically obtained after the newborn has stabilized, not during the 3rd stage of labor.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.