A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

asymmetrical movement

bruising over area

edema present

facial grimacing with movement

positive Babinski reflex

Answer and Explanation

Correct Answer : A,B,C,D

A.   Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B.   Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C.   Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D.   Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E.   A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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

Explanation

A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.

A. Present the food matter-of-factly and allow the child to choose what to eat. B. Allow the child to pick out his or her own foods for meals. C. Offer high-fat snacks if the child does not eat, to get them to eat something. D. Offer the child a special treat if he or she eats all the food on the plate.

Correct Answer is A

Explanation

A. Presenting food matter-of-factly and allowing the child to choose what to eat can help promote autonomy and reduce mealtime stress, encouraging healthier eating habits over time.
B. Allowing the child to pick out foods for meals may reinforce picky eating habits and may not necessarily promote balanced nutrition.
C. Offering high-fat snacks to entice the child to eat may reinforce unhealthy eating habits and may not address the root causes of picky eating.
D. Offering a special treat as a reward for eating all the food on the plate may create an unhealthy association with food and may not promote long-term healthy eating habits.

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A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.

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

Explanation

The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice?

Correct Answer is A

Explanation

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