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 {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"C","dropdown-group-4":"D"}
Explanation
General - Body aches: Generalized body aches are common indicators of systemic or overall bodily responses, often linked to infections, inflammation, or fatigue. These symptoms are broad and affect multiple areas, making them a good fit for "General."
Head, ears, eyes, nose, and throat - Headache: Headaches are localized manifestations often originating in or involving these regions. Tension, sinus issues, or eye strain can all lead to discomfort, making headaches the most likely symptom for this category.
Gastrointestinal - Nausea: The gastrointestinal system primarily involves digestion. Nausea is a typical symptom when this system is affected, often linked to conditions like food poisoning, motion sickness, or gastrointestinal disorders.
Breast - Pain: Pain in the breast is a localized symptom often associated with conditions like mastitis, hormonal changes, or physical trauma. It’s a direct and clear manifestation tied to this specific body system.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
Choice A rationale
Methyldopa is a first-line antihypertensive for pregnancy-induced hypertension. It is safe, effective, and preferred due to its minimal placental transfer and limited fetal impact.
Choice B rationale
Lisinopril, an ACE inhibitor, is contraindicated in pregnancy due to teratogenic risks, including fetal renal malformations and oligohydramnios. It poses significant dangers to fetal health.
Choice C rationale
Labetalol, a combined alpha and beta-blocker, is recommended for managing hypertensive crises in pregnancy. It offers effective blood pressure control with a favorable safety profile.
Choice D rationale
Losartan, an angiotensin II receptor blocker, is not recommended in pregnancy. It risks fetal toxicity, including kidney dysfunction and growth restriction, similar to ACE inhibitors.
Choice E rationale
Hydralazine is a vasodilator safe for pregnancy. It is recommended for treating severe hypertensive emergencies, particularly in preeclampsia, due to its efficacy in reducing vascular resistance.
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