A neonate, who is one day old, develops a cephalhematoma.
Which common complication should the nurse assess this neonate for?

Poor appetite.

Jaundice.

Hypoglycemia.

Brain damage.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Poor appetite can be a symptom of many neonatal conditions, but it's not the most common complication specifically associated with cephalhematoma.

Choice B rationale

Cephalhematomas are caused by the rupture of blood vessels between the skull and periosteum, resulting in a blood collection. The breakdown of red blood cells in this trapped blood can lead to the release of bilirubin, increasing an infant's risk for hyperbilirubinemia and jaundice.

Choice C rationale

Hypoglycemia is a potential concern in neonates but is not directly related to cephalhematoma.

Choice D rationale

While brain damage is a serious potential complication in cases of severe skull trauma, it's not typically associated with cephalhematoma alone. Cephalhematomas usually resolve on their own without long-term consequences.

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Correct Answer is B

Explanation

Choice A rationale

While hard, painful uterine afterpains can be uncomfortable for the patient, they are a normal part of the postpartum period and are not typically a priority complication following a severe postpartum hemorrhage16.

Choice B rationale

Disseminated intravascular coagulation (DIC) is a serious condition that can occur as a complication of severe postpartum hemorrhage. It involves an overactive clotting process leading to the formation of small blood clots that can block blood vessels and cause significant organ damage16.

Choice C rationale

Postpartum psychosis is a serious mental health disorder that can occur after childbirth. However, it is not directly related to postpartum hemorrhage and would not typically be the priority complication in this scenario16.

Choice D rationale

Placenta accreta is a condition where the placenta grows too deeply into the uterine wall. While it can cause severe bleeding after delivery, it would not typically be a priority complication to assess for following a severe postpartum hemorrhage16.

A. Counsel her to increase her caloric intake. B. Advise the client to breastfeed more frequently. C. Inform her that a decreased need for insulin occurs while breastfeeding. D. Schedule an appointment for the client with the diabetic nurse educator.

Correct Answer is C

Explanation

Choice A rationale

While increasing caloric intake can be beneficial for breastfeeding mothers, it does not directly address the client’s concern about decreased insulin needs.

Choice B rationale

Advising the client to breastfeed more frequently does not directly address the client’s concern about decreased insulin needs.

Choice C rationale

Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother’s insulin requirements.

Choice D rationale

While scheduling an appointment with the diabetic nurse educator can be helpful, it is not the immediate response to the client’s concern about decreased insulin needs.

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A neonate, who is one day old, develops a cephalhematoma.Which common complication should the nurse assess this neonate for?

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Naxlex Comprehensive Predictor Exams

A 25-year-old client experienced a severe postpartum hemorrhage following the vaginal birth of twins and is now transferred to the postpartum unit.What complication should the nurse prioritize during the client’s assessment?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A neonate, who is one day old, develops a cephalhematoma.
Which common complication should the nurse assess this neonate for?