A newborn born two hours ago at 36 weeks gestation has noted findings.

Bruising noted over occiput.

Yellowish hue on sclera and skin blanching.

Transcutaneous bilirubin level 12.5 mg/dL (less than 12 mg/dL).

Phototherapy initiated at 08:45. . .

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Occipital bruising typically results from birth trauma due to compressive forces during delivery. While notable, it isn’t necessarily pathological in the context of common neonatal findings.

Choice B rationale

Yellowish sclera and blanching skin indicate neonatal jaundice from elevated bilirubin levels. Hyperbilirubinemia arises due to immature hepatic conjugation processes, necessitating close monitoring for kernicterus risk.

Choice C rationale

A transcutaneous bilirubin level of 12.5 mg/dL exceeds normal (<12 mg/dL) for newborns, indicating hyperbilirubinemia. It reflects excessive hemolysis or liver immaturity requiring therapeutic interventions like phototherapy.

Choice D rationale

Phototherapy at 08: targets bilirubin breakdown into water-soluble forms for excretion. Blue light exposure facilitates reduced serum bilirubin levels, mitigating neonatal jaundice complications promptly. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Potassium intake does not directly affect fibrocystic breast changes or menstruation-related breast discomfort. Fibrocystic changes are influenced by hormonal fluctuations, not electrolyte levels, requiring measures targeting hormonal effects.

Choice B rationale

Increasing fluid intake to 3 liters per day does not specifically alleviate fibrocystic breast discomfort during menstruation. Excess fluid can exacerbate swelling, leading to increased breast tenderness rather than relief.

Choice C rationale

Alcohol consumption can worsen fibrocystic breast discomfort due to its estrogen-modulating effects, which may exacerbate hormonal fluctuations during menstruation, increasing breast pain and sensitivity.

Choice D rationale

Fiber intake does not directly influence fibrocystic breast discomfort or hormonal activity associated with menstruation. Limiting fiber intake is unrelated to managing symptoms of hormonal-induced breast changes.

A. A client who gave birth 1 day ago and needs Rh(D) immune globulin. B. A client who gave birth 3 days ago and reports breast fullness. C. A client who gave birth 12 hours ago and reports an increase in urinary output. D. A client who gave birth 8 hours ago and is saturating a perineal pad every hour.

Correct Answer is D

Explanation

Choice A rationale

Administering Rh(D) immune globulin is important but does not indicate an acute threat to the client’s health, as it can be given within 72 hours postpartum.

Choice B rationale

Breast fullness 3 days postpartum suggests normal lactation and does not constitute a critical issue requiring immediate intervention.

Choice C rationale

Increased urinary output 12 hours postpartum is a typical physiological diuresis process following fluid shifts and does not warrant urgent attention.

Choice D rationale

Saturating a perineal pad every hour 8 hours postpartum indicates heavy vaginal bleeding, potentially signifying postpartum hemorrhage, a life-threatening condition requiring immediate evaluation and intervention. .

View Question and Answer

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

A newborn born two hours ago at 36 weeks gestation has noted findings.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation.Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse on a postpartum unit is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test.Which of the following statements should the nurse plan to make?

A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?

A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis.Which of the following instructions should the nurse include?

A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa.Which of the following actions should the nurse plan to take?

A nurse conducts a physical exam of a client who reports feeling well.Findings include:

A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals.Which of the following findings should the nurse expect?

A nurse is caring for a client who is in active labor.The nurse notes early decelerations of the FHR on the fetal monitor tracing.The nurse should identify that which of the following conditions causes early decelerations in the FHR?

A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding.The client has a history of cocaine use.The nurse should identify that the client is likely experiencing which of the following complications?