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. .

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Correct Answer is ["B","C"]

Explanation

Choice A rationale

Feeding reports are useful for general nutritional assessments but are not typically indicative of the newborn’s suspected pathological condition.

Choice B rationale

Oral mucosa changes, such as pallor or cyanosis, may occur due to hypoxia or circulatory compromise, which are key findings related to the suspected condition.

Choice C rationale

Respiratory changes, including tachypnea or retractions, are significant manifestations of stress or pulmonary involvement in neonatal conditions like asphyxia.

Choice D rationale

Temperature fluctuations, while concerning, are nonspecific and often related to general neonatal instability rather than the suspected pathology. .

A. Low uterine tone with mild vaginal bleeding. B. Rigid uterine tone with dark vaginal bleeding. C. Soft uterine tone with painless vaginal bleeding. D. Low uterine tone with absence of vaginal bleeding.

Correct Answer is B

Explanation

Choice A rationale: Low uterine tone with mild vaginal bleeding is more indicative of placenta previa rather than abruptio placenta. Placenta previa involves the placenta covering the cervix, leading to painless bleeding. Uterine tone remains soft as there is no detachment of the placenta from the uterine wall. Abruptio placenta, however, is characterized by uterine rigidity due to blood accumulation between the placenta and uterine wall.

Choice B rationale: Rigid uterine tone with dark vaginal bleeding is a hallmark of abruptio placenta. The rigidity arises from blood pooling behind the placenta, causing uterine muscle contraction. Dark vaginal bleeding occurs as the blood is often concealed and clotted before expulsion. This condition is a medical emergency due to the risk of maternal hemorrhage and fetal hypoxia. Prompt diagnosis and intervention are critical to prevent severe complications.

Choice C rationale: Soft uterine tone with painless vaginal bleeding is characteristic of placenta previa, not abruptio placenta. Placenta previa involves the placenta partially or completely covering the cervix, leading to painless bleeding as the placenta detaches from the lower uterine segment. The uterine tone remains soft because there is no significant blood accumulation or uterine muscle contraction, unlike in abruptio placenta.

Choice D rationale: Low uterine tone with absence of vaginal bleeding does not align with abruptio placenta. While concealed abruptio placenta can occur without visible bleeding, the uterine tone is typically rigid due to blood accumulation. Low uterine tone suggests a lack of uterine contraction or detachment, which is inconsistent with the pathophysiology of abruptio placenta. This finding may indicate other obstetric conditions rather than abruptio placenta.

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

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Naxlex Comprehensive Predictor Exams

Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?

Correct Answer is ["B","C"]

Explanation

A nurse in the labor and delivery triage unit reviews the electronic medical record (EMR) of a client reporting severe abdominal pain. Which of the following findings is most consistent with abruptio placenta?

Correct Answer is B

Explanation

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

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