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. . .
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Nevus flammeus is a capillary malformation, presenting as a flat, purple-red birthmark that does not cause swelling or cross suture lines, distinguishing it from caput succedaneum.
Choice B rationale
Caput succedaneum involves swelling of the scalp caused by pressure during delivery, often crossing suture lines due to subcutaneous fluid accumulation, a hallmark distinguishing it from other neonatal head conditions.
Choice C rationale
Cephalohematoma is a subperiosteal hemorrhage limited by suture lines, making it distinct from caput succedaneum, which crosses suture lines and involves diffuse subcutaneous swelling.
Choice D rationale
Erythema toxicum is a benign, blotchy skin condition in neonates that does not affect the scalp or cause swelling, further distinguishing it from conditions related to traumatic delivery.
Correct Answer is D
Explanation
Choice A rationale
Tingling of fingers in pregnancy is linked to hormonal changes and fluid retention, which may cause mild carpal tunnel syndrome. This is a common and non-complication-related discomfort in pregnancy.
Choice B rationale
Absence of clonus indicates no hyperreflexia or neurological compromise. In pregnancy, clonus presence may signal severe preeclampsia, but absence signifies normal neurological function.
Choice C rationale
Leg cramps result from changes in calcium and magnesium metabolism during pregnancy. These are common but are not associated with serious complications unless persistent and related to electrolyte imbalances.
Choice D rationale
Blurred vision may result from severe preeclampsia or elevated blood pressure, signifying potential end-organ damage. It requires immediate medical evaluation to prevent progression to eclampsia.
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