A newborn is assessed and found to be jaundiced at 24 hours old. What is the significance of this finding?
It is a common occurrence in newborns.
It indicates an underlying disease or condition.
It is a result of immature liver function.
It is a normal physiological response in newborns.
The Correct Answer is B
Choice A rationale
While jaundice is common, jaundice at 24 hours old is not typical and may indicate a serious underlying condition.
Choice B rationale
Jaundice within the first 24 hours suggests possible hemolysis or infection, both of which require immediate medical attention.
Choice C rationale
Although an immature liver can cause jaundice, jaundice appearing within 24 hours warrants further investigation for pathological causes.
Choice D rationale
Normal physiological jaundice usually appears after 24 hours, peaking around days 3 to 5 of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Severe nausea and vomiting are not specific symptoms of a ruptured ectopic pregnancy but may occur due to other unrelated conditions.
Choice B rationale
Bradycardia is not characteristic of a ruptured ectopic pregnancy but could indicate other cardiovascular issues or conditions.
Choice C rationale
Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding, indicating potential rupture.
Choice D rationale
Heavy vaginal bleeding can occur in various conditions but is not as specific to ruptured ectopic pregnancy as referred shoulder pain indicating internal bleeding.
Correct Answer is ["A","B"]
Explanation
Choice A rationale:
Chronic hypertension significantly increases the risk of complications such as preeclampsia, intrauterine growth restriction, and placental abruption. Normal blood pressure is <120/80 mmHg. Elevated blood pressure can damage blood vessels and organs, affecting placental function.
Choice B rationale:
A sedentary lifestyle can lead to excessive weight gain, gestational diabetes, and venous thromboembolism. Lack of physical activity is linked to poor cardiovascular health and increased risk of preeclampsia. Regular exercise is recommended to mitigate these risks.
Choice C rationale:
Occasional dizziness is common during pregnancy due to hormonal changes, increased blood volume, or postural hypotension. It is not a major risk factor for pregnancy complications unless associated with other symptoms like severe headache or visual disturbances.
Choice D rationale:
Consuming 1 cup of coffee daily (approximately 95 mg of caffeine) is generally considered safe during pregnancy. The American College of Obstetricians and Gynecologists states that moderate caffeine intake (<200 mg/day) does not significantly increase the risk of pregnancy complications.
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